May 2025 Release Notes

Illinois - Added State Specific Requirements Closed

Shift requirements have been added for visits that cross midnight. For more information, see Illinois EVV Data Aggregator API Specifications.

Illinois - Updated Caregiver Data Structure and EVV Request Data Structure Descriptions Closed

Revised each description below. A valid social security number is required by the State of Illinois and professional License Number is optional. Office qualifier values include FederalTaxID or NPI only.

Caregiver Data Structure

Index	Element	Description	Max Length	Type	Required
4	ssn	Full social security number, required by State of Illinois, sent by Provider and EVV vendors Format: 999999999	9	String	Required
13	professionalLicenseNumber	Unique ID provided to Caregiver once credentialed by state (optional). If the value is empty, then the existing value of Professional License Number in HHAeXchange is removed	50	String	Required

EVV Request Data Structure

Index	Element	Description	Max Length	Type	Required?
2	Office
	qualifier	Value being sent to uniquely identify the member. Possible Values: FederalTaxID or NPI. If agency operates in a single office location, same tax ID can be submitted as ‘providerTaxID’ described in this table. If agency has multiple locations, submit office-level NPI. If service code is configured for auto-placement, submit office-level NPI.	50	String	Required
	identifier	Office identifier identified by Office Qualifier.	64	String	Required

For more information, see Illinois EVV API Specifications.

Illinois - Updated diagnosisCodes Field Description Closed

A specific format is now required for the diagnosisCodes field. Codes should be entered in quotation marks and separated by commas (see the example below).

5

diagnosisCodes

When Required: When visit is billed; this field should be sent along with externalInvoiceNumber. Diagnosis Code Up to 26 of these are allowed. Proper formatting is required for the diagnosisCodes field. Format example: “Z483","C187","C787","Z433","I10","M1990"

50

Array of String

Situational

For more information, see Illinois EVV API Specifications.

Michigan - Updated diagnosisCodes Field Description Closed

A specific format is now required for the diagnosisCodes field. Codes should be entered in quotation marks and separated by commas (see the example below).

5

diagnosisCodes

When Required: When visit is billed; this field should be sent along with externalInvoiceNumber. Diagnosis Code Up to 26 of these are allowed. Proper formatting is required for the diagnosisCodes field. Format example: “Z483","C187","C787","Z433","I10","M1990"

50

Array of String

Situational

For more information, see Michigan EVV API Specifications.

Minnesota - Updated diagnosisCodes Field Description Closed

A specific format is now required for the diagnosisCodes field. Codes should be entered in quotation marks and separated by commas (see the example below).

5

diagnosisCodes

When Required: When visit is billed; this field should be sent along with externalInvoiceNumber. Diagnosis Code Up to 26 of these are allowed. Proper formatting is required for the diagnosisCodes field. Format example: “Z483","C187","C787","Z433","I10","M1990"

50

Array of String

Situational

For more information, see Minnesota Department of Human Services EVV Data Aggregator API Specifications.

Mississippi - Updated diagnosisCodes Field Description Closed

A specific format is now required for the diagnosisCodes field. Codes should be entered in quotation marks and separated by commas (see the example below).

5

diagnosisCodes

When Required: When visit is billed; this field should be sent along with externalInvoiceNumber. Diagnosis Code Up to 26 of these are allowed. Proper formatting is required for the diagnosisCodes field. Format example: “Z483","C187","C787","Z433","I10","M1990"

50

Array of String

Situational

For more information, see Mississippi EVV Data Aggregator API Specifications.

New Jersey - Updated diagnosisCodes Field Description Closed

A specific format is now required for the diagnosisCodes field. Codes should be entered in quotation marks and separated by commas (see the example below).

5

diagnosisCodes

When Required: When visit is billed; this field should be sent along with externalInvoiceNumber. Diagnosis Code Up to 26 of these are allowed. Proper formatting is required for the diagnosisCodes field. Format example: “Z483","C187","C787","Z433","I10","M1990"

50

Array of String

Situational

For more information, see New Jersey Medicaid EVV Data Aggregator API Specifications.

New York - Added Plan of Care Task Codes for VNS CHHA and VNS Hospice Closed

Added task codes (below), now required for billing compliance. For more information see New York POC Task Codes.

