Provider Self-Registration Portal Link
Provider Agencies and Individual Nurse Providers (INP) who provide PCS and HHCS are required to register in the Provider Self-Registration portal. Please refer to the quick reference guide or instructional video to help complete your registration if needed.
Fee For Service (FFS) and INP Self-Registration Process
Please follow below mentioned instruction if you are registering as a Fee For Service (FFS) provider OR an Individual Nurse Provider (INP) that does not associate with the California Children's Services (CCS) program and/or the Home and Community Based Alternatives Waiver:
- For Provider Identifier Section
- ADD
- DEPARTMENT – FFS or INP provider will select “DHCS via MCP"
- JURISDICTIONAL ENTITY / JURISDICTION – FFS or INP provider will select “DHCS"
- IDENTIFIER TYPE – DHCS providers will select National Provider Identifier (NPI) for each provider
- IDENTIFIER – NPI is 10 digits in length
Exclusions
The following services are not subject to EVV requirements:
- HHCS or PCS that do not require an in-home visit are not subject to EVV requirements.
- HHCS or PCS provided in congregate residential settings where 24-hour service is available are not subject to the EVV requirements.
- HHCS or PCS rendered by an individual living in the member's residence does not constitute an “in-home visit" and is not subject to EVV requirements.
- Any services rendered through the Program of All-Inclusive Care for the Elderly or Hospice services.
- HHCS or PCS that are provided to inpatients or residents of a hospital, nursing facility including skilled nursing facility or residence of nursing facility, intermediate care facility for individuals with intellectual disabilities, or an institution for mental diseases.
- Durable Medical Equipment is not subject to EVV requirements.
Live-In Caregiver
Definition:
A "Live-in Caregiver" is a caregiver who regularly remains in the recipient's home for more than 24 hours at a time and provides any of the authorized personal care services and home health care services.
If a caregiver provides services to other recipients with whom they do not live, per the definition above, would need to register for EVV.
Please fill out the request form on Electronic Visit Verification for Individual Nurse Provider webpage to verify if you are impacted by EVV.
Resources/Training
Frequently Asked Questions (FAQ)
Quick Reference Guide for Adding and Managing Provider Identifier(s) – Step by step process on how to add or edit services within a CalEVV account.
Bulk Upload Process and Spreadsheet - Using a provided excel file users can create an upload file containing either client and employee data. This file can be loaded into the Sandata EVV system to quickly add a large amount of client/employee records.
CalEVV Training Videos – Each recording is less than 20 minutes and can be accessed at any time by new staff or as a refresher to current staff.
Videos include: CalEVV Introduction, Sandata on Demand & Bulk Upload, System
Overview, Data Entry, Visit Capture, Visit Maintenance, Group Visit Agency,
Group Visit Caregivers, and etc.
Jurisdictional Entities (JE) Monitoring Resources
CalEVV Aggregator
Business Intelligence (BI) powered by DOMO
- JEs will be able to verify:
- If providers are registered and associated/linked to their specific Jurisdictional Entity.
- Access, view, search, sort, generate reports, review, and verify EVV data submitted by providers via CalEVV, or an alternate EVV system, to verify compliant EVV data are being submitted by their associated/link providers.
- Quick Reference Guide
- BI Training Webinar PowerPoint
- BI Webinar (YouTube)
Alternate EVV Specifications
Stakeholder Engagement / Informational Webinars
EVV Implementation
EVV will impact all PCS and HHCS provided under the Medi-Cal State Plan and various Medicaid Home and Community-Based Service waiver programs. These services are provided in California through programs managed by the Department of Health Care Services (DHCS), the California Department of Social Services (CDSS), the Department of Developmental Services (DDS), the California Department of Public Health (CDPH), and the California Department of Aging (CDA).
Note: Hospice and Behavioral Health Treatment (BHT) are not subject to EVV requirements.California is implementing EVV in two phases:
Phase I:
This Phase is for the In-Home Supportive Services (IHSS) program and Waiver Personal Care Services program, focused on EVV implementation for programs that currently use the Case Management Information & Payrolling Systems (CMIPS II) and Electronic Time Sheet System (ETS). Further information about Phase I is available on the
CDSS EVV website.
Phase II: This Phase is focused on identifying a solution to implement EVV for non-CMIPS and agency PCS, and self-directed and agency HHCS. This includes programs at DHCS, DDS, CDPH, CDSS, and CDA as listed below:
- DDS 1915(c) Home and Community-Based Waivers, including the Self-Determination Program
- DDS 1915(i) State Plan Home and Community-Based Services
- DHCS 1915(c) Home and Community-Based Alternative Waiver
- DHCS Home Health Care Services
- CDA/DHCS Multipurpose Senior Services Program (MSSP) 1915(c) and 1115 Waiver
- CDPH/DHCS 1915(c) AIDS Medi-Cal Waiver
Phase II implementation of EVV requires the State to deploy an EVV solution for PCS and HHCS providers not included in Phase I. This includes PCS through provider agencies, individual providers, and some providers of self-directed services, and all HHCS. EVV Phase II will follow the "Open Vendor" EVV approach that will allow providers to choose between the State's EVV solution or an alternate EVV solution that meets state and federal EVV requirements. The State is working towards selecting a vendor and procuring an EVV solution.
Note: There are two models for the provision of PCS and HHCS, the Self Directed/Individual Provider Model and the Agency Provider Model.
The Self Directed Model, also known as the Individual Provider Model, supports the provision of PCS by an individual provider. This model gives the recipient, or their authorized representative, the autonomy to hire or fire a provider of their choosing as well as to instruct them on how to facilitate their PCS needs.
The Agency Provider Model supports the facilitation of PCS and/or HHCS by an authorized agency who is responsible for hiring, firing, and training personnel to facilitate services on behalf of an eligible Medi-Cal beneficiary. Agency Providers are employed by commercial agencies who manage their work, process payroll, and issue their paychecks. These agencies can either have contracts with counties or enroll through DHCS as a Medi-Cal provider
Resources
Contact Us
Please direct your comments, questions, or suggestions regarding the EVV Phase II, or to be added to the EVV Phase II stakeholder process interested parties e-mail list, to
EVV@dhcs.ca.gov.
For technical assistance please call or email your Customer Support team at 1-855-943-6070 or
CACustomerCare@sandata.com
For Alternate EVV assistance please call or email your Customer Support team at 1-855-943-6069 or
CAAltEVV@sandata.com
