Payer-Managed FOB for Linked Contracts
This feature is activated by HHAeXchange System Administration. Contact HHAeXchange Support Team for details, setup, and guidance.
A single FOB device can be assigned by a Payer to a Patient (based on the Medicaid Number) and linked to multiple Providers. Using the Patient Medicaid Number ensures that the device is connected to the same Patient in cases where multiple records may exist for the Patient.
If a Patient’s Medicaid Number (associated to a Payer-assigned FOB) is added, edited or removed from a Patient Profile, then the FOB information is updated accordingly in the Patient Profile.
For example, a Patient’s Medicaid Number is changed from AM13579T (associated to Payer FOB 326280) to XX98766X (associated to a Payer FOB 326296).
Upon saving, the system issues the alert indicating that Patient’s information must be updated to match the Payer FOB. Click OK.
Once updated, the FOB information on the Patient’s Profile now reflects the updated information (Payer FOB 326296).
The Payer FOB applies to both the Patient and any Linked/Mutual Patient. Payer FOB details are disabled for Primary Linked Patient (top) as well as for the Secondary Linked Patient (bottom).
Payer FOB details are disabled for Primary Mutual Patient (top) as well as for the Secondary Mutual Patient (bottom).
If a Patient is no longer Linked or Mutual with the Patient whose Medicaid Number is associated with the Payer-issued FOB, then the FOB information for the Linked/Mutual Patient is removed and the fields become available to edit.
In cases where a Patient has an Agency-issued FOB and then a Payer-issued FOB becomes available for their Medicaid Number, then the option to Update to Payer FOB becomes available on the Patient Profile.
The system issues the alert indicating that Patient’s information can be updated to match the Payer FOB. Click OK.
Once updated and saved, the Update to Payer FOB becomes available in the Patient’s Profile as illustrated in the image below. To apply the update, click the Update to Payer FOB button.
The system prompts for a confirmation. Click Yes to confirm the update. Upon confirmation, the Payer-issued FOB must be used for FOB EVV.
When creating a New Patient in the system, ensure the Patient’s Medicaid Number is entered before saving the profile.
Upon saving the New Patient Profile, the system indicates that the Patient’s Medicaid ID (Medicaid Number) is a match to a Payer-issued FOB. Go to the Patient’s Profile to view the Payer-assigned FOB details.
In the Patient Profile page under the General section, the Enable FOB Confirmation checkbox is selected linking the Patient to the Payer FOB. The FOB Device ID and FOB Seal ID fields automatically populate.
Any additions, updates or removals in the system regarding an FOB and/or Patient Medicaid Number updates are now listed as notifications in the Link Communications tab under the Notes section.
Notifications do not display for Discharged Patients.
FOB Notes also appear in the Patient’s General page under the Notes section. Click the Notes link to open search filters to locate a specific Note.
Select an FOB-related value from the Reason field to view specifics such Payer FOB Added, Payer FOB Available, and Payer FOB Removed.
For Payer-issued FOBs, the FOB fields and functionality is read-only such as the Enable FOB Confirmation checkbox as well as the FOB Device ID and FOB Seal ID fields.
The following are examples of validations (system-issued alerts) appearing when FOB information and/or associated fields are added, edited, or removed.
In this example, the Patient has an existing FOB and their Medicaid Number is updated (with an assigned Payer FOB) in their Patient Profile.
In this example, the Patient has an existing FOB and their Medicaid Number is updated (with an assigned Payer FOB) in their Patient Profile.
In this example, the Patient’s Medicaid Number is updated (with an assigned Payer FOB). Initially, the Patient does not have an existing FOB.
In this example, the Patient’s Medicaid Number is updated and no longer matches the assigned FOB.