VNS CHHA Task Code List

POC Task Code	Task Name	Category Name
100	Bath: Tub	Personal Care
101	Bath: Shower	Personal Care
102	Bath: Bed	Personal Care
106	Mouth Care	Personal Care
108	Shampoo	Personal Care
110	Nail Care	Personal Care
111	Dressing	Personal Care
112	Skin Care	Personal Care
113	Foot Care	Personal Care
117	Toileting	Personal Care
118	Bath: Sponge	Personal Care
120	Incontinent Care	Personal Care
203	Prepare Meal	Personal Care
205	Feed Patient	Personal Care
206	Assist with Feeding	Personal Care
207	Intake: Measure/Record	Personal Care
300	Transfer: 1 Person	Personal Care
301	Walking: Assist	Personal Care
302	Walking: Device	Personal Care
304	Passive Range of Motion	Personal Care
306	Active Range of Motion	Personal Care
307	Transfer: 2 Persons	Personal Care
308	Transfer: Slide Board	Personal Care
309	Transfer: Mechanical Lift	Personal Care
311	Turning and Positioning	Personal Care
400	Temperature: Oral	Personal Care
401	Temperature: Rectal	Personal Care
402	Temperature: Axillary	Personal Care
403	Pulse	Personal Care
404	Respirations	Personal Care
405	B/P	Personal Care
406	Weight	Personal Care
407	Output: Measure/Record	Personal Care
408	Change External/Texas Catheter	Personal Care
409	Catheter Care	Personal Care
410	Ostomy Care	Personal Care
413	Administer SC Insulin Prefill	Personal Care
414	Finger Stick for Blood Glucose Monitoring	Personal Care
415	Assist Nebulizer w/Prescribed Meds	Personal Care
416	Administer Tube Feeding via GT (Mature/Stable Osto)	Personal Care
417	Apply Hot Application	Personal Care
418	Apply Cold Application	Personal Care
419	Administer Fleets Enema	Personal Care
420	Mechanical Fentilators/Respirators	Personal Care
421	CPAP/IPPB	Personal Care
422	Oxy Set and/or Regulate a Specific Flow Rate	Personal Care
423	Oral Suctioning with Bulb Syringe	Personal Care
424	Irrigate Indwelling Catheter	Personal Care
425	Ureterostomy Care (Stable/Mature)	Personal Care
426	Apply Tens Unit	Personal Care
427	Apply Ace Bandages	Personal Care
428	Administer Douches	Personal Care
429	Administer Medications	Personal Care
430	Postural Drainage	Personal Care
431	Apical Pulse	Personal Care
432	Assist With Remote Patient (Telehealth)	Personal Care
501	Laundry	Personal Care
506	Grocery Shopping	Personal Care
508	Accompany Patient to MD/Clinic	Personal Care
512	Nutritional: Reinforce Diet Instructions	Personal Care
513	Assist Clean Dressing Change (Specify)	Personal Care
514	Walking: Guarding/Supervision	Personal Care
515	Assist with Application of Medical Device (Specify)	Personal Care
516	Assist with Medications	Personal Care
517	Tracheostomy Care	Personal Care
518	Set-up Tube Feeding	Personal Care
519	Assist Nebulizer	Personal Care
520	Infant Care (Specify)	Personal Care
521	Accompany Patient to Other Location	Personal Care
522	Do Not Leave Patient Home Alone If There is No One	Personal Care
523	Bed Rails Up	Personal Care
533	Clean	Personal Care
534	Home Program	Personal Care
780	Follow Aspiration Precautions	General Duties
781	Follow Allergy Precautions	General Duties
782	Follow Fall Precautions and Prevention Measures	General Duties
783	Follow Safety Precautions While Using Durable Medical Equipment (DME)	General Duties
784	Follow Oxygen Safety Precautions	General Duties
785	Observe For Any Changes in Patient Status and Notify Supervisor as Appropriate	General Duties
786	Observe For Safety Issues and Notify Supervisor as Appropriate	General Duties

