Electronic Visit Verification (EVV) Provider Survey Results · There appears to be a great lack of...

Electronic Visit Verification (EVV)Provider Survey Results

Survey conducted June 19, 2017, through August 15, 2017.

www.dhs.iowa.gov/ime/providers/EVV

2 | Iowa Medicaid Enterprise (IME): EVV Provider Survey Results

BackgroundElectronic Visit Verification, or EVV, will be implemented by the Iowa Medicaid Enterprise (IME) on a date that is to be determined, following a robust period of stakeholder engagement and program research. In December 2016, the 21st Century Cures Act was signed into law. This law requires EVV for personal care and home health services. The IME is working in collaboration with the Managed Care Organizations (MCOs) to develop and implement the EVV program.

EVV will be used to monitor the delivery and utilization of personal care and home health services in non-traditional settings and will provide verification of the visit with location information and a time stamp. EVV will be used to ensure quality and program integrity (PI).

In addition to the PI characteristics associated with EVV, the department also considers this to be a valuable mechanism to ensure that members are receiving quality care outlined in their person-centered service plan. This system will help provide real time alerts when a provider is late or misses a medically necessary service included in a member’s person-centered service plan.

The IME conducted a survey from June 16 to August 15, 2017, to gather input from providers. This survey is one component, of several, designed to gather information directly from stakeholders. The information gathered from this survey, in combination with face-to-face meetings and other engagement, will inform the decisions that determine key aspects of the Iowa EVV program.

SurVEy dataThe data in this report is based on provider responses to the IME’s EVV Provider Survey conducted using Survey Monkey®. Survey responses were collected from June 16, 2017, to August 15, 2017. A total of 957 respondents who identified as providers participated in the IME EVV Provider Survey. Survey responses are separated by provider type, which allows for more detailed and meaningful analysis.

Consumer Directed Attendant Care (CDAC) Agency: 119 RespondentsIndividual CDAC: 330 RespondentsHome Health and Home Care Agency: 174 RespondentsHospice: 11 Respondents Consumer Choice Option (CCO): 61 RespondentsHome- and Community-Based Services (HCBS): 145 RespondentsOther: 212 Respondents (includes 145 HCBS providers)

Executive Summary

Iowa Medicaid Enterprise (IME): EVV Provider Survey Results | 3

SuRVEy DATA LIMITATIOnSThere are a number of survey data limitations that are important to point out.

The goal of this survey was to gather responses from providers. The first, required, question asked the respondent if they are a provider. The survey data reflects responses from self-identified providers. The IME did not authenticate or validate respondents’ claim to be a provider. Providers were asked to identify their provider type. There may be inconsistencies in the way respondents identified their provider type. Similarly, there may be inconsistencies in the way respondents identified their current system capabilities, and their estimates for future needs.

It is important to pay attention to the number of ‘Answered’ and ‘Skipped’ respondents beneath each question as some questions are only answered by a subset of a given provider group. For example very few Individual CDAC providers responded that they have some existing EVV system, and thus the following questions about that system has a very low number of responses and should be considered accordingly.

When looking at responses from provider type ‘Hospice,’ notice the limited number of respondents.

When respondents indicate they have a large number of employees, this does not mean that all employees provide personal care services or would be required to use EVV.

Survey results for provider type ‘Other,’ includes responses from provider types who would never be required to use EVV.

thEmES / oBSErVationS

GEOGRAPHIC DISTRIBuTIOnRespondents indicate a heavy mix of urban and rural members. Most provider types indicate more rural than urban members. This is important as it relates to connectivity. It is important to note the survey did not define urban versus rural.

EDuCATIOn/TRAInInG There appears to be a great lack of understanding on what EVV is, and why it is being implemented. Survey responses indicate there is a perception that this is an IME led initiative. Education on the requirements of the 21st Century Cures Act will be important to ensure cooperation and collaboration.

Education on cost is going to be important. Providers will expect the worst if they have no idea

Executive Summary


what to expect.

Providers will need a lot of training. Based on survey responses, providers want support to be provided by the IME, the MCOs and the providers’ corporate entities. It appears there is a preference for IME to take the lead in providing support and training.

Survey results for provider type ‘Other,’ includes responses from provider types who were not targeted for completion of the survey and would never be required to use EVV. This indicates there will be a need for education and training for providers who will not be required to use EVV, to make them aware that they are not impacted. It may be beneficial to leverage providers with EVV experience to advise on the business process. The IME may partner with them to assist their peers with implementation.

Many respondents answered ‘Don’t know,’ to open ended questions which emphasize the need for robust communication and education. This must be ongoing and may require some sort of ‘help desk.’

There were a lot of negative responses in the open ended questions. This highlights the need to educate on the positive aspects of EVV, such as quicker claims processing, reduced administrative burden, etc. Many CDAC agencies don’t use a clearinghouse. Educating on the benefit of streamlined claims and billing will be helpful in gaining support and participation from providers.

Many providers are questioning whether they will be required to use multiple EVV systems. This may be a source of frustration and will require significant education.

Based on responses, we will need to get training to providers when they have availability, such as a webinar they can watch and re-watch on their schedule.

Early education on ‘EVV 101’ is recommended.

COSTCost is clearly a concern by both, providers who will be required to use EVV and those who will not. Costs seem to be a significant factor for providers.

There appears to be an expectation that the IME or MCOs will bear the cost of implementing and operating an EVV system.

PROVIDER nETWORk Some respondents indicated they may no longer participate because of the EVV requirement. In the past, when we have changed reporting requirements, we’ve seen a drop off in providers. We need to be aware that some providers may quit if they have to implement EVV or can’t afford to implement EVV. We need to make sure if we lose providers, we are aware of who

Executive Summary


Executive Summary

we lost and make plans on how to get that member moved to other providers who continue to provide services.

ExISTInG InFRASTRuCTuREThe most common piece of existing infrastructure to support an EVV program is a computer with internet access.

An Electronic Health Records (EHR) program appears to be one of the most common pieces of existing infrastructure to support an EVV program according to respondents (excluding CDAC). We are not sure whether these EHR programs support full EVV functionality.

There appears to be some prevalence of mobile internet access.

Access to member landlines or smart phones appears to be very limited.

Survey results indicate a need for devices. Providers may expect MCOs to pay for these devices.

There appears to be a lack of internet access. We need to have solutions for solving connectivity issues.

ExISTInG EVV SySTEM (OR SIMILAR)There is confusion regarding what EVV is. Many respondents cited systems as EVV that are not EVV.

Providers who named an existing EVV (or similar) system, identified 22 unique systems. The IME researched those systems and found 11 unique systems that appear to include all of the functionality that will be required for EVV. The analysis of these systems EVV capabilities is based on claims published on the software makers website. See the analysis on the following page. The IME should identify how prevalent these 11 systems are, and work towards ensuring the EVV system is able to work with these existing systems. We need greater insight into who is using these 11 systems, and whether providers have activated all the functionality.

SuMMARySurvey results validated a lot of assumptions of the internal IME work group. Counter to the assumptions of the work group, landlines appear to be far less prevalent than we expected. The results demonstrated a general fear and lack of understanding. The survey results help catalog the risks and opportunities. This helped identify areas that need to be addressed to allay provider concerns. It will be a challenge to prepare providers for a level of oversight they have not had in the past. The results raise questions about potential expenses and how those expenses are going to be paid.


Vendor Website Service type

individual Served

Service date

Service Location

individual Providing

Service time

Visit Verification?

adP https://www.adp.com/solutions/midsized-business/services/human-resources-management.aspx

n n n n n n n

axis care https://axiscaresales.com/overview/caregiver-mobile-app/

y y y y y y y

aXXESS https://www.axxess.com/evv y y y y y y ycareFacts http://www.carefacts.com/HomeCare_

Scheduling.htmy y y n n y n

careheroes http://careheroes.co/ y y y y y y ycareVoyant http://www.carevoyant.com/PrivateDut

yHomeCare-non-Medical.aspxy y y y y y y

celltrak http://www.celltrak.com/ y y y y y y yclearcare https://www.clearcareonline.com/smart-

telephonyy y y y y y y

consumer-directed attendant care daily Service record

https://dhs.iowa.gov/sites/default/files/470-4389_3.pdf

y y y y y y n

Edoc http://www.edocs.ie/ n n n n n n nga Foods ErP https://erp.gafoods.com/login.php?Ref

=/n n n n n n n

generations homecare System

http://www.homecaresoftware.com/features.html

y y y y y y y

home care home Base (hchB)

https://hchb.com/about-us not Found

not Found not Found

not Found not Found not Found n

kinnser adLware https://kinnser.com/home-care-software/

y y y y y y y

matrixcare http://www.matrixcare.com/industry-solutions/home-care/

y y y y y y n

mckesson horizon home care

http://www.mckesson.com/providers/home-care/clinical-management/mckesson-homecare-mobilecare/

y y y y y y y

mitc https://mitcsoftware.com/evv/ y y y y y y ynetsmart (formerly allscripts) homecare and hospice software

https://www.ntst.com/Communities-We-Serve/home_care.aspx

y y n n y n n

Paylocity with Salesforce integration

https://www.paylocity.com/resources/content-library/

not Found

not Found not Found

not Found not Found not Found n

Sandata technology, Far East industries

https://www.sandata.com/our-platform/santrax-electronic-visit-verification/

y y y y y y y

Sansio http://www.physio-control.com/ProductDetails.aspx?id=2147498038

y y y y y y n

Spectrum teletrack http://www.spectrumvoice.com/sv/product/simple.shtml

not Found

y y not Found y y n

Executive Summary


System determinations may be difficult. What works for one provider/service type may not work for all.

A primary question is whether there will be 1 or 3 systems, possibly 4. This will inform what types of devices will be needed, what training will be needed and what costs will be. until we know the answer to this key question, education and calming fears will be a challenge.

Executive Summary


22.32% 25

37.50% 42

20.54% 23

12.50% 14

7.14% 8

Q6 Number of Individuals Employed:

Answered: 112 Skipped: 7

TOTAL 112

N/A

1-10

11-50

51-200

200+

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

22.32%

37.50%

20.54%

12.50%

7.14%

ANSWER CHOICES RESPONSES

N/A

1-10

11-50

51-200

200+

6 / 22

Electronic Visit Verification (EVV)

Provider Type: consumer-directed attendant care (cdac) agency


0.89% 1

39.29% 44

9.82% 11

16.07% 18

18.75% 21

10.71% 12

4.46% 5

Q7 Number of Members Served:


TOTAL 112

N/A

1

2

3-10

11-50

51-200

200+

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

0.89%

39.29%

9.82%

16.07%

18.75%

10.71%

4.46%


N/A

1

2

3-10

11-50

51-200

200+

7 / 22




56.36% 62

56.36% 62

Q8 Where Do You Provide Services? (Select all that apply)


Total Respondents: 110

Urban

Rural

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

56.36%

56.36%


Urban

Rural

8 / 22




8.04% 9

80.36% 90

11.61% 13

Q9 Do you/your agency currently use an EVV program, or somethingsimilar that uses Global Positioning System (GPS) or alternative

electronic location tracking application to verify visits?


TOTAL 112

Yes

No

Not sure

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

8.04%

80.36%

11.61%


Yes

No

Not sure

9 / 22




70.00% 7

80.00% 8

80.00% 8

60.00% 6

80.00% 8

90.00% 9

10.00% 1

10.00% 1

Q10 With the EVV program, or something similar, you/your agencycurrently use, what data elements are collected? (select all that apply)



# OTHER (PLEASE SPECIFY) DATE

1 Paper 6/20/2017 5:06 PM

Type ofService...

PersonReceiving th...

Date of theService

Location ofService...

PersonProviding th...

Time theService Begi...

I/we do notcurrently us...

Other (pleasespecify)

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

70.00%

80.00%

80.00%

60.00%

80.00%

90.00%

10.00%

10.00%


Type of Service Performed

Person Receiving the Service

Date of the Service

Location of Service Delivery

Person Providing the Service

Time the Service Begins and Ends

I/we do not currently use an EVV program or anything similar

Other (please specify)

10 / 22




70.00% 7

60.00% 6

70.00% 7

20.00% 2

10.00% 1

0.00% 0

Q11 With the EVV program, or something similar, you/your agencycurrently use, what functionality does it have? (select all that apply)




There are no responses.

