Electronic Visit Verification
THINGS TO KNOW:
- Each agency/FMS is allowed to select an EVV vendor of their choice. This means there are many different EVV systems in place across the state, and there are no one-size-fits-all answers.
- The State has selected HHAX as their chosen vendor. The HHAX system is offered for free to all agencies/FMS providers. This is the system on which our members have had the most input.
- If you are having an issue with your EVV system, the best thing to do is contact your agency/FMS directly for assistance. If you have tried that and you would like us to support you, please email us at HomeCareInfo@seiuhcmnia.org with a description of what’s happening and your desired solution.
UPDATE: EVV Rollout Phases
Phase I of the EVV rollout is aimed at FMS providers and their affiliated workers. This includes all workers caring for a client who uses CDCS or CSG. DHS is giving FMS providers a fair amount of flexibility as they onboard workers and clients in batches, rather than all at once. This will allow for a much more attentive response to EVV concerns from your FMS, and could mean that you start using EVV on a different timeline than others.
Phase II of the EVV rollout is supposed to begin by the end of 2022. DHS plans to use a sample group of workers and clients for what they’re calling “Wave I.” This will allow the state and their chosen vendor, HHAX, to work out kinks in the mobile app and other EVV methods before moving to “Wave II,” which will scale the EVV rollout up to all of Home Care services.
So far we are pleased with the approach DHS is taking to ensure that the EVV rollout process is as smooth as possible. We do know, however, that issues will come up as more people are onboarded. If you encounter issues with EVV, please contact us at HomeCareInfo@seiuhcmnia.org and we will assist you how we can.
UPDATE (7/1/22): Legislative session ends without MOU ratification…
The MN state legislature ended the 2022 legislative session without passing or funding our Memorandum of Understanding regarding EVV. This means that the $200 stipends the state agreed to are not yet available for workers. We will insert this MOU language into our proposals during bargaining for our next contract this year, and we aim to have these stipends available summer of 2023.
The good news is that DHS is honoring the language agreed to, and we are working together in meet-and-confer sessions to make the EVV rollout as smooth as possible.
UPDATE (4/11/22): DHS announces new EVV timeline…
DHS has announced that they plan to implement EVV for CSG & CDCS by the end of June 2022, and for all other PCAs by the end of 2022. Members of our Union will hold meet & confer sessions with the state throughout this process to make sure that workers and clients are involved in this process, and to bring your worries and concerns directly to DHS. Please stay tuned on our Facebook page here: http://seiu.mn/hcfb
Memorandum of Understanding
Members of our Union reached an agreement with the state of Minnesota in January 2022, which established a list of guarantees and commitments as the state develops and implements EVV.
View the full agreement and attached letter here: [Link]
What is Electronic Visit Verification (EVV)?
Several years ago, the federal government passed a law requiring states to create and implement an Electronic Visit Verification system. That development has been slow going, but DHS says that EVV is in its final stages of development. EVV was originally set to go live in Minnesota on December 1st, 2021, but implementation was delayed due to unanswered questions and concerns from the Homecare community.
What we know:
- The federal law requires that 6 pieces of information must be collected electronically:
- the type of service performed;
- the individual receiving the service;
- the date of the service;
- the location of service delivery;
- the individual providing the service; and
- the time the service begins and ends
- Minnesota has chosen to use a hybrid EVV model. This means that the state will work with an EVV vendor to create an EVV system. Homecare agencies or FMS providers will have the option to use this state-offered system, or choose their own vendor to develop a system of their own.
What have we fought for?
After negotiations, we have four remaining areas of concern that we have taken to the MN Legislature in the 2022 session. Those concerns are:
GPS Tracking is not explicitly mandated by the federal government, but has been applied in other states as part of EVV implementation. There is concern about how invasive this might be - in addition to general privacy issues, it could be used to further impact self-direction, limit a client's freedom to choose where and how to receive care, and allow agency staff to comment on or interfere with a client's life choices.
There is concern among members that EVV could require concurrent documentation of tasks while they are being performed, as opposed to the current practice of documenting tasks performed at the end of a shift. This could impact working conditions by interrupting cares as they're being performed, and could potentially shift a fair amount of paid PCA hours away from care tasks and into "charting”.
Per federal guidance, EVV requirements do not apply by default when the caregiver providing the service and the beneficiary live together. However, states are encouraged to implement EVV for live-in care providers at their discretion. Understanding that live-in care providers will need to log their hours somehow, we could still advocate for an exemption to live capture login and care tracking.
EVV Method Choice
Not all PCAs have consistent and reliable access to internet or cell service. For this and many other reasons, it is important that multiple methods are offered to meet the requirements of EVV. The decision of which method works best in a given caregiving dynamic must be left to the worker in consultation with their client.