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Public Input Needed: Phase II Underway

June 10, 2019

CALLING CALIFORNIA DISABILITY ORGANIZERS, ADVOCATES & ALLIES: 

EVV Phase II is underway and we need to continue to inform this process! 
The second public stakeholder meeting on the implementation of what is referred to as "EVV (Electronic Visit Verification) Phase II, impacting agencies who provide Medicaid funded home care type services and supports - including regional center funded services including Supported Living, and In-Home Respite, and certain services under the new Self Determination Program, is scheduled for:

WHEN: MONDAY June 17, 2019
TIME: 1:00 PM - 3:00 PM
WHO: DEPARTMENT OF HEALTH CARE SERVICES (with Department of Social Services, Department of Developmental Services and California Department of Aging) 


Attend in person: 
Department of Health Care Services (Annex building)
1700 K Street, First Floor Conference Room
Sacramento, CA 95811

Attend via phone: 
CONFERENCE CALL LINE: 800-593-0582
CONFERENCE CALL PASSCODE: 6023673

TELEVISED/STREAMED LIVE: No
AGENDA RELEASED?: Not yet - will be posted likely the day before the meeting on the EVV website 

PUBLIC COMMENTS TAKEN?: Yes

REASONABLE ACCOMMODATIONS:
The following is listed on the Department of Health Care Services EVV Phase II webpage: "For individuals with disabilities, the Department [of Health Care Services] will provide assistive devices such as sign-language interpretation, real-time captioning, note takers, reading or writing assistance, and conversion of training or meeting materials into Braille, large print, audiocassette, or computer disk. To request suchservices or copies in an alternate format, please write:
 
EVV Assistance
1515 K Street, Suite 400
Sacramento, CA 95899
Email: EVV@dhcs.ca.gov

Find out more on the EVV PHASE II WEBPAGE (on Department of Health Care Services website): https://www.dhcs.ca.gov/provgovpart/Pages/EVVMeetings.aspx 

IMPORTANT BACKGROUND INFORMATION: 

HOW IS CALIFORNIA IMPLEMENTING EVV: 


  • California is implementating "EVV" in two phases, though those phases would be implementing concurrently (at the same time):

    • PHASE I is focused on the IHSS and Waiver Personal Care Services (WPCS) programs that currently use the Case Management Payrolling & Information Systems (CMIPS) and Electronic Timesheet and Telephonic Timesheet Systems. California plans to implement Phase I EVV over the course of the next two years or so and will seek a good faith exemption request to delay full implementation until January 1, 2021. The is planning on rolling out EVV Phase I first in Los Angeles County (over a period of several months in different parts of that county), beginning July 2019, and beginning in January 2020, rolling implementation in a series of counties as the state did with the then voluntary IHSS Electronic Time Sheet system several years ago.  

    • PHASE II is focused on identifying either an existing system(s) or a new system to implement EVV for non-CMIPS and agency personal care services, and self-directed and agency home health services. This includes regional center funded home care services that fall under the requirement of "EVV" including supported living services (SLS) and in-home respite services. The 2019-2020 State Budget - that will have a final vote later this week - includes significant one-time funding and some basic implementation steps for the State to move forward, working with stakeholders. The first EVV Phase II public stakeholder meeting was held on October 2, 2018. 

    • The following services funded under the following Medicaid (Medi-Cal) waivers in Calfornia will be required to fully comply with implementation of EVV Phase II:

      • DEPARTMENT OF DEVELOPMENTAL SERVICES (DDS)

        • DDS 1915(c) Waiver, Self-Directed and Agency Model 

        • DDS 1915(i) State Plan, Self-Directed and Agency Model  DDS 1915(c) Waiver Self-Determination Program, Self-Directed, and Agency Model



      • DEPARTMENT OF HEALTH CARE SERVICES (DHCS)

        • DHCS Waiver Personal Care Services, Agency Model

        • DHCS Home and Community-Based Alternative 1915(c) Waiver

        • DHCS Home Health Care Services

        • CALIFORNIA DEPARTMENT OF AGING (CDA)

        • CDA Multipurpose Senior Services Program for 1915(c) and 1115 Waiver



      • CALIFORNIA DEPARTMENT OF PUBLIC HEALTH (CDPH)

        • CDPH 1915(c) AIDS Medi-Cal Waiver








CALIFORNIA'S GUIDING PRINCIPLES IN IMPLEMENTING EVV
The following, after working with stakeholders over numerous meetings and over the course of several months, are the guiding principles in how California will implement EVV (Electronic Visit Verification) for both Phase I and Phase II. These principles were included in the main state budget bill for 2018-2019 passed last June by the Legislature and signed into law by Governor Brown. These principles are supposed to be part of one of the 2019-2020 State budget trailer bills that will eventually go to the governor: 



  • California’s approach to EVV will be consistent with federal law. 

  • EVV will be developed through a collaborative stakeholder process

  • EVV will be developed in a manner that respects recipients and providers, does not alter their Olmstead protections and is minimally burdensome.

  • EVV will not change the number of service hours, nor how or where services are delivered

  • Use of geo-tracking or global positioning system capabilities (GPS) will not be required

  • Existing electronic and telephonic timesheet systems will be leveraged for EVV

  • Providers, recipients and other stakeholders will be trained on the use of the EVV system 


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