Scheduling

Reporting

ClaimsSubmission

Authorizations



0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

70.00%

60.00%

70.00%

20.00%

10.00%


Scheduling

Reporting

Claims Submission

Authorizations



11 / 22




Q12 What was the cost to set up your existing EVV program, orsomething similar?


# RESPONSES DATE

1 I'm not sure of the cost but it was provided through our home office. We are a franchise. 8/14/2017 9:27 AM

2 14.00 per client 6/30/2017 4:38 PM

3 150 set up and $9/client/month ongoing. 6/23/2017 10:55 AM

4 Approximately $500 a month to maintain not sure of set up cost. 6/21/2017 3:15 PM

5 Not Sure 6/20/2017 5:06 PM

6 $2500 6/20/2017 9:17 AM

7 Monthly cost 6/19/2017 3:52 PM

12 / 22




Q13 What is the name of your existing EVV program, or somethingsimilar?


# RESPONSES DATE

1 ClearCare 8/14/2017 9:27 AM

2 ClearCare 6/30/2017 4:38 PM

3 AxisCare 6/23/2017 10:55 AM

4 Spectrum Voice Teletracking, Inc. 6/21/2017 3:15 PM

5 Consumer-Directed Attendant Care Daily Service Record 6/20/2017 5:06 PM

6 Generations Homecare System 6/20/2017 9:17 AM

7 MatrixCare 6/19/2017 3:52 PM

13 / 22




3.70% 4

14.81% 16

0.93% 1

38.89% 42

21.30% 23

28.70% 31

18.52% 20

Q14 What existing infrastructure do you/your agency have in place tosupport an EVV program? (select all that apply)


Existing EVVProgram

ElectronicHealth Recor...

Key fob orother in-hom...

Computer withInternet Access

MobileInternet Access

MemberLandline...

Provider CellPhone (witho...

Member CellPhone (witho...

Provider SmartPhone

Member SmartPhone

IT Support

None of theAbove


0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

3.70%

14.81%

0.93%

38.89%

21.30%

28.70%

18.52%

10.19%

29.63%

9.26%

10.19%

24.07%

6.48%


Existing EVV Program

Electronic Health Record (EHR) Program

Key fob or other in-home GPS-logging device (A key fob is a small hardware device, often on a key chain, with built-in

authentication used to collect time and location information which is connected to a secure network.)

Computer with Internet Access

Mobile Internet Access

Member Landline Telephone

Provider Cell Phone (without smart phone capabilities)

14 / 22




10.19% 11

29.63% 32

9.26% 10

10.19% 11

24.07% 26

6.48% 7



1 How can anyone answer this question when we don't know how the State intends to implement

EVV?

8/7/2017 4:29 AM

2 both Provider & Member have IPads 7/13/2017 11:47 AM

3 Don't know 7/9/2017 3:36 AM

4 not all our providers (caregivers have smart phones and mobile internet, many do) 6/30/2017 4:32 PM

5 We use MITC for payroll but that is it. 6/20/2017 10:30 AM

6 EHR program is anticipated to begin later this year. 6/19/2017 4:09 PM

7 We use the CDAC forms provided by IME on paper. No electronic verification of visits. 6/19/2017 3:56 PM

Member Cell Phone (without smart phone capabilities)

Provider Smart Phone

Member Smart Phone

IT Support

None of the Above


15 / 22




6.06% 6

2.02% 2

3.03% 3

5.05% 5

7.07% 7

7.07% 7

1.01% 1

64.65% 64

4.04% 4

Q15 What is your expected Administrative Cost (staff training, agencyoversight, etc.) to participate in an EVV program? (Please provide your

best estimate and any details you wish to share)


TOTAL 99

# ADDITIONAL INFORMATION (PLEASE SPECIFY) DATE

$0

$1-$200

$201-$500

$501-$1,000

$1,001-$2,500

$2,501-$10,000

$10,000+

I do not know

AdditionalInformation...

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

6.06%

2.02%

3.03%

5.05%

7.07%

7.07%

1.01%

64.65%

4.04%


$0

$1-$200

$201-$500

$501-$1,000

$1,001-$2,500

$2,501-$10,000

$10,000+

I do not know

Additional Information (please specify)

16 / 22




1 would need to purchase smart phones for each caregiver and pay ongoing monthly service fees for

those-- in some cases, the service fees would be more than we are being compensated/month for

the services that caregiver provides50+

6/29/2017 10:49 AM

2 THat depends on if we get to continue with AxisCare or have to switch entirely to something new.

It depends if each MCO has their own - which would be ridiculous because we'd have to train staff

on all 3 or schedule only staff who know each system with those clients. It would be a scheduling

nightmare. Some caregivers need a lot of "handholding." They don't make much money and don't

always understand the importants of correct documentation and clocking in/out.

6/23/2017 11:01 AM

3 Hard to tell; if there are multiple EVV systems this cost will be higher. 6/20/2017 9:07 AM

4 You did not specify daily, monthly, annual costs Cannot answer 6/19/2017 3:52 PM

17 / 22





4.95% 5

6.93% 7

2.97% 3

4.95% 5

3.96% 4

8.91% 9

2.97% 3

61.39% 62

2.97% 3

Q16 What is your expected Cost for Technology and Devices (purchaseof devices, data plans, internet access, etc.) to participate in an EVV

program? (Please provide your best estimate and any details you wish toshare)


TOTAL 101

$0

$1-$200

$201-$500

$501-$1,000

$1,001-$2,500

$2,501-$10,000

$10,000+

I do not know


0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

4.95%

6.93%

2.97%

4.95%

3.96%

8.91%

2.97%

61.39%

2.97%


$0

$1-$200

$201-$500

$501-$1,000

$1,001-$2,500

$2,501-$10,000

$10,000+

I do not know


18 / 22





1 50+ employees w initial purchase of smartphone and monthly service fees on-going 6/29/2017 10:49 AM

2 Again, without know what the guidelines are in the EVV software, this is impossible to answer. If

CGs can use their smartphones it shouldn't cost much. However, if we have to use ipads or

something else - that's a huge cost. Turnover is high too across the industry so just tracking

equipment like that would be costly in terms of time.

6/23/2017 11:01 AM

3 You did not specify annual, weekly, monthly cost. Cannot answer 6/19/2017 3:52 PM

19 / 22




65.63% 63

76.04% 73

11.46% 11

37.50% 36

57.29% 55

8.33% 8

Q17 Please identify areas you/your agency would need supportwith participating in an EVV program: (select all that apply)




1 Don't know 7/9/2017 3:38 AM

2 Information 7/1/2017 12:40 PM

3 compensation for the added costs 6/29/2017 10:49 AM

4 Financial assistance 6/23/2017 9:24 AM

5 If there are multiple EVV systems, training will be really important. 6/20/2017 9:07 AM

6 Funding sources 6/20/2017 9:02 AM

7 Purchase of Hardware devices 6/20/2017 8:54 AM

8 unk 6/19/2017 4:11 PM

Training

Understandingthe EVV Program

No Concerns

Infrastructure

SoftwareSupport


0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

65.63%

76.04%

11.46%

37.50%

57.29%

8.33%


Training

Understanding the EVV Program

No Concerns

Infrastructure

Software Support


20 / 22




30.61% 30

61.22% 60

79.59% 78

12.24% 12

Q18 Who would you require support from to participate in an EVVprogram: (select all that apply)




1 Not sure 7/31/2017 11:46 AM

2 Don't knowno 7/9/2017 3:38 AM

3 unknown the extent of start-up support that would be needed 7/8/2017 8:12 PM

4 Case Manger 7/8/2017 12:25 PM

5 Information 7/1/2017 12:40 PM

6 Iam not sure 6/30/2017 9:21 AM

7 I don't know 6/29/2017 10:16 AM

8 would prefer to use our own data collection system and upload csv file to meet payor needs 6/22/2017 10:31 AM

9 Aging Resources 6/22/2017 7:43 AM

10 Only help is the intergration to get info to MCOs 6/20/2017 9:20 AM

11 unk 6/19/2017 4:11 PM

12 Software Company 6/19/2017 3:52 PM

Employer /Corporate...

Managed CareOrganization...

Iowa MedicaidEnterprise...


0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

30.61%

61.22%

79.59%

12.24%


Employer / Corporate Office

Managed Care Organizations (MCOs)

Iowa Medicaid Enterprise (IME)


21 / 22




12.37% 12

14.43% 14

40.21% 39

32.99% 32

Q19 Do you/your agency currently use a clearinghouse? (In medicalbilling, companies who forward claims information from healthcare

providers to insurance payers are known as clearinghouses.Clearinghouses check the claim for errors and verify that it is compatible

with the payer software and submits the claim.)


TOTAL 97

MCO-suppliedClearinghouse

Enterprise/Agency...

No

Not Sure

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

12.37%

14.43%

40.21%

32.99%


MCO-supplied Clearinghouse

Enterprise/Agency Clearinghouse

No

Not Sure

22 / 22



Provider Type: individual consumer-directed attendant care (cdac)

1.85% 6

86.42% 280

6.48% 21

4.63% 15

0.00% 0

0.31% 1

0.31% 1



TOTAL 324

N/A

1

2

3-10

11-50

51-200

200+

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

1.85%

86.42%

6.48%

4.63%

0.31%

0.31%


N/A

1

2

3-10

11-50

51-200

200+

3 / 25




8.72% 28

67.91% 218

23.36% 75

Q4 If You Provide Services to Just 1 Member, is it a Family Member?:


TOTAL 321

N/A

Yes

No

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

8.72%

67.91%

23.36%


N/A

Yes

No

4 / 25




70.98% 225

34.38% 109




Urban

Rural

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

70.98%

34.38%


Urban

Rural

5 / 25




42.86% 3

71.43% 5




Urban

Rural

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

42.86%

71.43%


Urban

Rural

8 / 25




2.49% 8

81.62% 262

15.89% 51




TOTAL 321

Yes

No

Not sure

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

2.49%

81.62%

15.89%


Yes

No

Not sure

9 / 25




60.00% 3

60.00% 3

60.00% 3

40.00% 2

60.00% 3

60.00% 3

20.00% 1

20.00% 1





1 all done on paper 6/28/2017 3:41 PM

Type ofService...


Date of theService






0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

60.00%

60.00%

60.00%

40.00%

60.00%

60.00%

20.00%

20.00%




Date of the Service






10 / 25




0.00% 0

40.00% 2

40.00% 2

40.00% 2

20.00% 1

20.00% 1






Scheduling

Reporting

ClaimsSubmission

Authorizations



0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

40.00%

40.00%

40.00%

20.00%

20.00%


Scheduling

Reporting

Claims Submission

Authorizations



11 / 25






# RESPONSES DATE

1 na 7/14/2017 9:43 PM


12 / 25






# RESPONSES DATE

1 care heroes 7/14/2017 9:43 PM

2 all done on papee 6/28/2017 3:41 PM

13 / 25




1.95% 6

0.65% 2

0.33% 1

37.46% 115

15.96% 49

27.69% 85

17.26% 53



Existing EVVProgram





MemberLandline...



