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Medicaid Electronic Visit Verification

Section 409.9132, Florida Statutes, directs the Agency for Health Care Administration (AHCA) to competitively procure a Vendor to operate an Electronic Visit Verification (EVV) Program of home health services provided through the Medicaid fee-for-service delivery system.

The EVV program must verify the utilization and delivery of home health services (home health visits, private duty nursing, and personal care services) using technology that is effective for identifying delivery of the service and deterring fraudulent or abusive billing for the service. Also, the EVV program must provide an electronic billing interface and require the electronic submission of claims for home health services.

AHCA has contracted with Centric Consulting, LLC, to implement the AHCA Electronic Visit Verification program for home health providers furnishing services through the fee-for-service delivery system. The contract term is July 1, 2017 through September 30, 2020.

The AHCA EVV program is powered by Tellus, LLC technology and uses the Tellus EVV software to verify the utilization and delivery of home health services (home health visits, private duty nursing, and personal care services) using technology that is effective for identifying delivery of the service and deterring fraudulent or abusive billing for the service. Also, the AHCA EVV program will provide an electronic billing interface and require the electronic submission of claims for home health services. Home health providers furnishing services through the Medicaid fee-for-service delivery system will need the Tellus EVV software to confirm delivery of home health services or use an integratable EVV system.

Click here to submit questions to AHCA via email. Additionally, please submit complaints and issues related to EVV online by clicking here, or call (877) 254-1055.

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