Update to Electronic Visit Verification (EVV) Claim Pend Process for Home Health and Hospice Services

Jun 09, 2022

This message is a follow up to the August 13, 2021 message in which we announced the EVV “soft launch” period for providers of section 40 Home Health and section 43 Hospice services ahead of the January 1, 2023 federal implementation deadline.

The soft launch period for Home Health services will still start July 1, 2022. Starting this date, Home Health claims with dates of service July 1, 2022 or later will pend for up to three days while searching for a matching EVV record and then process to pay unless denied for another reason.

Due to the need to add new Sandata functionality to support the implementation for Hospice services, we are moving the soft launch period for Hospice services to start September 13, 2022. Starting this date, Hospice claims with dates of service also July 1, 2022 or later will pend for up to three days while searching for a matching EVV record and then process to pay unless denied for another reason.

We will incorporate information about the new Sandata functionality for Hospice services into regularly scheduled EVV trainings starting after August 5, 2022 and will announce town hall sessions for 3rd party system vendors soon.

The table explains the three day pend process.

Day of Week Claim is Submitted	If no Matching Visit Record, Claim is Released from EVV Hold	EFT Payment Sent	Check Payment Sent
Saturday, e.g. 07/09/2022	The following Tuesday, 07/12/2022	Thursday, 07/21/2022	Monday or Tuesday 07/25/2022 or 07/26/2022
Sunday, e.g. 07/10/2022	The following Wednesday, 07/13/2022	Thursday, 07/21/2022	Monday or Tuesday 07/25/2022 or 07/26/2022
Monday, e.g. 07/11/2022	The following Thursday, 07/14/2022	Thursday, 07/21/2022	Monday or Tuesday 07/25/2022 or 07/26/2022
Tuesday, e.g. 07/12/2022	The following Monday, 07/18/2022	Thursday, 07/28/2022	Monday or Tuesday 08/01/2022 or 08/02/2022
Wednesday, e.g. 07/13/2022	The following Monday, 07/18/2022	Thursday, 07/28/2022	Monday or Tuesday 08/01/2022 or 08/02/2022
Thursday, e.g. 07/14/2022	The following Monday, 07/18/2022	Thursday, 07/28/2022	Monday or Tuesday 08/01/2022 or 08/02/2022
Friday, e.g.   07/15/2022	The following Monday, 07/18/2022	Thursday, 07/28/2022	Monday or Tuesday 08/01/2022 or 08/02/2022

 

To begin using the State EVV System, please follow instructions found in the EVV System Set-Up Options section of the EVV webpage. If you have not yet logged into the State EVV System, your account may require a password reset. Please contact Provider Services for assistance.

If you need assistance with either the State EVV system or with an Alternate or 3rd Party EVV system, please contact Provider Services with questions:

• Email MaineCare's EVV email box
• Call Provider Services at 1-866-690-5585, option 3