VNS Hospice Task Code List

POC Task Code	Task Name	Category Name
100	Bath: Tub	Personal Care
101	Bath: Shower	Personal Care
102	Bath: Bed	Personal Care
106	Mouth Care	Personal Care
108	Shampoo	Personal Care
110	Nail Care	Personal Care
111	Dressing	Personal Care
112	Skin Care	Personal Care
113	Foot Care	Personal Care
117	Toileting	Personal Care
118	Bath: Sponge	Personal Care
120	Incontinent Care	Personal Care
203	Prepare Meal	Personal Care
205	Feed Patient	Personal Care
206	Assist with Feeding	Personal Care
207	Intake: Measure/Record	Personal Care
300	Transfer: 1 Person	Personal Care
301	Walking: Assist	Personal Care
302	Walking: Device	Personal Care
304	Passive Range of Motion	Personal Care
306	Active Range of Motion	Personal Care
307	Transfer: 2 Persons	Personal Care
308	Transfer: Slide Board	Personal Care
309	Transfer: Mechanical Lift	Personal Care
311	Turning and Positioning	Personal Care
400	Temperature: Oral	Personal Care
401	Temperature: Rectal	Personal Care
402	Temperature: Axillary	Personal Care
403	Pulse	Personal Care
404	Respirations	Personal Care
405	B/P	Personal Care
406	Weight	Personal Care
407	Output: Measure/Record	Personal Care
408	Change External/Texas Catheter	Personal Care
409	Catheter Care	Personal Care
410	Ostomy Care	Personal Care
413	Administer SC Insulin Prefill	Personal Care
414	Finger Stick for Blood Glucose Monitoring	Personal Care
415	Assist Nebulizer w/Prescribed Meds	Personal Care
416	Administer Tube Feeding via GT (Mature/Stable Osto)	Personal Care
417	Apply Hot Application	Personal Care
418	Apply Cold Application	Personal Care
419	Administer Fleets Enema	Personal Care
420	Mechanical Fentilators/Respirators	Personal Care
421	CPAP/IPPB	Personal Care
422	Oxy Set and/or Regulate a Specific Flow Rate	Personal Care
423	Oral Suctioning with Bulb Syringe	Personal Care
424	Irrigate Indwelling Catheter	Personal Care
425	Ureterostomy Care (Stable/Mature)	Personal Care
426	Apply Tens Unit	Personal Care
427	Apply Ace Bandages	Personal Care
428	Administer Douches	Personal Care
429	Administer Medications	Personal Care
430	Postural Drainage	Personal Care
431	Apical Pulse	Personal Care
432	Assist With Remote Patient (Telehealth)	Personal Care
501	Laundry	Personal Care
506	Grocery Shopping	Personal Care
508	Accompany Patient to MD/Clinic	Personal Care
512	Nutritional: Reinforce Diet Instructions	Personal Care
513	Assist Clean Dressing Change (Specify)	Personal Care
514	Walking: Guarding/Supervision	Personal Care
515	Assist with Application of Medical Device (Specify)	Personal Care
516	Assist with Medications	Personal Care
517	Tracheostomy Care	Personal Care
518	Set-up Tube Feeding	Personal Care
519	Assist Nebulizer	Personal Care
520	Infant Care (Specify)	Personal Care
521	Accompany Patient to Other Location	Personal Care
522	Do Not Leave Patient Home Alone If There is No One	Personal Care
523	Bed Rails Up	Personal Care
533	Clean	Personal Care
534	Home Program	Personal Care
780	Follow Aspiration Precautions	General Duties
781	Follow Allergy Precautions	General Duties
782	Follow Fall Precautions and Prevention Measures	General Duties
783	Follow Safety Precautions While Using Durable Medical Equipment (DME)	General Duties
784	Follow Oxygen Safety Precautions	General Duties
785	Observe For Any Changes in Patient Status and Notify Supervisor as Appropriate	General Duties
786	Observe For Safety Issues and Notify Supervisor as Appropriate	General Duties

New York Centers Plan - Updated Payer ID Code Closed

Updated Payer ID Code to 37694. For more information, see New York Centers Plan EDI Codes.

New York Market - Updated Payer Codes Closed

Removed ElderServe Health Payer ID Code. For more information, see New York Market EDI Codes.

New York RiverSpring - Updated MCO/Payer Name Closed

Updated MCO/Payer name to RiverSpring/ElderServe. For more information, see New York RiverSpring/ElderServe EDI Codes.

North Carolina - United Healthcare Payer Configuration and Requirements Closed

The rate is now provider managed (as shown below).

Payer Configurations and Requirements	UnitedHealthcare Community Plan of NC HHCS
Rate is Payer or Provider Managed	Provider Managed

For more information, see UnitedHealthcare Community Plan of NC HHCS Payer Configurations and Requirements.

Oklahoma - Updated diagnosisCodes Field Description Closed

A specific format is now required for the diagnosisCodes field. Codes should be entered in quotation marks and separated by commas (see the example below).

5

diagnosisCodes

When Required: When visit is billed; this field should be sent along with externalInvoiceNumber. Diagnosis Code Up to 26 of these are allowed. Proper formatting is required for the diagnosisCodes field. Format example: “Z483","C187","C787","Z433","I10","M1990"

50

Array of String

Situational

For more information, see Oklahoma EVV Data Aggregator API Specifications.

Pennsylvania EDI Codes - Updated Missed Visit Reason Codes Closed

The following payers require Missed Visit notes when a visit is marked as missed:

AmeriHealth
AmeriHealth EPSDT
Keystone
Keystone EPSDT

For more information, see Pennsylvania EDI Codes.

West Virginia - Updated diagnosisCodes Field Description Closed

A specific format is now required for the diagnosisCodes field. Codes should be entered in quotation marks and separated by commas (see the example below).

5

diagnosisCodes

When Required: When visit is billed; this field should be sent along with externalInvoiceNumber. Diagnosis Code Up to 26 of these are allowed. Proper formatting is required for the diagnosisCodes field. Format example: “Z483","C187","C787","Z433","I10","M1990"

50

Array of String

Situational

For more information, see West Virginia Medicaid EVV Data Aggregator API Specifications.