Ohio: Configure FFS EVV Aggregation

Inform the Ohio Department of Medicaid (ODM) of the decision to use Alt EVV by contacting the Ohio Department of Medicaid's EVV Operations Team. Fill out the missing information below and send it through email to ODMEVV@sandata.com.

Complete the following steps in the HHAeXchange system.

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

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

2. Providers are identified by their 7-digit Medicaid Provider ID (MPI) in the State aggregator. Enter the appropriate MPI for each office in the Agency ID (33b) field.

   

3. Select the appropriate Contract Type value from the table below.

   Contract Type Configuration
   Payer	Payer Program	Contract Type
   Aetna	SP	Aetna-SP
   	MyC	Aetna-MyC
   	MyCPD	Aetna-MyCPD
   Amerihealth Caritas	SP	Amerihealth Caritas-SP
   Anthem	MyC	Anthem-MyC
   	MyCPD	Anthem-MyCPD
   	SP	Anthem-SP
   Buckeye	SP	Buckeye-SP
   	MyC	Buckeye-MyC
   	MyCPD	Buckeye-MyCPD
   CareSource	SP	CareSource-SP
   	MyC	CareSource-MyC
   	MyCPD	CareSource-MyCPD
   DODD	DD	DODD-DD
   	PDHPC	DODD-PDHPC
   Humana	SP	Humana-SP
   Molina	SP	Molina-SP
   	MyC	Molina-MyC
   	MyCPD	Molina-MyCPD
   ODA	PP	ODA-PP
   	PPPD	ODA-PPPD
   ODM	SP	ODM-SP
   	OHC	ODM-OHC
   	OHCPD	ODM-OHCPD
   UHC	SP	UHC-SP
   	MyC	UHC-MyC
   	MyCPD	UHC-MyCPD

4. If a Contract Type is not found, go to Admin > Reference Table Management > Contract Type.

   Refer to the Reference Table Management topic for steps on how to add a Contract Type.

5. Go to Admin > Reference Table Management > Contract Service Code to enter a valid Service Code in the HCPCS Code field.

   Repeat this step for each contract. Refer to the Reference Table Management topic for steps on how to add a Contract Service Code.

   If an Export Code is associated to an incorrect Contract Type, then the EVV visit data associated to the Export Code is not sent to the aggregator. Only confirmed visits associated to the In-Scope Service Codes and the correct Contract Type are aggregated.

   Refer to the Ohio Payer Program Service Codes section for a full list of In-Scope Service Codes.

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

   Members are identified by First Name, Last Name, Date of Birth, and Medicaid ID. Member Medicaid IDs must be entered in the Member Profile > Medicaid ID field and must be a 12-digit numeric value.

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

   Caregivers are identified by First Name, Last Name, and full 9-digit Social Security Number (SSN).

   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 Ohio EVV aggregation interface. If you already have an existing support case open, let your agent know through the existing case.

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

The following table contains a full list of service codes for the Ohio Payer Program.