Provider SmartPhone

Member SmartPhone

IT Support

None of theAbove


0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

1.95%

0.65%

0.33%

37.46%

15.96%

27.69%

17.26%

10.42%

32.25%

7.17%

0.98%

29.97%

3.91%










14 / 25




10.42% 32

32.25% 99

7.17% 22

0.98% 3

29.97% 92

3.91% 12



1 NOT SURE 8/11/2017 6:48 AM

2 form documentation 8/10/2017 3:57 PM

3 paperwork 8/8/2017 10:09 AM

4 don't understand 7/23/2017 3:20 PM

5 daily documents 7/18/2017 3:05 PM

6 NOT SURE 7/9/2017 4:13 PM

7 when the payments can be made. 7/4/2017 7:58 PM

8 Not sure 7/2/2017 3:02 PM

9 I dont know, I am currently without a patient 7/2/2017 10:56 AM

10 paper claims 6/30/2017 4:19 PM

11 We write in and have paper copies available 6/29/2017 3:01 PM

12 Fill out forms for care of patient 6/28/2017 3:41 PM



Member Smart Phone

IT Support

None of the Above


15 / 25




14.14% 41

4.14% 12

1.72% 5

1.38% 4

0.34% 1

0.34% 1

0.00% 0

72.76% 211

5.17% 15




TOTAL 290


$0

$1-$200

$201-$500

$501-$1,000

$1,001-$2,500

$2,501-$10,000

$10,000+

I do not know


0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

14.14%

4.14%

1.72%

1.38%

0.34%

0.34%

72.76%

5.17%


$0

$1-$200

$201-$500

$501-$1,000

$1,001-$2,500

$2,501-$10,000

$10,000+

I do not know


16 / 25




1 Since I don't really know what this would involve, I have no idea. Maybe more explanation as to

what will be needed would help & why the need for this. I have to jump through hoops just to get

my claim paid every month, it's always denied for no authorization which I do have, sometimes it

just doesn't show & it's not getting fixed so that I don't have to do this. The problems need fixed

before implementing more.

8/14/2017 6:50 PM

2 If I have to pay for it. I will quit. 8/8/2017 10:11 AM

3 I am an individual provider. I do not work for an agency, 7/18/2017 2:24 PM

4 I am a family member providing care for adult son. Never had experience with anything like this so

don't have any way to give an estimate.

7/11/2017 1:34 PM

5 Doesnt Apply 7/10/2017 9:43 AM

6 its olny me 7/5/2017 9:38 PM

7 Is this based on every provider, patient or only one person to purchase a device that is compatable

and cost effective and reliable to hold data when the internet system is not functioning in this

geographic area ?

7/4/2017 8:06 PM

8 I am an individual and have no extra money for any programs 7/3/2017 11:57 AM

9 these questions don't pertain to me 6/29/2017 1:13 AM

10 Us providers shouldn't have to pay anything for a system that someone else intends for us to use. 6/28/2017 5:42 PM

11 no longer caring for the MBR since they passed away 6/28/2017 12:45 PM

12 The case worker comes and visits every 90 days 6/27/2017 3:49 PM

13 I do not use the computer at home, MBR's caseworker visits every 90 days. 6/27/2017 3:46 PM

14 This estimate does not cover the cost of the product and support. 6/21/2017 8:19 AM

15 If I have to take time off work to attend a raining session, then I would have the cost of lost wages.

If the platform you decide to use too "new" I may have to upgrade our computer or internet.

6/19/2017 5:19 PM

17 / 25




10.88% 32

8.84% 26

3.74% 11

4.42% 13

2.72% 8

0.34% 1

0.34% 1

63.61% 187

5.10% 15




TOTAL 294

$0

$1-$200

$201-$500

$501-$1,000

$1,001-$2,500

$2,501-$10,000

$10,000+

I do not know


0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

10.88%

8.84%

3.74%

4.42%

2.72%

0.34%

0.34%

63.61%

5.10%


$0

$1-$200

$201-$500

$501-$1,000

$1,001-$2,500

$2,501-$10,000

$10,000+

I do not know


18 / 25










8/14/2017 6:50 PM

2 Can't afford the cost. Will IME foot the bill? 8/2/2017 9:41 PM

3 I have no idea as have no experience with an EVV program. No idea what is involved. 7/11/2017 1:34 PM

4 no cornern 7/11/2017 12:53 PM


6 Maybe $501 to $1,000 per year, including internet access and smart phone or computer 7/7/2017 1:19 PM

7 $20/month service charge for a mobile internet tablet 7/7/2017 12:24 PM

8 likely cost per year. This will consume the CDAC reimbursement to pay for a device that is

compatable, reliable, and available and can be used only to record CDAC information

7/4/2017 8:06 PM

9 I have no idea what it would cost 7/3/2017 11:57 AM

10 the cost could run higher then the pay receive for most cdac workers taking care of a single family

member

6/30/2017 5:46 PM

11 mobile fees 6/29/2017 3:37 PM

12 Again, these don't apply 6/29/2017 1:13 AM

13 whatever it would cost to have a smart phone 6/28/2017 8:15 PM

14 Us providers shouldn't have to pay for anything that someone else intends for us to use. 6/28/2017 5:42 PM

15 Not sure how this pertains 6/28/2017 2:36 PM

19 / 25



59.65% 170

70.53% 201

18.60% 53

25.96% 74

49.12% 140

7.72% 22










8/14/2017 6:50 PM

2 Everything. Lack understanding of electronic devices. Will it be like prisoners wear? 8/2/2017 9:41 PM

3 Not sure am not good with mordern tech so dont know answers about the EVV 7/27/2017 11:14 AM

4 I don't know 7/26/2017 11:03 AM

5 Don't know. 7/17/2017 8:01 AM


Training


No Concerns

Infrastructure

SoftwareSupport


0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

59.65%

70.53%

18.60%

25.96%

49.12%

7.72%


Training


No Concerns

Infrastructure

Software Support


20 / 25




7 doing by hand 7/5/2017 9:38 PM

8 Support must be available on the day needed not 5 months later. When the internet is not working

in this geographic area how can to system compensate to allow recordings. also Have calculations

of the time required to complete the task, carry the electronic device and enter at the time of

service? How much additional time is necessary to complete this entire process?

7/4/2017 8:06 PM

9 seems like unnecessary work to care for a person 7/3/2017 11:57 AM

10 it would depend on how easy the software is to use 7/3/2017 11:03 AM

11 i work for iowa dept of human services, not sure 7/3/2017 4:09 AM

12 Agency is Elderbridge in Fort Dodge I dont know what they have. 7/2/2017 10:58 AM

13 I am not an agency, I just provide CDAC services for one person 6/29/2017 1:13 AM

14 ability to access 6/28/2017 4:02 PM

15 can't afford internet 6/28/2017 4:00 PM

16 If needing to print, need assistance 6/28/2017 2:11 PM

17 I don't work well online, would prefer to speak with a live person. 6/28/2017 12:10 PM

18 I do not have a computer nor do I know how 6/28/2017 11:50 AM

19 I have a computer but do not use it nor do I know how 6/27/2017 3:49 PM

20 I have a computer but do not use this computer 6/27/2017 3:46 PM

21 none; don't need it 6/27/2017 8:44 AM

22 I don't know 6/22/2017 6:33 PM

21 / 25




8.33% 23

50.36% 139

76.09% 210

19.20% 53





1 CASE MANAGERS 8/15/2017 1:33 PM

2 Maybe more explanation as to what will be needed would help & why the need for this. I have to

jump through hoops just to get my claim paid every month, it's always denied for no authorization

which I do have, sometimes it just doesn't show & it's not getting fixed so that I don't have to do

this. The problems need fixed before implementing more.

8/14/2017 6:50 PM

3 Case manager for consumer 8/13/2017 12:24 PM

4 CASE MANAGERS 8/11/2017 1:08 PM

5 Everyone because I lack understanding how it works. Is everyone going to be required to wear

one. IME and MCO staff too?

8/2/2017 9:41 PM

6 case worker 8/1/2017 9:08 AM

7 CASE MANAGERS 7/31/2017 10:27 AM

8 I don't know 7/26/2017 11:03 AM

9 a person that would sit down and go over how to do this 7/24/2017 1:52 PM

10 case managers 7/19/2017 8:35 AM





0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

8.33%

50.36%

76.09%

19.20%






22 / 25




11 no concern 7/17/2017 11:49 AM

12 Don't know. 7/17/2017 8:01 AM

13 I really don't know 7/16/2017 4:06 PM

14 CONNECTION ON AGING OFSIOUXLAND 7/16/2017 2:35 PM

15 not sure 7/12/2017 3:55 PM

16 not sure 7/12/2017 2:30 PM

17 case manager 7/12/2017 1:55 PM

18 case manager 7/11/2017 1:42 PM

19 no concern 7/11/2017 12:53 PM

20 Case Manager 7/11/2017 10:18 AM


22 elderbridge, amerihealthcaritasia 7/10/2017 10:34 PM

23 None 7/10/2017 1:22 PM

24 Doesnt Apply 7/10/2017 9:43 AM

25 CASE MANAGER 7/10/2017 9:22 AM

26 not sure 7/10/2017 8:59 AM


28 NOT SURE 7/9/2017 4:13 PM

29 Landlords 7/7/2017 4:06 PM

30 Elderbridge Agency on Aging 7/7/2017 1:19 PM

31 Case Manager 7/6/2017 11:20 AM

32 case worker 7/6/2017 11:04 AM

33 not sure 7/5/2017 9:38 PM

34 case worker 7/5/2017 1:12 PM

35 Ellabridge ageny of the Aging 7/5/2017 11:28 AM

36 not sure 7/5/2017 10:00 AM

37 This is July and the Iowa Medicaid system has yet to send 2016 1099 forms after 4 calls to Des

moines, Amerihealth caritas Iowa and Department of Human resources. How can you expect to

obtain support on an urgent basis and training when a 1099 form from 2016 cannot be located and

obtained??

7/4/2017 8:06 PM

38 None 7/3/2017 12:57 PM

39 CAS EMANAGER 6/30/2017 1:58 PM

40 There is no support in our area. 6/29/2017 9:14 PM

41 Self 6/29/2017 3:02 PM

42 DHS Office 6/29/2017 10:00 AM

43 I have no idea 6/29/2017 1:13 AM

44 I don't know?? 6/28/2017 7:50 PM

45 I feel like half the time both the mco and ime don't know what their doing as it is even with a simple

question I get pushed off to one or the other by both so how am I to trust that they could help me

with this???

6/28/2017 5:42 PM

46 NOT SURE 6/28/2017 3:59 PM

47 case worker 6/28/2017 2:14 PM

23 / 25




48 Worker 6/28/2017 1:06 PM

49 case manger 6/28/2017 1:02 PM

50 NO 6/28/2017 9:55 AM

51 Unknown 6/27/2017 3:46 PM

52 none; don't need it 6/27/2017 8:44 AM

53 I don't know 6/22/2017 6:33 PM

24 / 25




4.47% 13

1.37% 4

57.73% 168

36.43% 106





TOTAL 291



No

Not Sure

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

4.47%

1.37%

57.73%

36.43%




No

Not Sure

25 / 25




4.73% 8

27.22% 46

47.93% 81

10.06% 17

10.06% 17



TOTAL 169

N/A

1-10

11-50

51-200

200+

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

4.73%

4.73%

4.73%

4.73%

4.73%

4.73%

4.73%

27.22%

27.22%

27.22%

27.22%

27.22%

27.22%

27.22%

47.93%

47.93%

47.93%

47.93%

47.93%

47.93%

47.93%

10.06%

10.06%

10.06%

10.06%

10.06%

10.06%

10.06%

10.06%

10.06%

10.06%

10.06%

10.06%

10.06%

10.06%


N/A

1-10

11-50

51-200

200+

6 / 24


Provider Type: home health and home care agency


0.60% 1

9.52% 16

0.60% 1

4.76% 8

28.57% 48

35.71% 60

20.24% 34



TOTAL 168

N/A

1

2

3-10

11-50

51-200

200+

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

0.60%

0.60%

0.60%

0.60%

0.60%

0.60%

0.60%

9.52%

9.52%

9.52%

9.52%

9.52%

9.52%

9.52%

0.60%

0.60%

0.60%

0.60%

0.60%

0.60%

0.60%

4.76%

4.76%

4.76%

4.76%

4.76%

4.76%

4.76%

28.57%

28.57%

28.57%

28.57%

28.57%

28.57%

28.57%

35.71%

35.71%

35.71%

35.71%

35.71%

35.71%

35.71%

20.24%

20.24%

20.24%

20.24%

20.24%

20.24%

20.24%


N/A

1

2

3-10

11-50

51-200

200+

7 / 24




43.21% 70

86.42% 140




Urban

Rural

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

43.21%

43.21%

43.21%

43.21%

43.21%

43.21%

43.21%

86.42%

86.42%

86.42%

86.42%

86.42%

86.42%

86.42%


Urban

Rural

8 / 24




14.97% 25

78.44% 131

6.59% 11




TOTAL 167

Yes

No

Not sure

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

14.97%

14.97%

14.97%

14.97%

14.97%

14.97%

14.97%

78.44%

78.44%

78.44%

78.44%

78.44%

78.44%

78.44%

6.59%

6.59%

6.59%

6.59%

6.59%

6.59%

6.59%


Yes

No

Not sure

9 / 24




85.71% 18

100.00% 21

100.00% 21

71.43% 15

100.00% 21

100.00% 21

0.00% 0

4.76% 1





1 we have the cell trak documentation app for aides only 8/11/2017 9:28 AM

Type ofService...


