HISTORY & IMPLEMENTATION DETAILS
- The State implemented an Open Model. Provider Choice.
- The Virginia Appropriations Act expanded the use of EVV to include consumer directed personal care and respite and companion services.
- DMAS intends to begin EVV for Agency and Consumer Directed personal care, respite care, and companion services that originate or conclude in the member’s home to October 1, 2019
- EVV in Virginia will require providers to report the six CURES Act data elements as part of claim submission.
- In MLTSS programs, providers will submit information to the MLTSS plan.
- Virginia received approval for Good Faith Effort Exemption on December 5, 2019.
LINKS TO…
- https://www.dmas.virginia.gov/files/links/3601/Virginia%202019%20Appropriations%20Act.pdf
- https://www.dmas.virginia.gov/#/longtermprograms
- https://www.dmas.virginia.gov/files/links/3888/EVV%20FAQs%20as%20of%205-17-19.pdf
- https://www.dmas.virginia.gov/files/links/3101/DMAS%20EVV%20Provider%20Outreach%20March-April%202019.pdf
KEY PLAYERS
- Aetna
- Anthem
- Magellan Complete Care
- OptimaHealth
- United Healthcare
- Virginia Premier
CONTACT INFORMATION
PROGRAM INFORMATION
- Which types of Medicaid options are personal care covered by?
- 1915(c)
- Is MLTSS operational?
- Yes
- Any self-directed programs?
- Yes