Electronic Visit Verification. 4.2.1. HCPF shall implement and administer the EVV program. 4.2.2. HCPF shall develop a live-in caregiver attestation form for provider use. 4.2.3. HCPF shall provide to DPHE a monthly report of providers billing for live-in caregivers. This report shall include the provider service name, provider service address, provider Medicaid ID and NPI names of the providers that are listed in the CDPHE licensing system. 4.2.4. DPHE shall review provider files to ensure appropriate live-in caregiver documentation is present when claims indicating live-in statute are billed. 4.2.4.1. DPHE shall review a representative sample of member files, including differing roles and responsibilities, where live-in documentation should be present. 4.2.4.2. If documentation is incorrect or not present, DPHE will cite the provider and refer to HCPF. 4.2.4.2.1. DPHE shall perform live-in caregiver documentation review at time of certification or site visit. Providers not scheduled for site visit shall be reviewed at least a minimum of every three years. 4.2.4.3. Provider types and services requiring live-in caregiver document review include:
Appears in 2 contracts
Samples: Interagency Agreement, Interagency Agreement
Electronic Visit Verification. 4.2.15.2.1. HCPF shall implement and administer the EVV program.
4.2.25.2.2. HCPF shall develop a live-in caregiver attestation form for provider use.
4.2.35.2.3. HCPF shall provide to DPHE a monthly report of providers billing for live-in caregivers. This report shall include the provider service name, provider service address, provider Medicaid ID and NPI names of the providers that are listed in the CDPHE licensing system.
4.2.45.2.4. DPHE shall review provider files to ensure appropriate live-in caregiver documentation is present when claims indicating live-in statute statue are billed.
4.2.4.15.2.4.1. DPHE shall review a representative sample of member files, including differing roles and responsibilities, where live-in documentation should be present.
4.2.4.25.2.4.2. If documentation is incorrect or not present, DPHE will cite the provider and refer to HCPF.
4.2.4.2.15.2.5. DPHE shall perform live-in caregiver documentation review at time of certification or site visit. Providers not scheduled for site visit shall be reviewed at least a minimum of every three years.
4.2.4.35.2.5.1. Provider types and services requiring live-in caregiver document review include:
5.2.5.1.1. Behavioral Services 5.2.5.1.2. Home Health 5.2.5.1.3. Homemaker
Appears in 1 contract
Samples: Department of Health Care Policy and Financing Agreement
Electronic Visit Verification. 4.2.15.2.1. HCPF shall implement and administer the EVV program.
4.2.25.2.2. HCPF shall develop a live-in caregiver attestation form for provider use.
4.2.35.2.3. HCPF shall provide to DPHE a monthly report of providers billing for live-in caregivers. This report shall include the provider service name, provider service address, provider Medicaid ID and NPI names of the providers that are listed in the CDPHE licensing system.
4.2.45.2.4. DPHE shall review provider files to ensure appropriate live-in caregiver documentation is present when claims indicating live-in statute are billed.
4.2.4.15.2.4.1. DPHE shall review a representative sample of member files, including differing roles and responsibilities, where live-in documentation should be present.
4.2.4.25.2.4.2. If documentation is incorrect or not present, DPHE will cite the provider and refer to HCPF.
4.2.4.2.15.2.5. DPHE shall perform live-in caregiver documentation review at time of certification or site visit. Providers not scheduled for site visit shall be reviewed at least a minimum of every three years.
4.2.4.35.2.5.1. Provider types and services requiring live-in caregiver document review include:
5.2.5.1.1. Behavioral Services 5.2.5.1.2. Home Health 5.2.5.1.3. Homemaker
Appears in 1 contract
Samples: Interagency Agreement