Date of theService






0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

85.71%

85.71%

85.71%

85.71%

85.71%

85.71%

85.71%

100.00%

100.00%

100.00%

100.00%

100.00%

100.00%

100.00%

100.00%

100.00%

100.00%

100.00%

100.00%

100.00%

100.00%

71.43%

71.43%

71.43%

71.43%

71.43%

71.43%

71.43%

100.00%

100.00%

100.00%

100.00%

100.00%

100.00%

100.00%

100.00%

100.00%

100.00%

100.00%

100.00%

100.00%

100.00%

4.76%

4.76%

4.76%

4.76%

4.76%

4.76%

4.76%




Date of the Service






10 / 24




80.95% 17

90.48% 19

57.14% 12

52.38% 11

0.00% 0

0.00% 0






Scheduling

Reporting

ClaimsSubmission

Authorizations



0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

80.95%

80.95%

80.95%

80.95%

80.95%

80.95%

80.95%

90.48%

90.48%

90.48%

90.48%

90.48%

90.48%

90.48%

57.14%

57.14%

57.14%

57.14%

57.14%

57.14%

57.14%

52.38%

52.38%

52.38%

52.38%

52.38%

52.38%

52.38%


Scheduling

Reporting

Claims Submission

Authorizations



11 / 24






# RESPONSES DATE

1 don't know 8/11/2017 9:28 AM

2 Free App with our software provider 8/11/2017 8:16 AM

3 It was set up at a corporate level but was close to $1,000,000 8/2/2017 1:48 PM

4 $35,000 7/19/2017 1:54 PM

5 $10000 7/3/2017 10:23 AM

6 Free, Trial program for Anthem 6/30/2017 9:40 AM

7 Unsure 6/29/2017 10:38 AM

8 I don't remember 6/27/2017 10:00 AM

9 $500/month 6/26/2017 12:43 PM

10 Part of $1 million EMR 6/22/2017 7:28 PM

11 Unknown 6/22/2017 9:59 AM

12 unsure, package with charting 6/21/2017 8:54 AM

13 $120K 6/20/2017 9:13 AM

14 $300K 6/20/2017 9:11 AM

15 over $1 million 6/20/2017 8:48 AM

16 $233,254 to set up software for EHR and $5000 for the mileage advisor piece that has GPS with

annual maintenance of $40000 / year for the total system

6/19/2017 4:28 PM

17 25000 6/19/2017 3:38 PM

12 / 24






# RESPONSES DATE

1 cell trak 8/11/2017 9:28 AM

2 AXXESS 8/11/2017 8:16 AM

3 HCHB 8/2/2017 1:48 PM

4 Homecare Homebase 8/1/2017 8:09 AM

5 Home Solutions/ Saniso - Minnepolis, MN 7/19/2017 1:54 PM

6 Mckesson horizon home care 7/3/2017 10:23 AM

7 CareHeroes 6/30/2017 9:40 AM

8 Homecare Homebase 6/29/2017 10:38 AM

9 Kinnser ADLware 6/27/2017 10:00 AM

10 Spectrum Teletrack. 6/26/2017 12:43 PM

11 EMR is HomeCare HomeBase 6/22/2017 7:28 PM

12 GA Foods ERP 6/22/2017 9:59 AM

13 Axxess Software 6/21/2017 8:54 AM

14 CareFacts 6/21/2017 8:30 AM

15 Netsmart 6/21/2017 7:47 AM

16 CareVoyant 6/20/2017 9:13 AM

17 Sandata technology, Far East Inddustries 6/20/2017 9:11 AM

18 Home Care Home Base 6/20/2017 8:48 AM

19 horizon homecare thru Mckesson 6/19/2017 4:28 PM

20 sansio 6/19/2017 3:38 PM

13 / 24




7.45% 12

46.58% 75

4.35% 7

47.20% 76

31.68% 51

20.50% 33

26.71% 43



Existing EVVProgram





MemberLandline...



Provider SmartPhone

Member SmartPhone

IT Support

None of theAbove


0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

7.45%

7.45%

7.45%

7.45%

7.45%

7.45%

7.45%

46.58%

46.58%

46.58%

46.58%

46.58%

46.58%

46.58%

4.35%

4.35%

4.35%

4.35%

4.35%

4.35%

4.35%

47.20%

47.20%

47.20%

47.20%

47.20%

47.20%

47.20%

31.68%

31.68%

31.68%

31.68%

31.68%

31.68%

31.68%

20.50%

20.50%

20.50%

20.50%

20.50%

20.50%

20.50%

26.71%

26.71%

26.71%

26.71%

26.71%

26.71%

26.71%

8.07%

8.07%

8.07%

8.07%

8.07%

8.07%

8.07%

24.84%

24.84%

24.84%

24.84%

24.84%

24.84%

24.84%

6.21%

6.21%

6.21%

6.21%

6.21%

6.21%

6.21%

34.16%

34.16%

34.16%

34.16%

34.16%

34.16%

34.16%

14.91%

14.91%

14.91%

14.91%

14.91%

14.91%

14.91%

3.73%

3.73%

3.73%

3.73%

3.73%

3.73%

3.73%










14 / 24





8.07% 13

24.84% 40

6.21% 10

34.16% 55

14.91% 24

3.73% 6



1 We do have EHR but it does not support EVV 8/11/2017 8:19 AM

2 Some service areas such as Extended Hour Pediatric services use paper documentation 6/30/2017 5:55 PM

3 paper claims 6/30/2017 2:09 PM

4 my maail 6/30/2017 1:43 PM

5 paper charting and time studies 6/23/2017 10:04 AM

6 Providers supply their own phones. Some have Smart Phones and some do not. 6/20/2017 10:19 AM



Member Smart Phone

IT Support

None of the Above


15 / 24



2.16% 3

0.72% 1

2.16% 3

4.32% 6

10.07% 14

16.55% 23

15.83% 22

41.01% 57

7.19% 10




TOTAL 139


$0

$1-$200

$201-$500

$501-$1,000

$1,001-$2,500

$2,501-$10,000

$10,000+

I do not know


0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

2.16%

2.16%

2.16%

2.16%

2.16%

2.16%

2.16%

0.72%

0.72%

0.72%

0.72%

0.72%

0.72%

0.72%

2.16%

2.16%

2.16%

2.16%

2.16%

2.16%

2.16%

4.32%

4.32%

4.32%

4.32%

4.32%

4.32%

4.32%

10.07%

10.07%

10.07%

10.07%

10.07%

10.07%

10.07%

16.55%

16.55%

16.55%

16.55%

16.55%

16.55%

16.55%

15.83%

15.83%

15.83%

15.83%

15.83%

15.83%

15.83%

41.01%

41.01%

41.01%

41.01%

41.01%

41.01%

41.01%

7.19%

7.19%

7.19%

7.19%

7.19%

7.19%

7.19%


$0

$1-$200

$201-$500

$501-$1,000

$1,001-$2,500

$2,501-$10,000

$10,000+

I do not know


16 / 24





1 we would need a program, laptops or tablets to be able to chart in the homes. 7/20/2017 2:52 PM

2 we would need programs, laptops or tablets to be able to chart in the home. 7/20/2017 2:38 PM

3 I have no idea what this would cost, but seems yet another unnecessary financial burden to be

placed on the provider.

7/20/2017 9:37 AM

4 I would have to purchase cell phones for all employees, which would be a financial burden for our

agency.

7/19/2017 2:01 PM

5 research, implementation, development of training materials, training, problem-solving 6/30/2017 6:00 PM

6 I do not believe mandates without financial assistance is realistic in Home Health. If there are no

financial assistance than we should not be mandated to do the activity. Home Health should not

be expected to take on additional costs.

6/29/2017 11:44 AM

7 It would be difficult to quanitfy at this point until we find out the program requirements. At this point,

unless this is fully funded, we would have no ability to implement such a high tech initiative

6/25/2017 1:56 PM

8 Unknown cost as we have NO program available at this time to put this into place. therefore, will

have to spend time to research options, purchase a software program or other program to provide

EVV. In addition, will have training costs of staff, etc

6/20/2017 12:33 PM

9 We have one office cell phone that administrator carries. I would not ask my employees to use

their personal phones to do this. The cost could be cell phones for each staff.

6/19/2017 3:49 PM

10 already trained 6/19/2017 3:40 PM

17 / 24



0.00% 0

1.44% 2

0.00% 0

2.88% 4

10.07% 14

22.30% 31

19.42% 27

36.69% 51

7.19% 10




TOTAL 139

$0

$1-$200

$201-$500

$501-$1,000

$1,001-$2,500

$2,501-$10,000

$10,000+

I do not know


0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

1.44%

1.44%

1.44%

1.44%

1.44%

1.44%

1.44%

2.88%

2.88%

2.88%

2.88%

2.88%

2.88%

2.88%

10.07%

10.07%

10.07%

10.07%

10.07%

10.07%

10.07%

22.30%

22.30%

22.30%

22.30%

22.30%

22.30%

22.30%

19.42%

19.42%

19.42%

19.42%

19.42%

19.42%

19.42%

36.69%

36.69%

36.69%

36.69%

36.69%

36.69%

36.69%

7.19%

7.19%

7.19%

7.19%

7.19%

7.19%

7.19%


$0

$1-$200

$201-$500

$501-$1,000

$1,001-$2,500

$2,501-$10,000

$10,000+

I do not know


18 / 24





1 I do not know the cost but I do know that we are on an extremely limited budget and we live in an

area that has limited internet access at times. We have had so many cuts to our budget lately and

MCO's denying patient care that it would be cost prohibitive to implement!!!

8/11/2017 8:24 AM

2 Purchasing additonal mobile devices, developing interfaces into our EMR, and maintaing the

system will cost aaprox $20,000 in the first year and approximatley $10-15,000 per year after that.

7/31/2017 4:44 PM

3 we would need software,laptops or tablets to be able to chart in the homes. 7/20/2017 2:52 PM

4 we would need new programs, laptops or tablets to chart in the home. 7/20/2017 2:38 PM

5 I do not believe mandates without financial assistance is realistic in Home Health. If there are no

financial assistance than we should not be mandated to do the activity. Home Health should not

be expected to take on additional costs.

6/29/2017 11:44 AM

6 Same as above- would have to be fully funded 6/25/2017 1:56 PM

7 If EVV is going to be required, the requiring agency should have to provide standardized

equipment.

6/23/2017 9:02 AM

8 I'm not sure there would be a cost if we already have computers and internet access for each

employee. It depends if we need more equipment/tech support

6/21/2017 8:34 AM

9 It could mean a monthly cell plan for each employee which would mean an ongoing cost which we

don't have the budget for now.

