WHAT:
- Payment amount equivalent to 1% of the total Medicaid paid personal assistant claim payments made to the agency for the six-month period.
- Successful submission of verified EVV records for at least 80% of personal assistant services delivered. A comparison of paid PA claims and state aggregator verified EVV records for agency providers.
- A provider may earn a quality payment twice a year. One payment for the July-December time period and one for the January-June time period.
WHY: Electronic timekeeping adds efficiency, provides quicker payments, allows for better coordination of care, easier scheduling, verification that care was received at the point of care, and minimizes billing errors.
HOW: The personal assistant paid claims from the Medicaid payer system and EVV record data from the state aggregator will be pulled twice a year.
REQUIRED DATA POINTS: Type of service, individual receiving service, date of service, location, staff providing service, time the service ends and begins.