Home Health and Personal Care Services

 

Electronic Visit Verification (EVV) System Required for All Home Health Care Services (HHCS) by April 1, 2023.

Section 12006 of the Twenty First Century Cures Act (Cures Act) and the Centers for Medicare & Medicaid Services (CMS) requires the State of North Carolina to begin utilizing an Electronic Visit Verification System (EVV) for all Personal Care Services (PCS) by November 1, 2021, and all Home Health Care Services (HHCS) by April 1, 2023.  The Cures Act mandate requires all visits to be timestamped via an electronic verification method utilizing EVV tools to record the member, caregiver, time the service begins and ends, location of the service, date of the service and the type of service performed.

Therefore, to ensure that the provider community complies with the Cures Act mandate requirements, the state of North Carolina requires all providers to be fully integrated by April 1, 2023 and implement EVV for HHCS.  As a result, Carolina Complete Health will continue its partnership with HHAeXchange as its EVV solution.

Choosing your EVV provider selection & the HHAeXchange Platform

HHAeXchange offers EVV solutions at no cost to providers and data integration options for providers who already have EVV software. Based on your provider set up, below are the options available with HHAeXchange:

  • Option 1 – Agencies currently without an EVV Solution: use the free EVV tools provided by HHAeXchange & Carolina Complete Health
  • Option 2 – Agencies currently using another 3rd Party EVV Solution: use your existing EVV system and import visit data into HHAeXchange – HHA will route visit data to Carolina Complete Health
  • Option 3 – Existing providers that currently utilize the HHAeXchange provider platform will be linked with the new service codes in scope

Have Questions?

If you have questions or need help, please feel free to contact your Carolina Complete Health provider representative at 833-552-3876 or email networkrelations@cch-network.com.

For questions or help with HHAX, please email HHAeXchange at ncsupport@HHAeXchange.com or visit us at https://hhaexchange.com/nc-home-health/.

Do you have a member who is in need of initial PCS?

  1. The 3051 form is to be completed by member's primary care provider or attending physician. This can be found on the Manuals, Forms, and Guides page.
  2. Fax the 3051 form to Carolina Complete Health Care Management: 833-238-7689
  3. Once this form is received a face to face visit (telephonic outreach due to COVID) will be scheduled within 30 days by CCH Care Manager
  4. After assessment is completed and start of care date is determined, an authorization will be created by CCH and will be shared with the agency. This document will include purchased tasks to be completed by PCS attendant. Agencies will receive the authorization via fax and can also view on the CCH Secure Provider Portal  

HHAeXchange is the premiere Homecare Management Software company for the Medicaid LTSS population. They are the leaders in connecting payers and homecare agencies to enable more collaboration, communication, and workflow efficiencies. Through the use of the HHAeXchange portal, their goal is to make working with Carolina Complete Health easy and efficient.

How HHAeXchange Helps the PHP Meet the Cures Act Mandate​

  • Industry-leading scheduling and billing platform for back-office users and EVV confirmations​
  • Easy-to-use point-of-care visit confirmation tools for caregivers

What does the HHAeXchange Portal provide to homecare agencies?

  • Electronic case placement and authorization transfer
  • Efficient schedule and visit management
  • Free EVV solution for time & attendance and duty tracking
  • Electronic billing

General Support: NCSupport@hhaexchange.com                      

EDI Support: EDISupport@hhaexchange.com

Phone: 866-242-2465

Provider Portal Resource Page:

Training Links:

HHAeXchange North Carolina Resoures Page

Please visit our Provider Communications page for a summary of PCS provider bulletins. If you are not receiving, please subscribe.

Carolina Complete Health attested to State Plan Personal Care Services (PCS), 3L. For a complete listing of clinical policies, visit Clinical Policies

PCS Provider Training- August 13th, 2021

This recorded session provides an overview on how to request PCS services, the assessment and authorization process, working with the EVV Vendor, plus Q&A!