6/19/2017 3:49 PM

10 already have 6/19/2017 3:40 PM

19 / 24




78.10% 107

70.80% 97

6.57% 9

58.39% 80

73.72% 101

10.95% 15





1 Funding 7/19/2017 3:12 PM

2 funding 7/19/2017 2:01 PM

3 Corporation would need to use unallocated dollars to provide support for this program. 7/10/2017 4:12 PM

4 dont have a computer 6/30/2017 1:18 PM

5 Cost! 6/25/2017 1:56 PM

6 We currently have home care software but I am unsure if it can support EVV program 6/23/2017 12:28 PM

7 all of the above 6/23/2017 8:45 AM

8 Funding for Technology 6/23/2017 8:17 AM

Training


No Concerns

Infrastructure

SoftwareSupport


0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

78.10%

78.10%

78.10%

78.10%

78.10%

78.10%

78.10%

70.80%

70.80%

70.80%

70.80%

70.80%

70.80%

70.80%

6.57%

6.57%

6.57%

6.57%

6.57%

6.57%

6.57%

58.39%

58.39%

58.39%

58.39%

58.39%

58.39%

58.39%

73.72%

73.72%

73.72%

73.72%

73.72%

73.72%

73.72%

10.95%

10.95%

10.95%

10.95%

10.95%

10.95%

10.95%


Training


No Concerns

Infrastructure

Software Support


20 / 24




9 ability to connect in rural areas where signals not availible. 6/21/2017 9:04 AM

10 researching options to meet requirements 6/20/2017 12:33 PM

11 Financial/grant dollars 6/20/2017 9:38 AM

12 Interfacing capabilities between our system and state's system 6/20/2017 9:18 AM

13 access to data and reporting 6/20/2017 8:51 AM

14 budget concerns 6/20/2017 7:42 AM

15 adequate time to prepare technology and training 6/20/2017 7:22 AM

21 / 24




45.19% 61

81.48% 110

85.19% 115

10.37% 14





1 The EVV company that we will have to use 8/14/2017 12:15 PM

2 County's Board of Supervisors 8/14/2017 8:41 AM

3 We are a county entity 8/11/2017 8:24 AM

4 Board of Supervisors 6/27/2017 12:04 PM

5 Current software company 6/27/2017 10:05 AM

6 Since we are a local government agency we would require additional tax dollars for support. 6/23/2017 9:02 AM

7 all 6/23/2017 8:45 AM

8 Cell phone providers 6/21/2017 9:06 AM

9 Agency IT 6/21/2017 8:34 AM

10 Need any assistance we can get 6/20/2017 12:33 PM

11 internet access concerns as some homes do not have adequate cell phone coverage in our rural

areas

6/20/2017 7:22 AM

12 not sure 6/19/2017 4:57 PM





0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

45.19%

45.19%

45.19%

45.19%

45.19%

45.19%

45.19%

81.48%

81.48%

81.48%

81.48%

81.48%

81.48%

81.48%

85.19%

85.19%

85.19%

85.19%

85.19%

85.19%

85.19%

10.37%

10.37%

10.37%

10.37%

10.37%

10.37%

10.37%






22 / 24




13 such as equipment to meet this requirement 6/19/2017 3:49 PM

14 not sure what you are asking here 6/19/2017 3:40 PM

23 / 24




10.79% 15

38.13% 53

34.53% 48

16.55% 23





TOTAL 139



No

Not Sure

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

10.79%

10.79%

10.79%

10.79%

10.79%

10.79%

10.79%

38.13%

38.13%

38.13%

38.13%

38.13%

38.13%

38.13%

34.53%

34.53%

34.53%

34.53%

34.53%

34.53%

34.53%

16.55%

16.55%

16.55%

16.55%

16.55%

16.55%

16.55%




No

Not Sure

24 / 24




0.00% 0

27.27% 3

45.45% 5

27.27% 3

0.00% 0



TOTAL 11

N/A

1-10

11-50

51-200

200+

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

27.27%

45.45%

27.27%


N/A

1-10

11-50

51-200

200+

6 / 22


Provider Type: hospice

noticE: Provider type ‘Hospice,’ has a limited number of respondents.


0.00% 0

9.09% 1

0.00% 0

9.09% 1

45.45% 5

27.27% 3

9.09% 1



TOTAL 11

N/A

1

2

3-10

11-50

51-200

200+

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

9.09%

9.09%

45.45%

27.27%

9.09%


N/A

1

2

3-10

11-50

51-200

200+

7 / 22





45.45% 5

100.00% 11




Urban

Rural

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

45.45%

100.00%


Urban

Rural

8 / 22





0.00% 0

81.82% 9

18.18% 2




TOTAL 11

Yes

No

Not sure

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

81.82%

18.18%


Yes

No

Not sure

9 / 22





0.00% 0

60.00% 6

0.00% 0

50.00% 5

40.00% 4

20.00% 2

20.00% 2



Existing EVVProgram





MemberLandline...



Provider SmartPhone

Member SmartPhone

IT Support

None of theAbove


0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

60.00%

50.00%

40.00%

20.00%

20.00%

40.00%

60.00%

20.00%

10.00%










14 / 22





0.00% 0

40.00% 4

0.00% 0

60.00% 6

20.00% 2

10.00% 1



1 Field staff wihtout smartphones have hotspots to connect their devices while in the field 6/19/2017 3:42 PM



Member Smart Phone

IT Support

None of the Above


15 / 22





11.11% 1

0.00% 0

0.00% 0

0.00% 0

22.22% 2

0.00% 0

11.11% 1

55.56% 5

0.00% 0




TOTAL 9


$0

$1-$200

$201-$500

$501-$1,000

$1,001-$2,500

$2,501-$10,000

$10,000+

I do not know


0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

11.11%

22.22%

11.11%

55.56%


$0

$1-$200

$201-$500

$501-$1,000

$1,001-$2,500

$2,501-$10,000

$10,000+

I do not know


16 / 22





0.00% 0

0.00% 0

0.00% 0

12.50% 1

0.00% 0

0.00% 0

37.50% 3

50.00% 4

0.00% 0




TOTAL 8

$0

$1-$200

$201-$500

$501-$1,000

$1,001-$2,500

$2,501-$10,000

$10,000+

I do not know


0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

12.50%

37.50%

50.00%


$0

$1-$200

$201-$500

$501-$1,000

$1,001-$2,500

$2,501-$10,000

$10,000+

I do not know


18 / 22





87.50% 7

87.50% 7

0.00% 0

12.50% 1

25.00% 2

0.00% 0






Training


No Concerns

Infrastructure

SoftwareSupport


0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

87.50%

87.50%

12.50%

25.00%


Training


No Concerns

Infrastructure

Software Support


20 / 22





100.00% 8

62.50% 5

100.00% 8

0.00% 0










0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

100.00%

62.50%

100.00%






21 / 22





12.50% 1

37.50% 3

50.00% 4

0.00% 0





TOTAL 8



No

Not Sure

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

12.50%

37.50%

50.00%




No

Not Sure

22 / 22





Provider Type: consumer choices option (cco)

40.00% 22

52.73% 29

3.64% 2

1.82% 1

1.82% 1



TOTAL 55

N/A

1-10

11-50

51-200

200+

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

40.00%

52.73%

3.64%

1.82%

1.82%


N/A

1-10

11-50

51-200

200+

6 / 20



3.64% 2

69.09% 38

10.91% 6

7.27% 4

3.64% 2

0.00% 0

5.45% 3



TOTAL 55

N/A

1

2

3-10

11-50

51-200

200+

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

3.64%

69.09%

10.91%

7.27%

3.64%

5.45%


N/A

1

2

3-10

11-50

51-200

200+

7 / 20




70.91% 39

41.82% 23




Urban

Rural

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

70.91%

41.82%


Urban

Rural

8 / 20




1.85% 1

87.04% 47

11.11% 6




TOTAL 54

Yes

No

Not sure

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

1.85%

87.04%

11.11%


Yes

No

Not sure

9 / 20




0.00% 0

0.00% 0

0.00% 0

46.00% 23

22.00% 11

22.00% 11

6.00% 3



Existing EVVProgram





MemberLandline...



Provider SmartPhone

Member SmartPhone

IT Support

None of theAbove


0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

46.00%

22.00%

22.00%

6.00%

8.00%

36.00%

12.00%

4.00%

30.00%

4.00%










14 / 20




8.00% 4

36.00% 18

12.00% 6

4.00% 2

30.00% 15

4.00% 2




Member Smart Phone

IT Support

None of the Above


15 / 20




11.63% 5

4.65% 2

2.33% 1

0.00% 0

2.33% 1

0.00% 0

0.00% 0

69.77% 30

9.30% 4




TOTAL 43

$0

$1-$200

$201-$500

$501-$1,000

$1,001-$2,500

$2,501-$10,000

$10,000+

I do not know


0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

11.63%

4.65%

2.33%

2.33%

69.77%

9.30%


$0

$1-$200

$201-$500

$501-$1,000

$1,001-$2,500

$2,501-$10,000

$10,000+

I do not know


16 / 20




4.55% 2

11.36% 5

4.55% 2

2.27% 1

2.27% 1

2.27% 1

0.00% 0

68.18% 30

4.55% 2




TOTAL 44

$0

$1-$200

$201-$500

$501-$1,000

$1,001-$2,500

$2,501-$10,000

$10,000+

I do not know


0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

4.55%

11.36%

4.55%

2.27%

2.27%

2.27%

68.18%

4.55%


$0

$1-$200

$201-$500

$501-$1,000

$1,001-$2,500

$2,501-$10,000

$10,000+

I do not know


17 / 20




69.05% 29

76.19% 32

14.29% 6

35.71% 15

64.29% 27

7.14% 3




Training


No Concerns

Infrastructure

SoftwareSupport


0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

69.05%

76.19%

14.29%

35.71%

64.29%

7.14%


Training


No Concerns

Infrastructure

Software Support


18 / 20




23.08% 9

66.67% 26

74.36% 29

10.26% 4








0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

23.08%

66.67%

74.36%

10.26%






19 / 20




7.14% 3

2.38% 1

47.62% 20

42.86% 18





TOTAL 42



No

Not Sure

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

7.14%

2.38%

47.62%

42.86%




No

Not Sure

20 / 20




Provider Type: home- and community-Based Services (hcBS)

1.41% 2

9.86% 14

23.94% 34

26.06% 37

38.73% 55



TOTAL 142

N/A

1-10

11-50

51-200

200+

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

1.41%

9.86%

23.94%

26.06%

38.73%


N/A

1-10

11-50

51-200

200+

10 / 28




0.00% 0

3.52% 5

1.41% 2

2.11% 3

15.49% 22

37.32% 53

40.14% 57



TOTAL 142

N/A

1

2

3-10

11-50

51-200

200+

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

3.52%

1.41%

2.11%

15.49%

37.32%

40.14%


N/A

1

2

3-10

11-50

51-200

200+

11 / 28



63.38% 90

77.46% 110




Urban

Rural

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

63.38%

77.46%


Urban

Rural

12 / 28




7.09% 10

90.07% 127

2.84% 4




TOTAL 141

Yes

No

Not sure

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

7.09%

90.07%

2.84%


Yes

No

Not sure

13 / 28




44.44% 4

44.44% 4

100.00% 9

100.00% 9

88.89% 8

88.89% 8

0.00% 0

0.00% 0






Type ofService...


Date of theService






0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

44.44%

44.44%

100.00%

100.00%

88.89%

88.89%




Date of the Service






14 / 28




62.50% 5

87.50% 7

12.50% 1

12.50% 1

0.00% 0

12.50% 1





1 Time and Attendance (payroll) is primary. Secondarily it does provide verification of services

provided

6/21/2017 10:56 AM

Scheduling

Reporting

ClaimsSubmission

Authorizations



0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

62.50%

87.50%

12.50%

12.50%

12.50%


Scheduling

Reporting

Claims Submission

Authorizations



15 / 28






# RESPONSES DATE

1 100.00+ monthly 7/31/2017 3:49 PM

2 $50,000 - but this involved payroll also. 6/23/2017 1:43 PM

3 Extensive 6/21/2017 10:56 AM

4 in process right now - in excess of 50K 6/20/2017 9:49 AM

5 It was $5,000 just for the initial set-up costs for software. The administrative costs to implement

were closer to $20,000 with the staff time to change to the system.

6/20/2017 8:43 AM

6 We have Netsmart software and use the smart phones for aide/HM documentation that ties with

our software. Probably $140,000 for software in 2009

6/19/2017 4:05 PM

16 / 28






# RESPONSES DATE

1 EDOC 7/31/2017 3:49 PM

2 MITC 6/23/2017 1:43 PM

3 ADP 6/21/2017 10:56 AM

4 MITC - staff time tracking and scheduling system 6/20/2017 9:49 AM

5 EDOC 6/20/2017 9:11 AM

6 Paylocity with Salesforce integration. 6/20/2017 8:43 AM

7 Netsmart (formerly Allscripts) Homecare and Hospice software 6/19/2017 4:05 PM

17 / 28




2.19% 3

37.96% 52

0.73% 1

62.77% 86

23.36% 32

25.55% 35

21.90% 30



Existing EVVProgram





MemberLandline...



