Virginia Medicaid
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Definitions


Overview

Electronic Visit Verification (EVV) systems are technology-based systems that electronically record when attendants begin and end providing services to individuals who have Medicaid. Such systems may include features to verify the attendant's location and assure that the attendant is in the beneficiary's home. These systems require a device like a phone, computer, or some other electronic method to track attendant's start and end times.

Companion Services means nonmedical care, supervision and socialization provided to an adult (age 18 and older). The provision of companion services does not entail hands-on care. It is provided in accordance with a therapeutic goal in the plan of care and is not purely diversional in nature.

Personal care services means a range of support services necessary to enable the waiver individual to remain at or return home rather than enter a nursing facility and that includes assistance with activities of daily living (ADLs), instrumental activities of daily living (IADLs), access to the community, self-administration of medication, or other medical needs, supervision, and the monitoring of health status and physical condition. Personal care services shall be provided by aides, within the scope of their licenses/certificates, as appropriate, under the agency-directed model or by personal care attendants under the CD model of service delivery.

Respite Care means services provided for unpaid caregivers of eligible individuals who are unable to care for themselves and are provided on an episodic or routine basis because of the absence of or need for relief of those unpaid persons who routinely provide the care.


Virginia Medicaid Requirements in General

EVV in Virginia will require providers to report six data elements. The required data elements include:

  1. The type of service(s) performed;
  2. The individual receiving the service(s);
  3. The date of the service;
  4. The location of the service delivery (can either be in an individual's home or community setting);
  5. The individual providing the service; and
  6. The time the service begins and ends.