Ohio Admin. Code 5160-32-03 - Alternate electronic visit verification (EVV) vendor

(A) An alternate EVV vendor may be used for EVV data collection.

(B) The state is not responsible for any costs related to the development, approval, testing, and utilization of a qualifying alternate EVV vendor.

(C) To use an alternate EVV vendor, agency providers should:

(1) Notify the Ohio department of medicaid (ODM) or its contracted entity of the intent to seek ODM approval to utilize the selected alternate EVV vendor; and

(2) Complete alternate system aggregator training.

(D) The agency provider is responsible to ensure:

(1) The visit data in the aggregator is correct and reflects the visit as it occurred; and

(2) Billing is supported by visit data.

(E) System, technical, and business specifications to become an alternate EVV vendor are published on the ODM website https://medicaid.ohio.gov/resources-for-providers/special-programs-and-initiatives/electronic-visit-verification/alternate-system/alternate-system . Failure to meet the specifications at any time could result in Ohio certification revocation.

(F) A financial management service vendor contracted with ODM, the Ohio department of aging, and the Ohio department of developmental disabilities will obtain and maintain the alternate EVV vendor certifications.

(G) ODM may request re-approval of any alternate EVV system at any time.

Replaces: 5160-1-40

Notes

Ohio Admin. Code 5160-32-03

Effective: 7/1/2024
Five Year Review (FYR) Dates: 07/01/2029
Promulgated Under: 119.03
Statutory Authority: 5164.02
Rule Amplifies: 5164.02
Prior Effective Dates: 01/01/2018, 09/26/2019, 06/12/2020 (Emer.), 02/07/2021