Provider SmartPhone

Member SmartPhone

IT Support

None of theAbove


0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

2.19%

37.96%

0.73%

62.77%

23.36%

25.55%

21.90%

10.22%

27.01%

7.30%

33.58%

14.60%

6.57%










18 / 28




10.22% 14

27.01% 37

7.30% 10

33.58% 46

14.60% 20

6.57% 9



1 Provider land line 6/26/2017 10:51 AM

2 Not all employees have access to all listed above 6/22/2017 5:10 PM

3 Therap is the agencies electronic PS database 6/22/2017 11:43 AM

4 Other options such as member landline, computer with internet access, etc. are not universal

across all consumers served and their settings

6/21/2017 10:59 AM

5 We utlize a database to record visits and confirm they have happend. 6/21/2017 6:19 AM

6 We have office based technology for administrative staff and internet access in Daily SCL

locations, but no infastructer in place currently for Houlry SCL and Respite to support EVV other

than staff's personal devices and computers.

6/20/2017 4:15 PM

7 Some staff may have smart phones but may not be willing to use it for work. Individuals have

landlines and/or cell phones. They may have smartphones, we can not dictate that.

6/20/2017 3:18 PM

8 electronic doc software 6/20/2017 9:06 AM

9 Some staff may have smart phones, but it is not a condition of employment. Some members have

landline telephones, but most do not. Our computer with internet access is only available to staff in

the home office.

6/19/2017 6:07 PM



Member Smart Phone

IT Support

None of the Above


19 / 28




1.60% 2

2.40% 3

0.80% 1

0.80% 1

5.60% 7

12.80% 16

16.00% 20

50.40% 63

9.60% 12




TOTAL 125


$0

$1-$200

$201-$500

$501-$1,000

$1,001-$2,500

$2,501-$10,000

$10,000+

I do not know


0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

1.60%

2.40%

0.80%

0.80%

5.60%

12.80%

16.00%

50.40%

9.60%


$0

$1-$200

$201-$500

$501-$1,000

$1,001-$2,500

$2,501-$10,000

$10,000+

I do not know


20 / 28




1 $60,000+ 6/23/2017 5:05 PM

2 I do not expect this program to have any effect on our practice. 6/22/2017 4:37 PM

3 This will be incredibly expensive, upwards of $50,000 or more. We would need to hire additional

staff to monitor this program. We participated in the pilot with United. It never got off the ground

because they had difficulty getting the GPS system to work. Additionally, our staff start at various

places in the community, not always at the members home. There was also the problem, during

the pilot, that was never worked out regarding multiple members living together and multiple staff

clocking in at same time. Staff will not be willing to use up their data for this program and agencies

will funding to help cover these costs. Other states that have already implemented EVV, confirmed

this.

6/22/2017 2:42 PM

4 To provide this at all of our locations and for all of our staff the cost would far exceed $10,000 - it

would approach the $100,000 level. We participated in the United pilot, which never worked at all,

and the administration costs for that were very high and we did not train any staff yet.

6/22/2017 1:07 PM

5 We have no idea 6/21/2017 11:12 AM

6 We would expect it to be over 10,000 due to the number of staff we have and clients we serve. At

this time we are unsure how we would implement and are waiting for claiffication on what the

requirements would be.

6/21/2017 6:22 AM

7 I do not know. I can tell you that are rates for HCBS Hab Services do not reflect any cost for

equipment and on going services that would be needed to cover the cost of an EVV Program.

6/20/2017 4:30 PM

8 Well in excess of 10K... just the basics will be 15-20K given the size and scope of our operations 6/20/2017 9:54 AM

9 We do know that we would have to purchase smart phones, change computer access, have IT

expense, and do extensive staff training. Our current rates would not support the this process so

consideration of rate increases would be critical to implementation of this process

6/20/2017 9:14 AM

10 We are a small agency that is concerned about the costs of implementation and ongoing oversight 6/19/2017 4:26 PM

11 North of $100k 6/19/2017 3:42 PM

12 Full time administrative staff, training for over 300 EE's 6/19/2017 3:42 PM

21 / 28




1.61% 2

1.61% 2

2.42% 3

0.81% 1

3.23% 4

14.52% 18

23.39% 29

45.97% 57

6.45% 8




TOTAL 124

$0

$1-$200

$201-$500

$501-$1,000

$1,001-$2,500

$2,501-$10,000

$10,000+

I do not know


0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

1.61%

1.61%

2.42%

0.81%

3.23%

14.52%

23.39%

45.97%

6.45%


$0

$1-$200

$201-$500

$501-$1,000

$1,001-$2,500

$2,501-$10,000

$10,000+

I do not know


22 / 28





1 $60,000 6/23/2017 5:05 PM

2 Again, this program will be incredibly expensive, upwards of $50,000 or more.We participated in

the pilot with United. As stated earlier staff will not be willing to use up their data for this program

and agencies will need additional funding to help cover these costs. Other states that have already

implemented EVV, confirmed this. Also, some members living in apartments do not have reliable

internet which will cause problems with staff being able to "clock in" to EVV. According to United,

this would cause the need for a manual entry and additional documentation to be sent in, again

requiring additional staff for the agency to monitor and correct.

6/22/2017 2:42 PM

3 Again the technology costs for this would approach $100,000 for our agency. Staff will not want to

use their cell phones to without being reimbursed for data usage. We do not have computers in all

of our locations. Our staff do not start work at the member's location frequently, they are in the

community. Using the members' computers or smart phones should not be considered, it is for

staff not for members. That is a huge infringement.

6/22/2017 1:07 PM

4 It will involve ongoing monthly costs in addition to start-up costs. 6/22/2017 9:14 AM

5 We have no idea 6/21/2017 11:12 AM

6 We would have to know more about the system requirements before we could figure the costs. 6/20/2017 9:14 AM

7 We are a small agency that is concerned about the cost of implementation and ongoing oversight. 6/19/2017 4:26 PM

8 We employ the working poor and many do not have smart phones or have very limited data plans

which means that we will incure additional costs

6/19/2017 3:42 PM

23 / 28




91.67% 110

84.17% 101

3.33% 4

66.67% 80

83.33% 100

17.50% 21





1 electronic, cmputers, phones, internet access 6/26/2017 10:53 AM

2 Money to purchase equipment and internet service ongoing 6/22/2017 5:11 PM

3 Again, we participated in the United pilot project and their system did not work. More work needs to

be done to make the system even close to being usable.

6/22/2017 1:07 PM

4 Would expect all costs be bourne by State as they draw down the federal $ pursuant to Section

1903 of the Social Security Act

6/21/2017 11:02 AM

5 financial support 6/21/2017 9:11 AM

6 Increase in Rates to cover cost for services and equipment 6/20/2017 4:30 PM

7 Financial, as this will be a HUGE cost to our agency 6/20/2017 4:06 PM

Training


No Concerns

Infrastructure

SoftwareSupport


0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

91.67%

84.17%

3.33%

66.67%

83.33%

17.50%


Training


No Concerns

Infrastructure

Software Support


24 / 28




8 higher fees or financial support in some manner 6/20/2017 1:23 PM

9 Monetary support to implement program 6/20/2017 11:40 AM

10 funding to implement 6/20/2017 11:10 AM

11 financial support for cost of hardware/software/training 6/20/2017 10:50 AM

12 covering the total costs - could be huge in total 6/20/2017 9:54 AM

13 Hardware 6/20/2017 9:40 AM

14 costs to purchase equipment 6/20/2017 9:14 AM

15 Hardware 6/20/2017 8:10 AM

16 Financial - not in the budget. Reimbursement rates are already underfunded. 6/20/2017 7:23 AM

17 Administrative support within office (for manual entries, etc) 6/19/2017 9:11 PM

18 The value add of this service and why it's necessary or improves the level of service to members. 6/19/2017 6:09 PM

19 EVV interface into existing systems 6/19/2017 3:42 PM

20 Increase to reimbursement rate 6/19/2017 3:42 PM

21 admin salary to support staff to monitor system, data plans for staff 6/19/2017 3:42 PM

25 / 28




47.11% 57

90.91% 110

89.26% 108

7.44% 9





1 whoever is goinf to supplement money for cost 6/26/2017 10:53 AM

2 All of our staff. There does not seem to be any other place for comments so I will make them here.

To require EVV at all HCBS locations is absurd. Most of our locations have multiple members and

multiple staff. To require all staff to register themselves for each of the members are very

cumbersome. Again, we do not start working with several of our members at their homes. We

meet them in the community often at a variety of locations. That is what HCBS is about. EVV may

make sense for Home Health agencies and individual CDAC providers but not for all HCBS

services.

6/22/2017 1:07 PM

3 IACP 6/21/2017 3:59 PM

4 i would like to think the expense woudl be covered by the payor since it is an additonal

requirement which would require additiona expense. We also need clear expections and a timeline

to implement effectively

6/21/2017 6:22 AM

5 Technology companies 6/20/2017 9:54 AM

6 IT 6/20/2017 9:14 AM

7 don't yet know - but we'd like all the help we could get 6/20/2017 9:07 AM





0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

47.11%

90.91%

89.26%

7.44%






26 / 28




8 Financial 6/19/2017 3:49 PM

9 Software vendors 6/19/2017 3:42 PM

27 / 28




32.00% 40

32.00% 40

27.20% 34

8.80% 11





TOTAL 125



No

Not Sure

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

32.00%

32.00%

27.20%

8.80%




No

Not Sure

28 / 28




Provider Type: other (includes 145 HCBS providers)

100.00% 212

0.00% 0

0.00% 0

0.00% 0

0.00% 0

0.00% 0

0.00% 0

Q2 Provider Type:


TOTAL 212


1 Medical Center 8/14/2017 4:06 PM

2 Anesthesiologist 8/14/2017 12:49 PM

3 medical clinic 8/11/2017 11:11 AM

4 I am an individual CDAC and a CCO provider 8/2/2017 10:48 PM

5 HCBS Waiver LTSS for ID, BI & Hab 7/31/2017 4:01 PM

6 HCBS Waiver HCBS waiver provider/RCF 7/31/2017 3:47 PM

7 HCBS Waiver HCBS Waiver Provider 7/27/2017 12:24 PM

8 HCBS Waiver HCBS 7/27/2017 8:46 AM

9 HCBS Waiver Habilitation services 7/26/2017 2:51 PM


Home Health

Home CareAgency

ConsumerDirected...

Individual CDAC

Hospice

ConsumerChoices Opti...

