2018 Session

Budget Amendments - HB30 (Member Request)

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Chief Patron: Landes
Payment Incentive for Implementation of Electronic Visit Verification Systems

Item 303 #21h

Item 303 #21h

First Year - FY2019 Second Year - FY2020
Health and Human Resources
Department of Medical Assistance Services FY2019 $5,300,829 FY2020 $5,300,829 GF
FY2019 $5,300,829 FY2020 $5,300,829 NGF

Page 257, line 34, strike "$10,983,034,643" and insert "$10,993,636,301".
Page 257, line 34, strike "$12,657,131,076" and insert "$12,667,732,734".

Page 278, after line 4, insert:

"PPP.1.  The Department of Medical Assistance Services is authorized to require consumer directed aides providing personal care and respite care in the Medicaid Commonwealth Coordinated Care (CCC) Plus Waiver and Developmental Disability waiver programs to utilize an Electronic Visit Verification (EVV) system. The department is authorized to contract with a vendor to provide access to an EVV system for use by consumer-directed aides.

2.  The department shall require, for personal care and respite care agencies, EVV systems comply with state and federal requirements by identifying:  (i) the type of services identified in the care plan to be performed; (ii) the individual receiving the services; (iii) the date and time the service begins and ends; (iv) the location where services were delivered; (v) the individual providing services; (vi) daily back up for all data; (vii) protection of data securely and reliably; (viii) a demonstrated disaster recovery mechanism; (ix) that the system does not permit the modification of dates and times except for late entry documentation by a licensed health care professional; and (x) utilization of a unique identification system eliminating the requirement for hand written signatures.  These provisions shall not apply to respite services provided by a DBHDS licensed provider in a DBHDS licensed program site such as a group home, sponsored residential home, supervised living, supported living or any similar facility/location licensed to provide respite.

3. The Department of Medical Assistance Services shall increase rate for agency personal care and respite care services by 2.5 percent beginning July 1, 2018.  The rate increase shall be  effective for agencies upon implementation of a functioning EVV system.

4. The department shall have the authority to implement these changes effective July 1, 2018, and prior to completion of any regulatory process to effect such changes."


(This amendment sets out requirements for implementation of electronic visit verification systems for consumer-directed and agency personal care and respite service providers to comply with the federal 21st Century Cures Act. In addition, the amendment provides $5.3 million each year from the general fund and a like amount of federal matching funds each year to increase the rates for agency-provided services to cover the costs of technology build out, implementation, ongoing daily audits and licensing and service fees.)