What's New?

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Posted 10/27/2021 - As a reminder to providers who are not regularly using EVV for the required PSS and CLS services yet, starting November 1, 2021, all EVV-applicable claims must include the required EVV visit information and be submitted through the State EVV solution, Netsmart, with three (3) exceptions

Providers that have claims that fall within one or more of the following exceptions should submit those claims directly to GAMMIS until upgrades to the Netsmart solution are completed. The claim exceptions are as follows:

  1. A claim pertaining to a member with a Patient Liability (cost share), 
  2. A claim pertaining to Shared Service Code, or
  3. A claim type tied to an open “Tier 2” ticket with Netsmart.

Again, only providers submitting claims that meet any of the above exception criteria may submit those claim types directly to GAMMIS. All other EVV-applicable claims (those without an exception listed above) with a date of service on or after November 1, 2021, should be submitted through the State EVV solution, Netsmart.

If you have questions or concerns about whether these exceptions apply to one of your claims, please reach out to [email protected].

Posted 9/21/2021 – DCH will be extending the EVV deadlines for fiscal intermediary (FIs) and participant-directed/self-directed members to November 1, 2021. This extension is to allow participant-directed/self-directed members who are currently supported by the State’s FIs additional time to be onboarded.

Your FI may require different implementation deadlines or benchmarks to support testing and ensure compliance by the mandated deadline.

 

IMPORTANT EVV UPDATE:

The Georgia Department of Community Health (DCH) has decided to delay mandatory claims submission for EVV from July 1, 2021, to November 1, 2021. Fiscal Intermediaries and traditional providers may continue to bill through the Netsmart solution or GAMMIS until November 1, 2021. 

EVV itself is not postponed or delayed. EVV is up and fully functional for use now. All providers are encouraged to utilize and get on board with EVV as soon as possible and not delay. There will be no delay to the claims edit post November 1, 2021. And the sooner, you as a provider, start utilizing the system now the less concerns there will be when the mandatory claims edit goes into place November 1, 2021.

New deadlines related to EVV activities have been established. If you, as a Provider, have not completed the below activities by the expressed date, your agency will be subject to pre-payment review.

 

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As a reminder, EVV is a federal mandate and will be required in Georgia. The mandatory claims delay to November 1, 2021, should be used as an opportunity to ensure you see no disruptions to your claims payments.

  • July 23, 2021All providers are required to be registered with the State EVV solution, Netsmart. Even Providers using a third-party EVV vendor are required to register with the State EVV solution. 
  • August 31, 2021 All providers are required to have employees added as users into your chosen EVV solution and successfully submit at least one EVV-related claim for each applicable Medicaid ID. To successfully submit a claim, aides and caregivers will have to use and capture visit data using EVV.
  • November 1, 2021 (Updated date; previously October 1) All EVV-related claims will be required to include EVV information and be submitted via the State EVV solution. The mandatory claims edit for EVV-required services will be turned on. The only exception to continue to submit claims through GAMMIS will be for those with an outstanding support ticket related to the State EVV solution.

 

Contact Georgia EVV Call Center

Claims functionality and submission is now available through the State EVV solution!

Contact the Georgia EVV Call Center for technical issues or questions, via phone, email, or website for chat.

 

Good Faith Exemption (GFE) Approval - DCH submitted a GFE Request Form on behalf of the State of Georgia on November 8, 2019. CMS granted an approval of the request on Monday December 3, 2019. Georgia’s new deadline for implementing EVV for Personal Care Services (PCS) is now January 1, 2021 and Home Health Care Services (HHCS) by January 1, 2023. While Georgia will miss this January 1, 2021 implementation deadline and incur incremental Federal Medical Assistance Percentage (FMAP) penalties, DCH is committed to working with Members, Providers, and vendors to meet training needs and implement a quality solution as quickly as possible. For more information about the GFE request, click Download this pdf file. HERE

Posted 3/29/2021 - The Georgia Department of Community Health (DCH) is happy to announce that registration for the Georgia Electronic Visit Verification (EVV) solution is open! Providers can register today by going to https://4tellus.com/ga-dch/ and/or using the DCH-provided guide, “ Download this pdf file. How to Register a Provider Agency to Use Tellus EVV .”

