Delaware: Configure EVV Aggregation

HHAeXchange is certified by the Deleware Department of Health Services (DE DHSS) has certified HHAeXchange to submit Electronic Visit Verification (EVV) data on behalf of providers who render Personal Care Services (PCS) and/or Home Health Care Services (HHCS). Providers are required to use an Electronic Visit Verification (EVV) system to verify visits for each claim submitted.

Providers must complete the steps outlined below to configure HHAeXchange for EVV Aggregation. Failure to comply may result in no data being sent to the aggregator. To configure EVV Aggregation,

1. Inform DHSS of the decision to use Alt EVV by completing the Sandata EVV Provider Self-Registration.

2. Go to Admin > Contract Setup > New Contract to create a contract.

   Skip this step if the Contract already exists in the system.

   1. Providers are identified by their 9-digit Medicaid Provider ID (MPI) in the State Aggregator. Enter the appropriate MPI for each contract in the Agency ID (33b) field as illustrated in the image.

      

   2. Select the appropriate contract type value from the table below and enter it into the Contract Type field.

      Contract Type Configuration
      Contract Type	Payer Program/Waiver Name
      DEDMMA-DDDS	Division of Medicaid and Medical Assistance (DMMA) Lifespan Waiver (1959 c) (Self Directed).
      DEDMMA-PRMISE	Division of Medicaid and Medical Assistance (DMMA) Promoting Optimal Mental Health for individuals through Supports and Empowerment (PROMISE).
      DEDMMA-DSHP	Division of Medicaid and Medical Assistance (DMMA) Diamond State Health Plan.
      DEACDE-DSHP	AmeriHealth Caritas Diamond State Health Plan.
      DEACDE-DSHPP	AmeriHealth Caritas Diamond State Health Plan Plus - Self Directed services are available in this program.
      DEHHO-DSHP	Highmark Diamond State Health Plan.
      DEHHO-DSHPP	Highmark Diamond State Health Plan Plus - Self Directed services are available in this program.
      DEFH-DSHP	First Health Diamond State Health Plan.
      DEFH-DSHPP	First Health Diamond State Health Plan Plus - Self Directed services are available in this program.

   3. Select the Save button.
3. Next, go to Admin > Reference Table Management > Contract Service Code to enter a valid Service Code in the HCPCS Code field.
4. Repeat the previous step for each contract.    

   Refer to the Reference Table Management topic for steps on how to add a Contract Service Code. Refer to the Deleware EVV Contract Service Codes section for a full list of In-Scope Service Codes.

5. Go to Admin > Reference Table Management > Visit Edit Reason to configure the valid Reason Codes.

   Refer to the Reference Table Management topic for steps on how to add a Reason Code.

   Reason Code	Description	Note Required?
   100	Member No Show.	No
   110	Member Unavailable.	No
   120	Member Refused Verification.	No
   130	Member Refused Service.	No
   140	Member Incapable, Designee Unavailable.	No
   150	Caregiver Failed to Call In - Verified Services Were Delivered.	No
   160	Caregiver Failed to Call Out - Verified Services Were Delivered.	No
   170	Caregiver Failed to Call In and Out - Verified Services Were Delivered.	No
   180	Caregiver Called Using an Alternate Phone.	No
   190	Caregiver Change.	No
   200	Mobile App Issue/Inoperable.	No
   210	Telephony. Issue/Inoperable.	No
   230	Service Outside the Home.	No
   240	Unsafe Environment.	Yes
   999	Other.	Yes

   A default value of Other is exported with the visit when the Reason Code differs from the table above.

6. Review all Member Profiles to ensure the Member details are entered correctly.

   Members must be identified by First Name, Last Name, and Medicaid ID. Member Medicaid IDs must be entered in the Member Profile > Medicaid ID field. The Medicaid ID must be a 10-digit numeric value, including any leading zeros.

7. Review all Caregiver profiles to ensure that the Caregiver details are entered correctly.

   Caregivers must be identified by First Name, Last Name, and Last 4-digits of the Social Security number (SSN)Providers can enter the full 9-digit SSN or the last 4-digits using the following format: 000-00-XXXX.

   Member and Caregiver names can consist of alpha letters, hyphens, periods, and apostrophes. All other special characters cause the record to reject.

8. Open a support case to set up the Delaware EVV aggregation interface. If you already have an existing support case open, let your agent know through the existing case.

   Once confirmation is received, proceed to the Delaware State Aggregation Report topic to review exported EVV data.