The web Browser you are currently using is unsupported, and some features of this site may not work as intended. Please update to a modern browser such as Chrome, Firefox or Edge to experience all features Michigan.gov has to offer.
Home Health Fee for Service Providers
As of June 1, 2024, MDHHS has implemented a hard cutover to EVV for Dates of Service on and after April 1, 2024, for required HHCS Codes. For dates of service on and after April 1, 2024, MDHHS requires the use of Electronic Visit Verification (EVV) for certain HHCS codes for Medicaid Fee-for-Service (FFS) providers serving Medicaid beneficiaries. MDHHS has implemented EVV for FFS HHCS providers in two phases.
New Home Health Agency providers needing to enroll will need to complete a CHAMPS provider enrollment application and the HHAeXchange provider onboarding form to begin the process of EVV.
Home Health Care Service (HHCS) Codes Requiring EVV |
|
G0151 | Physical Therapy |
G0152 | Occupational Therapy |
G0153 | Speech/Language Therapy |
G0156 | Home Health Aide |
G0299 | Skilled Nursing Services, RN |
G0300 | Skilled Nursing Services, LPN |
Hospice, Private Duty Nursing (PDN), Infusion Medication, and Durable Medical Equipment services DO NOT require EVV.
As of June 1, 2024, EVV required HHCS codes must be billed through HHAeXchange only. The state’s EVV system, HHAeXchange, will allow a claim to be created and submitted to CHAMPS once an EVV record is complete. Missing or incomplete EVV records will prevent a claim from being created and will impact provider payment.
HHAeXchange Resources
- HHAeXchange Provider Onboarding Form
- Learning Management System (LMS)
- Knowledge Base
- Getting Started Webinar
- Billing video
- Visit the Michigan Information Center website at www.hhaexchange.com/info-hub/Michigan or call HHAeXchange at 1-866-576-1179.
Home Health Webinar
- October 3, 2024 Touchpoint Slides, HHAX Slides
- May 22, 2024, Recording, Slides
- Additional Fee for Service Home Health FAQs
Timeline and Steps for Implementation Readiness
The following table offers a timeline and guidance in preparation for the April 1 and June 1, 2024, EVV Home Health – Fee for Service Go-Live.
Providers with an EVV solution may continue the use of the existing EVV system that meets state requirements and send visit data to the HHAeXchange system using electronic data interchange (EDI). Review the HHAeXchange Provider EDI Welcome Packet.
Step | Expectations |
1 |
Informational Sessions The Michigan Home Health – Fee For Service (FFS) sessions were held on February 8, 13, and 14th 2024. Review the Recording | Slides |
2 | Learning Management System Access
Emails were sent beginning February 21, 2024. Receive login credentials for the Learning Management System (LMS) to review videos, documents, and test questions to gain an understanding of the HHAeXchange Provider Portal. |
3 |
Webinar: System User Training All information presented in the System User Training Webinars, conducted on February 27, 28, and 29 of 2024, is available in your Learning Management System (LMS). Agencies that completed a provider onboarding form began receiving LMS credentials on Wednesday, February 21, 2024. Credentials were emailed to the primary contact listed on the provider onboarding form. |
4 | Log in to your HHAeXchange Provider Portal
Providers began receiving Provider Portal credentials as of March 22, 2024, to log in to the system and begin entering Agency service providers. Ensure your provider portal is set up before go-live and work with your service providers to prepare them for EVV (i.e., download the mobile caregiver app and review the IVR phone instructions). Providers can also utilize the Support Center on their portal to search and review job aides and training material under the “Provider Portal Resource” page. Provider portal https://app.hhaexchange.com/identity/account/login. |
5 | Webinar: Getting Started
The Getting Started Webinar was held Monday, March 25, 2024, from 11 AM to 2 PM. The webinar reviewed provider Go-Live preparedness tasks and helped ensure agencies have all the needed information to successfully use the HHAeXchange system at Go-live. System setup, workflows, and an in-depth review of system actions providers need to take to successfully begin capturing EVV in HHAeXchange were covered in the webinar. Recording, Slides |
6 |
Webinar: Open Hours HHAeXchange held several “open hours” webinar sessions in March, April, and June of 2024. Each session included subject matter experts to address all questions as well as show demonstrations when appropriate. Each session allowed time for providers to ask any outstanding questions. It is highly recommended that the Learning Management System (LMS) training be completed before attending an Open Hours session. |
7 |
Go-Live for Home Health Agency Fee for Service (FFS) Providers Soft Launch Dates of Service on and after April 1, 2024, MDHHS will implement a soft launch for the HHCS Codes requiring EVV. For dates of service on and after April 1, 2024, MDHHS requires the use of Electronic Visit Verification (EVV) for certain HHCS for FFS providers serving Medicaid beneficiaries. Providers can use the HHAeXchange Provider Portal to submit EVV-compliant visit information. Providers with an EVV solution may continue the use of their existing EVV system that meets state requirements and send visit data to the HHAeXchange system using electronic data interchange (EDI). Additional details are outlined in L Letter 24-17 |
9 | As of June 1, 2024, MDHHS has implemented a hard cutover to EVV for dates of service on and after April 1, 2024, for required HHCS Codes.
At hard cutover, EVV services must be billed through HHAeXchange only. The state’s EVV system, HHAeXchange, will allow a claim to be created and submitted to CHAMPS once an EVV record is complete. Missing or incomplete EVV records will prevent a claim from being created and will impact provider payment. At hard cutover, providers will no longer be allowed to directly submit claims to CHAMPS for HHCS Codes requiring EVV using the modes of submission they use today. Claims submitted to CHAMPS directly from the provider for the EVV services will be rejected. Additional details are outlined in L Letter 24-17 |
Phase Implementation
MDHHS will implement EVV for FFS HHCS providers in two phases. Additional details are outlined in L Letter 24-17.
1. Dates of Service on and after April 1, 2024 - MDHHS will implement a soft launch for the HHCS Codes requiring EVV
During the soft launch period providers can submit claims through CHAMPS using their existing mode of claim submission, or choose to have their claims created and submitted to CHAMPS through the state’s EVV system, HHAeXchange. Should the same claim be submitted to CHAMPS using the state’s EVV system and directly by the provider to CHAMPS, the second claim will be rejected as a duplicate.
During soft launch, EVV is required, but there are no financial consequences if EVV information is not reported through the state’s EVV or other third-party EVV systems. Providers and their caregivers should use the soft launch phase to review training, practice using the EVV system, and troubleshoot problems.
2. On June 1, 2024, MDHHS will implement a hard cutover to EVV for all Dates of Service on and after April 1, 2024, for HHCS Codes requiring EVV
At hard cutover, EVV services must be billed through HHAeXchange only. The state’s EVV system, HHAeXchange, will allow a claim to be created and submitted to CHAMPS once an EVV record is complete. Missing or incomplete EVV records will prevent a claim from being created and will impact provider payment.
At hard cutover, providers will no longer be allowed to directly submit claims to CHAMPS for HHCS Codes requiring EVV using the modes of submission they use today. Claims submitted to CHAMPS directly from the provider for the EVV services will be denied.
Provider Contact Information
MDHHS utilizes provider email address information entered in the CHAMPS provider enrollment application to communicate with providers. Providers are responsible for maintaining accurate and valid email address information within their CHAMPS provider enrollment information. If the email address information is out of date or incorrect, enrolled providers will want to modify their enrollment information and submit it for approval.
For instructions on how to update or modify email addresses reference the Provider Enrollment webpage for step-by-step enrollment guide resources.