Posted 03/18/2021 - EVV training is available! Training for Georgia’s EVV solution began on March 16th, 2021 and runs throughout the year. Training will be provided by Georgia’s EVV solution vendor, Netsmart, via their training website and will include live webinar and pre-recorded options. Visit the DCH EVV Schedule of Events page to register for EVV training!

Posted 01/14/2021 - Have questions about EVV? We want to help answer them! DCH has recently updated Download this pdf file. Member frequently asked questions (FAQs) and has created Download this pdf file. Provider and Download this pdf file. Self-Directed Member and Families FAQs. While the FAQs cover a variety of topics and questions, they might not address your specific issue. Don’t see what you need? Email the DCH EVV project team at [email protected] to have your specific question answered.

Posted 11/10/2020 - Netsmart, Georgia’s EVV Solution Vendor, already has existing relationships and integrations with many third-party EVV Vendors in Georgia, but not all! Netsmart will need to connect with all third-party EVV Vendors to provide information regarding next steps and the aggregation process. If you are a provider working with a third-party EVV Vendor, please have your EVV Vendor contact Netsmart at [email protected] for information. If you are an EVV Vendor working with a Georgia Medicaid provider and have not been in contact with Netsmart, please contact Netsmart at [email protected] for information.

Posted 10/02/2020 - GOOD NEWS!!! Georgia DCH is finally resuming EVV implementation activities. We have streamlined an implementation approach and selected Conduent in partnership with Netsmart as our EVV vendor.  Download this pdf file. Click here to read the full announcement.  

 

Upcoming DCH EVV Events

DCH EVV implementation events are happening! Check the EVV Schedule of Events page regularly for updates regarding EVV events. - Posted 01/14/2021

 

Here are tips related to the top EVV issues providers reach out to technical support for:

  1. MEDICAID ID NUMBER: During registration, when asked about your Provider ID Number, this is referring to your Medicaid ID number. You will need to register for each Medicaid ID number applicable to EVV services and your agency locations.
  2. ZIP CODE: Ensure you are using the zip code that aligns to the Medicaid ID number.
  3. ADMIN ROLE: You need at least one administrator per Medicaid ID number. If you are the only administrator for a Medicaid ID number, do not change your role without first assigning an additional administrator. You will lose full access to the system and will need technical support to regain access.
  4. AIDE LOG IN: Aides and caregivers, it is strongly recommended you do not use your email as your user log in. Usernames must be unique across all users in the system.
  5. ROLES: Roles for within the State EVV solution are as follows and can be reviewed in the Netsmart Admin User Guide.
    1. Provider Admin — This role allows the User to view and edit information in the Administrator Console. There is no need to select any other role; Administrators have access to everything in the system.
    2. Billing — This role allows the User to access Claims functions only: Visits, Work List, Claim Review, and Prior Authorizations. This role can be combined with any other role, except Monitor.
    3. Personal Support Aide — This role allows the User to view only the information and schedules for the Recipients for whom they provide care. If a User is assigned the Personal Support Aide only, that User will only have access to information on their EVV mobile app; they will not have access to the Administrator Console.
    4. Provider View Only — This role allows the User to only view information. Users assigned the Provider View Only role cannot make any changes using the Administrator Console. This role can be combined with Personal Support Aide only.
  6. OFFLINE MODE: The State solution has an offline mode and is described in detail in the Provider FAQs. Please note, an aide will need to sign into the Netsmart mobile application while they have access to WiFi. When WiFi access is lost, the system will automatically switch to the offline mode. You must sign into the mobile application before going into an area that has no WiFi. Data will be stored while in offline mode, however, you must log into the Netsmart EVV mobile application from a location that has Wi-Fi or cellular service within 12 hours. If a user selects the menu button and logs out, the user must log in (with internet) before going into Offline Mode.  

If you know you or your aides have multiple members with limited WiFi, it would be recommended you or your aides log into the Netsmart system in a location with WiFi before beginning their workday. 

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