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HISTORY & IMPLEMENTATION DETAILS

  • It’s a closed model. Tennessee will be using Sandata’s EVV system. Provider agencies would manage EVV through Santrax Payer Management system.
  • MCO choice (Sandata and Healthstar), potentially shifting to provider choice.
  • Tennessee implemented EVV as part of its statewide adoption of managed long-term services and supports in 2010, and the MCOs have been required to use EVV since they began delivering services.
  • Tennessee has required EVV in its MLTSS program since the MCO roll-out in 2010.
  • Department of Intellectual & Developmental Disabilities (DIDD) has projected implementation dates for the three regions of the state. The West Region is projecting to compliance starting July 2019. The Middle Region has a September 2019 projected implementation date. The East Region has a November 2019 projected implementation date. Although the implementation will start in the West Region in July 2019, several steps will be taken by the DIDD that includes the completion of technological survey to provide attestation to the technical requirements necessary to implement EVV at their agency management.
  • DIDD is working with Sandata implement EVV. Sandata is the vendor that is currently being utilized by two MCOs in the Employment and Community First CHOICES program and the CHOICES program. This process will involve 125 providers in the DIDD provider network. 83 are currently Sandata’s EVV system in either ECF or CHOICES, meaning only 42 DIDD providers will be new to EVV. People who self-direct services in the self-Determination Waiver must use Time4care, the mobile provided by PPL, the contracted and the EVV implementation for self-direction, go to the “EVV for self-Direction” page.
  • DIDD will be receiving data through Santrax Payer Management system and will review along with claims entered into the Providers Claims Processing Portal. DIDD will transmit authorizations for services directly to the Sandata EVV system. Provider staff will be required to schedule visits in advance of delivery of service. Caregiver will electronically check-in/out for services rendered. Provider office staff will then perform system maintenance in the EVV system to validate and confirm services rendered.
  • In addition, to the management system, there are two ways for employees in the field to check in using Evv. The first called phone-based telephony. Each provider will be given two unique toll-free numbers that employees can call to check in and out. The second way is through Sandata mobile Visit Verification.
  • For self-direction, Tennessee is using its FMS broker, Public Partnerships (PPL).  PPL developed a mobile application called Time4Care that is used to collect the EVV data elements in self-direction programs.

KEY PLAYERS & CONTACT INFORMATION

LINKS TO…

  • https://www.dropbox.com/s/clvtfn51yplwpmq/EVV%20Introduction.pptx?dl=0#
  • http://www.publicpartnerships.com/Time4Care/index.html
  • https://www.sandata.com/our-platform/sandata-electronic-visit-verification/

PROGRAM INFORMATION

  • Program Size
    • 1783 individuals enrolled in the DIDD waiver systems (includes statewide, CAC, and Self-Determination waivers). 125 personal assistance and respite providers
  • Which types of Medicaid options are personal care covered by?
    • 1915(c)
  • Is MLTSS operational?
    • Yes
  • Any self-directed programs?
    • Yes, TN Self-Determination

WIKI INFORMATION

  • Please check back for additional information.

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