Electronic Visit Verification. (EVV). The MCOP shall utilize the ODM-established EVV system for the following services: Private Duty Nursing; State Plan Home Health Aide; State Plan Home Health Nursing; RN Assessment, Waiver Nursing; Waiver Personal Care Aide; Waiver Home Care Attendant. The MCOP will use data collected from the EVV data collection system data to validate all claims against EVV data (100% review) during the claim adjudication process. The MCOP shall inform providers of the use of the EVV data collection system and how the data will be utilized by the MCOP. The MCOP shall also provide assistance on utilization of the data collection system, as appropriate, to individuals receiving services, direct care workers, and providers. During the Pay and Post period of EVV, the MCOP shall submit a monthly report of all EVV related claims that would have denied as specified by ODM. Upon full implementation of EVV, the MCOP shall submit a monthly report of all EVV related denied claims as specified by ODM.
Appears in 7 contracts
Samples: The Ohio Department of Medicaid Mycare Ohio Provider Agreement for Mycare Ohio Plan, The Ohio Department of Medicaid Mycare Ohio Provider Agreement for Mycare Ohio Plan, The Ohio Department of Medicaid Mycare Ohio Provider Agreement for Mycare Ohio Plan
Electronic Visit Verification. (EVV). The MCOP shall utilize the ODM-established EVV system for the following services: Private Duty Nursing; State Plan Home Health Aide; State Plan Home Health Nursing; RN Assessment, Waiver Nursing; Waiver Personal Care Aide; Waiver Home Care Attendant. The MCOP will use data collected from the EVV data collection system data to validate all claims against EVV data (100% review) during the claim adjudication process. The MCOP shall inform providers of the use of the EVV data collection system and how the data will be utilized by the MCOP. The MCOP shall also provide assistance on utilization of the data collection system, as appropriate, to individuals receiving services, direct care workers, and providers. During the Pay and Post period of EVV, the MCOP shall submit a monthly report of all EVV related claims that would have denied as specified by ODMXXX. Upon full implementation of EVV, the MCOP shall submit a monthly report of all EVV related denied claims as specified by ODM.
Appears in 2 contracts
Samples: The Ohio Department of Medicaid Mycare Ohio Provider Agreement for Mycare Ohio Plan, The Ohio Department of Medicaid Mycare Ohio Provider Agreement for Mycare Ohio Plan