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

100.00%



Home Health

Home Care Agency

Consumer Directed Attendant Care (CDAC) Agency

Individual CDAC

Hospice

Consumer Choices Option (CCO)

2 / 29




10 HCBS Waiver hcbs, icf 7/26/2017 2:15 PM

11 HCBS Waiver ICF, HCBS, Day programming 7/26/2017 2:14 PM

12 mental health provider 7/21/2017 8:02 AM

13 Home Health, Child Health, Maternal Health, Family Planning, Public Health Agency 7/19/2017 3:38 PM

14 Homemaker services 7/19/2017 2:07 PM

15 ISB/CCO 7/17/2017 5:07 PM

16 home health cdac immt respite cco 7/17/2017 4:15 PM

17 HCBS Waiver Habilitation and Waiver ( ID & BI ) 7/13/2017 12:50 PM

18 HCBS Waiver Waiver 7/13/2017 8:53 AM

19 meals on wheels provider 7/12/2017 1:32 PM

20 HCBS Waiver Waiver 7/10/2017 12:54 PM

21 HCBS Waiver Waiver provider 7/9/2017 5:43 PM

22 wavier 7/6/2017 10:04 AM

23 Healthy Living Home Care 7/5/2017 6:47 PM

24 Home Health & Hospice 7/5/2017 11:16 AM

25 Wavier 7/5/2017 10:36 AM

26 Childrens Hospital 7/5/2017 8:53 AM

27 HCBS Waiver Home Based Habilitation 7/3/2017 1:14 PM

28 CM agency 6/30/2017 2:07 PM

29 Icf/id 6/29/2017 7:49 PM

30 AAA 6/29/2017 12:52 PM

31 HCBS Waiver waiver provider 6/29/2017 9:27 AM

32 Assisted Living CDAC 6/28/2017 3:39 PM

33 Supported Community Living 6/28/2017 2:07 PM

34 HCBS Waiver elderly weaver 6/28/2017 2:06 PM

35 HCBS Waiver Habilitation 6/27/2017 4:12 PM

36 HCBS Waiver LTSS/Habilitation 6/27/2017 3:57 PM

37 HCBS Waiver HCBS BI and ID Waiver including CDAC, HBH 6/27/2017 1:17 PM

38 Assisted Living 6/27/2017 9:45 AM

39 HCBS Waiver Waiver Services- HCBS, BI, IHH 6/27/2017 9:00 AM

40 Case Manager 6/27/2017 2:08 AM

41 HCBS Waiver habilitation 6/26/2017 8:46 PM

42 HCBS Waiver SCL daily, day services, and ICF 6/26/2017 1:56 PM

43 IHH 6/26/2017 1:38 PM

44 Out patient therapy 6/26/2017 12:12 PM


46 HCBS Waiver ID waiver / HAB hourly and daily 6/26/2017 10:50 AM

47 HCBS Waiver Waiver services (SCL, Respite) 6/26/2017 10:02 AM

48 Assisted Living 6/26/2017 9:06 AM

49 Adult Day Center 6/26/2017 8:55 AM

50 HCBS Waiver Medicaid Waiver Provider 6/26/2017 8:49 AM

3 / 29



51 HCBS Waiver HCBS provider 6/23/2017 4:38 PM

52 Durable Medical Equipment 6/23/2017 2:36 PM

53 HCBS Waiver ID Waiver 6/23/2017 1:42 PM

54 HCBS Waiver HCBS Waiver/SCL 6/23/2017 12:03 PM

55 HCBS Waiver SCL-ID 6/23/2017 10:37 AM

56 HCBS Waiver SCL, Vocational 6/23/2017 8:49 AM

57 case management 6/23/2017 8:48 AM

58 physician 6/23/2017 8:44 AM

59 Integrated Health Home 6/23/2017 8:22 AM

60 HCBS Waiver HCBS & RCF 6/23/2017 8:20 AM

61 Ambulance 6/23/2017 7:55 AM

62 HCBS Waiver SCL and waiver 6/23/2017 7:32 AM

63 HCBS Waiver ID/BI Waiver, Hab,Home Health, CDAC 6/23/2017 7:30 AM

64 HCBS Waiver Waiver Services-Habiliation 6/23/2017 6:35 AM

65 facility 6/22/2017 8:13 PM

66 HCBS Waiver SCL 6/22/2017 5:16 PM

67 Snf 6/22/2017 5:11 PM

68 HCBS Waiver CMHC that provides Habilitation services, CSS, etc. 6/22/2017 5:09 PM

69 ISB 6/22/2017 4:35 PM

70 office based medical provider 6/22/2017 4:32 PM

71 DME 6/22/2017 4:28 PM

72 community based mental health and substance abuse 6/22/2017 4:28 PM

73 Hospital 6/22/2017 4:24 PM

74 FQHC 6/22/2017 4:23 PM

75 HCBS Waiver Habilitation provider 6/22/2017 3:58 PM

76 HCBS Waiver HCBS, Vocational, ICF 6/22/2017 3:52 PM

77 HCBS Waiver We provided HCBS SCL services under the waiver 6/22/2017 2:25 PM

78 HCBS Waiver HCBS 6/22/2017 2:02 PM

79 HCBS Waiver HCBS - ID provider 6/22/2017 12:51 PM

80 HCBS Waiver HCBS SCL Waiver and Hab. services 6/22/2017 11:38 AM

81 HCBS Waiver HCBS Waiver/Habilitation 6/22/2017 9:27 AM

82 HCBS Waiver ID waiver, BI waiver, Habilitation 6/22/2017 9:09 AM

83 Case Management 6/22/2017 8:30 AM

84 HCBS Waiver HCBS waiver services 6/21/2017 10:29 PM

85 HCBS Waiver Waiver 6/21/2017 7:19 PM

86 HCBS Waiver ID and BI Waiver, Habilitation 6/21/2017 3:54 PM

87 HCBS Waiver ID Waiver SCL 6/21/2017 2:50 PM

88 Hourly supported community living 6/21/2017 11:45 AM

89 HCBS Waiver Waiver ID 6/21/2017 11:36 AM

90 HCBS Waiver Rehabilitation/ HCBS/Employment services 6/21/2017 11:14 AM

91 HCBS Waiver ID Waiver Services - SCL, Day Hab, Transportation, Pre-Voc 6/21/2017 10:54 AM

4 / 29




92 HCBS Waiver HCBS ID Waiver SCL Provider 6/21/2017 10:20 AM

93 HCBS Waiver HCBS Waiver Provider 6/21/2017 9:48 AM

94 HCBS Waiver HCBS Daily SCL 6/21/2017 9:09 AM

95 HCBS Waiver HCBS, ICF/ID, EMPLOYMENT SERVICES, HABILITATION 6/21/2017 9:08 AM

96 HCBS Waiver Habilitation Provider 6/21/2017 8:46 AM

97 HCBS Waiver SCL 6/21/2017 8:34 AM

98 HCBS Waiver Waiver provider 6/21/2017 6:18 AM



101 HCBS Waiver CDAC and SCL WAIVER 6/20/2017 5:28 PM

102 HCBS Waiver HCBS Habilitation Services (Home based & Day Hab) 6/20/2017 4:21 PM

103 HCBS Waiver HCBS Provider 6/20/2017 4:12 PM

104 HCBS Waiver HCBS and HBH provider 6/20/2017 3:54 PM

105 HCBS Waiver LTSS 6/20/2017 3:48 PM

106 HCBS Waiver HCBS, ICF/ID, RCF home and day services 6/20/2017 3:29 PM

107 Home Health and Hospice 6/20/2017 3:19 PM

108 HCBS Waiver Medicaid Waiver 6/20/2017 3:16 PM

109 Adult day care 6/20/2017 3:12 PM

110 HCBS Waiver SCL, Respite, Employment 6/20/2017 3:03 PM

111 HCBS Waiver HCBS Waiver and Residential Habilitation Services 6/20/2017 2:52 PM

112 Meals on Wheels 6/20/2017 2:48 PM

113 HCBS Waiver HCBS Waiver Provider 6/20/2017 2:31 PM

114 HCBS Waiver Hcbs and icf/id services 6/20/2017 2:23 PM

115 IHH 6/20/2017 2:10 PM

116 Home Health, Hospice, Personal Care, Homemaker 6/20/2017 2:03 PM


118 HCBS Waiver ID and BI Waiver and Habilitation service 6/20/2017 1:16 PM

119 Home Health and Hospice 6/20/2017 1:08 PM

120 community based mental health and disability provider 6/20/2017 12:24 PM



123 HCBS Waiver 24 hour SCL provider 6/20/2017 11:54 AM

124 HCBS Waiver ID HCBS Waiver and Hab provider 6/20/2017 11:48 AM

125 HCBS Waiver HCBS waiver 6/20/2017 11:46 AM

126 HCBS Waiver SCL Habilitation 6/20/2017 11:37 AM

127 Hourly Provider 6/20/2017 11:32 AM

128 HCBS Waiver Day Habilitation 6/20/2017 11:18 AM

129 HCBS Waiver HCBS Waiver SCL and SE 6/20/2017 11:07 AM

130 HCBS Waiver HCBS SCL 6/20/2017 11:01 AM

131 Community Mental Healthcare Facility 6/20/2017 11:00 AM

132 HCBS Waiver Supported Community Living - ID/BI waiver 6/20/2017 10:48 AM

5 / 29




133 HCBS Waiver HCBS Waiver 6/20/2017 10:39 AM

134 HCBS Waiver HCBS WAIVER SCL 6/20/2017 10:35 AM

135 Case Manager 6/20/2017 10:34 AM

136 prevocational, supported employment 6/20/2017 10:32 AM

137 Employment Services 6/20/2017 10:23 AM

138 HCBS Waiver HCBS Waiver services 6/20/2017 10:11 AM

139 HCBS Waiver HCBS waiver both hourly and 24 hr. scl services 6/20/2017 10:02 AM

140 case manager 6/20/2017 10:02 AM

141 HCBS Waiver Daily SCL 6/20/2017 9:52 AM

142 HCBS Waiver hourly SCL provider 6/20/2017 9:46 AM

143 HCBS Waiver ID waiver SCL 6/20/2017 9:36 AM

144 HCBS Waiver SCL - ID 6/20/2017 9:34 AM

145 Homemaker Services 6/20/2017 9:32 AM


147 HCBS Waiver hab provider 6/20/2017 9:14 AM

148 ABA 6/20/2017 9:11 AM

149 HCBS Waiver ID waiver 6/20/2017 9:09 AM

150 Community Mental Health Center 6/20/2017 9:08 AM

151 HCBS Waiver HCBS and Habilitation Provider 6/20/2017 9:07 AM

152 RCF/PMI 6/20/2017 9:06 AM

153 HCBS Waiver waivers 6/20/2017 9:05 AM

154 HCBS Waiver Waiver 6/20/2017 8:56 AM

155 HCBS Waiver HCBS Providers 6/20/2017 8:55 AM

156 HCBS Waiver SCL (Supported Community Living Services) and CDAC 6/20/2017 8:53 AM

157 HCBS Waiver ID AND HAB WAIVER 6/20/2017 8:52 AM

158 IHHH 6/20/2017 8:52 AM

159 hospital 6/20/2017 8:51 AM

160 hsbs 6/20/2017 8:51 AM

161 HCBS Waiver Hourly SCL 6/20/2017 8:49 AM

162 HCBS Waiver SCL - Supported Community Living - 24/7 & Hourly 6/20/2017 8:47 AM

163 HCBS Waiver Hourly SCL, SE 6/20/2017 8:40 AM

164 HCBS Waiver hcbs residential and habilitation residential 6/20/2017 8:37 AM

165 Personal Emergency Response System 6/20/2017 8:35 AM

166 HCBS Waiver In home SCL and Respite Provider 6/20/2017 8:34 AM

167 Mental Health Community Based Services 6/20/2017 8:19 AM

168 HCBS Waiver LTSS 6/20/2017 8:16 AM

169 ID 6/20/2017 8:08 AM

170 Prevoc, Adult Day, 6/20/2017 7:45 AM

171 Pre-vocational and supported employment services 6/20/2017 7:30 AM

172 HCBS Waiver Supported Community Living and Respite for waivers 6/20/2017 7:22 AM

173 HCBS Waiver HCBS provider 6/20/2017 7:20 AM

6 / 29




174 Supported Community Living 6/20/2017 6:36 AM

175 HCBS Waiver Habilitation Services 6/20/2017 6:18 AM

176 HCBS Waiver HCBS ID Waiver provider 6/19/2017 9:24 PM

177 HCBS Waiver Hourly Respite and SCL 6/19/2017 9:08 PM

178 HCBS Waiver HCBS /scl provider 6/19/2017 7:02 PM

179 HCBS Waiver HCBS Service Provider 6/19/2017 6:05 PM

180 HCBS Waiver day habilitation, SCL 6/19/2017 5:14 PM

181 Targeted Case management 6/19/2017 5:12 PM

182 Nursing Home and Assisted Living 6/19/2017 5:08 PM

183 BHIS 6/19/2017 4:59 PM

184 HCBS Waiver Home and Community Based Waiver 6/19/2017 4:40 PM


186 HCBS Waiver Habilitation 6/19/2017 4:20 PM

187 Outreach staff at mental health agency 6/19/2017 4:19 PM

188 HCBS Waiver Home and Community based waiver, Habilitation services 6/19/2017 4:01 PM

189 More than one of these provider types Home Health/Hospice/Agency CDAC 6/19/2017 4:01 PM

190 Community Support 6/19/2017 3:58 PM

191 HCBS Waiver ICF/RCF/ID Waiver 6/19/2017 3:56 PM

192 HCBS Waiver LTSS - ICF/ID and HCBS SCL, Supported Employment, and DayHab 6/19/2017 3:53 PM

193 HCBS Waiver Day Habilitation 6/19/2017 3:52 PM

194 HCBS Waiver Waiver Supported Community Living provider 6/19/2017 3:51 PM


196 HCBS Waiver Residential HCBS/Hab 6/19/2017 3:48 PM

197 HCBS Waiver HCBS Respite/ SCL 6/19/2017 3:48 PM

198 Emergency Response 6/19/2017 3:47 PM

199 HCBS Waiver HCBS Waiver & Habilitation Daily & Unit-Based Services 6/19/2017 3:47 PM

200 Community Service Provider 6/19/2017 3:46 PM

201 HCBS Waiver ID Waiver 15 min SCL 6/19/2017 3:44 PM


203 AL, NF/SNF, ID 6/19/2017 3:42 PM

204 HCBS Waiver HCBS waiver and Habilitation- daily and unit based 6/19/2017 3:42 PM

205 HCBS Waiver Waiver provider 6/19/2017 3:41 PM

206 Transportation 6/19/2017 3:40 PM

207 Respite, chore services 6/19/2017 3:40 PM

208 HCBS Waiver Home Health, CDAC, Habilitation, HCBS, etc... 6/19/2017 3:40 PM

209 TCM 6/19/2017 3:39 PM

210 HCBS Waiver HCBS Waiver 6/19/2017 3:39 PM

211 HCBS Waiver HCBS Waiver - Respite, CDAC, SCL, IMMT, Hab 6/19/2017 3:39 PM

212 HCBS Waiver Children's Mental Health Waiver 6/19/2017 3:38 PM

7 / 29




4.88% 10

12.68% 26

28.78% 59

22.44% 46

31.22% 64



TOTAL 205

N/A

1-10

11-50

51-200

200+

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

