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CMS Grants Certification of Netsmart Electronic Visit Verification As Georgia State Solution
Georgia Department of Community Health (DCH) successfully launched the first phase of EVV implementation in the Spring of 2021. The EVV solution facilitates mobile care delivery and claims processing, enabling providers to verify visits for home and community-based services.
Netsmart currently serves as the EVV aggregator for multiple managed care organizations and four states. Additionally, the solution integrates providers with other state and MCO EVV aggregators, facilitating over 2 million visits per month. Netsmart EVV is part of the powerful CareFabric® platform encompassing the full range of functionality including clinical, operational, administrative and financial capabilities that organizations need to consistently deliver quality care to their workforce.
"We are grateful for our journey with Georgia to deliver innovative technology to meet and exceed their mission of bringing home and community-based providers onto a digital platform while providing accessible, quality healthcare services for the community," said Netsmart CEO Mike Valentine. "Working side by side, we have been able to bring more valuable data to the state — going beyond the requirements of the federal mandate for EVV — driving analytics and reporting to ensure accurate billing and quality care across other state connections."
The State of Georgia sought to aggregate data across its providers, payers and the state, regardless of the current electronic health record (EHR) or EVV (https://www.ntst.com/
The 21st Century Cures Act EVV requirements support Georgia Medicaid's mission of providing access to affordable, quality healthcare services for Medicaid members. The Georgia go-live implementation has included receiving provider, recipient and authorization files while providers schedule, complete visit collection using GPS, or interactive voice response (IVR) leveraging a proprietary business rules logic and claims submission.
"Georgia providers are currently up and running utilizing the platform, completing over 1.6 million visits to date," said Valentine. "We will continue to improve the provider's member experience with a focus on better outcomes as we evolve the case management capability within the native EVV solution."