Pennsylvania: Configure FFS EVV Aggregation

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

1. Go to Admin > Contract Setup > New Contract.

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

2. Select the appropriate Contract Type value: PAOLTL, PAODP, or PAOMAP.

   Contract Type Configuration
   Contract Type	Payer Program/Waiver Name
   PAOLTL	The Office of Long-Term Living (OLTL)
   PAODP	The Office of Developmental Programs (ODP)
   PAOMAP	The Office of Medical Assistance Programs (OMAP)

3. 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.

4. Go to Admin > Reference Table Management > Contract Service Code to enter a valid Service Code in the Export 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.

   Refer to the PA EVV Contract Service Codes to view a full list of PA In-Scope Service Codes.

   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 the confirmed visits associated to the In-Scope Service Codes with the correct Contract Type are aggregated.

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

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

   Reason Code	Description	Note Required?
   10	Direct Care Worker Error	No
   20	Participant Unavailable	No
   30	Mobile Device Issue	No
   40	Telephony Issue	No
   50	Participant Refusal	Yes
   60	Service Outside the Home	No
   70	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. Medicaid ID must be a 10-digit numeric value. Member Phone Number and Address are also required.

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 5-digits of the Social Security number (SSN). Providers can enter the full 9-digit SSN or the last 5-digits using the following format: 000-0X-XXXX.

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

8. Once complete, create a ticket via the Client Support Portal > State EVV Aggregation queue to set up the PA FFS EVV Aggregation interface.

   Once confirmation is received, proceed to State Aggregation Report for steps on how to review exported EVV data.