4.88%

12.68%

28.78%

22.44%

31.22%


N/A

1-10

11-50

51-200

200+

11 / 29




0.98% 2

2.93% 6

0.98% 2

4.39% 9

17.07% 35

32.68% 67

40.98% 84



TOTAL 205

N/A

1

2

3-10

11-50

51-200

200+

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

0.98%

2.93%

0.98%

4.39%

17.07%

32.68%

40.98%


N/A

1

2

3-10

11-50

51-200

200+

12 / 29




58.25% 120

78.16% 161




Urban

Rural

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

58.25%

78.16%


Urban

Rural

13 / 29




5.91% 12

89.16% 181

4.93% 10




TOTAL 203

Yes

No

Not sure

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

5.91%

89.16%

4.93%


Yes

No

Not sure

14 / 29




54.55% 6

54.55% 6

100.00% 11

100.00% 11

90.91% 10

90.91% 10

0.00% 0

0.00% 0






Type ofService...


Date of theService






0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

54.55%

54.55%

100.00%

100.00%

90.91%

90.91%




Date of the Service






15 / 29




60.00% 6

80.00% 8

20.00% 2

10.00% 1

0.00% 0

30.00% 3





1 Time and Attendance (payroll) is primary. Secondarily it does provide verification of services

provided

6/21/2017 10:56 AM

2 Pay roll and reporting 6/20/2017 1:10 PM

3 Also maintains all employee, consumer, and contact information for our entire business. 6/19/2017 3:48 PM

Scheduling

Reporting

ClaimsSubmission

Authorizations



0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

60.00%

80.00%

20.00%

10.00%

30.00%


Scheduling

Reporting

Claims Submission

Authorizations



16 / 29






# RESPONSES DATE

1 100.00+ monthly 7/31/2017 3:49 PM

2 $50,000 - but this involved payroll also. 6/23/2017 1:43 PM

3 Extensive 6/21/2017 10:56 AM

4 I can't remember. I think $5000 6/20/2017 1:10 PM

5 in process right now - in excess of 50K 6/20/2017 9:49 AM

6 It was $5,000 just for the initial set-up costs for software. The administrative costs to implement

were closer to $20,000 with the staff time to change to the system.

6/20/2017 8:43 AM

7 We have Netsmart software and use the smart phones for aide/HM documentation that ties with

our software. Probably $140,000 for software in 2009

6/19/2017 4:05 PM

8 Monthly cost based on total hours and # of claims billed. Average monthly cost is 500.00 6/19/2017 3:48 PM

17 / 29






# RESPONSES DATE

1 EDOC 7/31/2017 3:49 PM

2 MITC 6/23/2017 1:43 PM

3 ADP 6/21/2017 10:56 AM

4 Celltrak 6/20/2017 1:10 PM

5 MITC - staff time tracking and scheduling system 6/20/2017 9:49 AM

6 EDOC 6/20/2017 9:11 AM

7 Paylocity with Salesforce integration. 6/20/2017 8:43 AM

8 Netsmart (formerly Allscripts) Homecare and Hospice software 6/19/2017 4:05 PM

9 Axis Care 6/19/2017 3:48 PM

18 / 29




2.08% 4

36.46% 70

0.52% 1

62.50% 120

26.04% 50

26.56% 51

25.52% 49



Existing EVVProgram





MemberLandline...



Provider SmartPhone

Member SmartPhone

IT Support

None of theAbove


0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

2.08%

36.46%

0.52%

62.50%

26.04%

26.56%

25.52%

10.94%

25.52%

9.38%

34.90%

13.54%

6.77%










19 / 29




10.94% 21

25.52% 49

9.38% 18

34.90% 67

13.54% 26

6.77% 13



1 Personal Cell Phone 7/5/2017 6:49 PM

2 Provider land line 6/26/2017 10:51 AM

3 Not all employees have access to all listed above 6/22/2017 5:10 PM

4 I THINK THAT'S WHAT WE HAVE ANYWAY 6/22/2017 4:30 PM

5 Therap is the agencies electronic PS database 6/22/2017 11:43 AM

6 Other options such as member landline, computer with internet access, etc. are not universal

across all consumers served and their settings

6/21/2017 10:59 AM

7 We utlize a database to record visits and confirm they have happend. 6/21/2017 6:19 AM

8 We have office based technology for administrative staff and internet access in Daily SCL

locations, but no infastructer in place currently for Houlry SCL and Respite to support EVV other

than staff's personal devices and computers.

6/20/2017 4:15 PM

9 Some staff may have smart phones but may not be willing to use it for work. Individuals have

landlines and/or cell phones. They may have smartphones, we can not dictate that.

6/20/2017 3:18 PM

10 Some employees have smart phones, some members may have land,ines or smart phones,

unknown if \everyone has this, employees do not have egular access to computer with internet

during work hours.

6/20/2017 2:06 PM

11 Employee Ipads 6/20/2017 1:10 PM

12 electronic doc software 6/20/2017 9:06 AM

13 Some staff may have smart phones, but it is not a condition of employment. Some members have

landline telephones, but most do not. Our computer with internet access is only available to staff in

the home office.

6/19/2017 6:07 PM



Member Smart Phone

IT Support

None of the Above


20 / 29




2.87% 5

1.72% 3

0.57% 1

1.15% 2

7.47% 13

10.92% 19

12.64% 22

53.45% 93

9.20% 16




TOTAL 174


$0

$1-$200

$201-$500

$501-$1,000

$1,001-$2,500

$2,501-$10,000

$10,000+

I do not know


0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

2.87%

1.72%

0.57%

1.15%

7.47%

10.92%

12.64%

53.45%

9.20%


$0

$1-$200

$201-$500

$501-$1,000

$1,001-$2,500

$2,501-$10,000

$10,000+

I do not know


21 / 29




1 I do not know. As a small non-profit, I worry the cost of technology such as this would be cost

prohibitive.

6/26/2017 1:46 PM

2 $60,000+ 6/23/2017 5:05 PM

3 I do not expect this program to have any effect on our practice. 6/22/2017 4:37 PM

4 This will be incredibly expensive, upwards of $50,000 or more. We would need to hire additional

staff to monitor this program. We participated in the pilot with United. It never got off the ground

because they had difficulty getting the GPS system to work. Additionally, our staff start at various

places in the community, not always at the members home. There was also the problem, during

the pilot, that was never worked out regarding multiple members living together and multiple staff

clocking in at same time. Staff will not be willing to use up their data for this program and agencies

will funding to help cover these costs. Other states that have already implemented EVV, confirmed

this.

6/22/2017 2:42 PM

5 To provide this at all of our locations and for all of our staff the cost would far exceed $10,000 - it

would approach the $100,000 level. We participated in the United pilot, which never worked at all,

and the administration costs for that were very high and we did not train any staff yet.

6/22/2017 1:07 PM

6 We have no idea 6/21/2017 11:12 AM

7 We would expect it to be over 10,000 due to the number of staff we have and clients we serve. At

this time we are unsure how we would implement and are waiting for claiffication on what the

requirements would be.

6/21/2017 6:22 AM

8 I do not know. I can tell you that are rates for HCBS Hab Services do not reflect any cost for

equipment and on going services that would be needed to cover the cost of an EVV Program.

6/20/2017 4:30 PM

9 I do not know. Any amount would be a hardship for the agency. 6/20/2017 3:25 PM

10 Well in excess of 10K... just the basics will be 15-20K given the size and scope of our operations 6/20/2017 9:54 AM

11 N budget for additional administrative costs 6/20/2017 9:36 AM

12 We do know that we would have to purchase smart phones, change computer access, have IT

expense, and do extensive staff training. Our current rates would not support the this process so

consideration of rate increases would be critical to implementation of this process

6/20/2017 9:14 AM

13 We are a small agency that is concerned about the costs of implementation and ongoing oversight 6/19/2017 4:26 PM

14 Our current administrative cost is between $3000 and $4000 a month with the current system, if

that changes costs to train and change would be huge! Our billing, scheduling, every single day to

day operation would have to be changed.

6/19/2017 3:59 PM

15 North of $100k 6/19/2017 3:42 PM

16 Full time administrative staff, training for over 300 EE's 6/19/2017 3:42 PM

22 / 29




2.91% 5

1.16% 2

1.74% 3

1.16% 2

3.49% 6

13.95% 24

18.60% 32

49.42% 85

7.56% 13




TOTAL 172

$0

$1-$200

$201-$500

$501-$1,000

$1,001-$2,500

$2,501-$10,000

$10,000+

I do not know


0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

2.91%

1.16%

1.74%

1.16%

3.49%

13.95%

18.60%

49.42%

7.56%


$0

$1-$200

$201-$500

$501-$1,000

$1,001-$2,500

$2,501-$10,000

$10,000+

I do not know


23 / 29





1 In our area, we do not have complete, coonsistent Internet access to make data plans cost

effective. We have nearly a third of our staff in the field at any one time. We cannot afford to

provide devices/data plans to all of them. We have looked into this on numerous occassions.

6/26/2017 1:46 PM

2 $60,000 6/23/2017 5:05 PM

3 Again, this program will be incredibly expensive, upwards of $50,000 or more.We participated in

the pilot with United. As stated earlier staff will not be willing to use up their data for this program

and agencies will need additional funding to help cover these costs. Other states that have already

implemented EVV, confirmed this. Also, some members living in apartments do not have reliable

internet which will cause problems with staff being able to "clock in" to EVV. According to United,

this would cause the need for a manual entry and additional documentation to be sent in, again

requiring additional staff for the agency to monitor and correct.

6/22/2017 2:42 PM

4 Again the technology costs for this would approach $100,000 for our agency. Staff will not want to

use their cell phones to without being reimbursed for data usage. We do not have computers in all

of our locations. Our staff do not start work at the member's location frequently, they are in the

community. Using the members' computers or smart phones should not be considered, it is for

staff not for members. That is a huge infringement.

6/22/2017 1:07 PM

5 It will involve ongoing monthly costs in addition to start-up costs. 6/22/2017 9:14 AM

6 We currently have "hot spot" capabilities. Cost is not known if additional equipment is required. 6/22/2017 8:36 AM

7 We have no idea 6/21/2017 11:12 AM

8 I do not know. Any amount would be a hardship for the agency. 6/20/2017 3:25 PM

9 uncertain, we pay for mobile phone service with 2 GB data. 6/20/2017 11:58 AM

10 We would have to know more about the system requirements before we could figure the costs. 6/20/2017 9:14 AM

11 We are a small agency that is concerned about the cost of implementation and ongoing oversight. 6/19/2017 4:26 PM

12 If we stay with our current system no new equipment needs to be purchased, if it changes cost

would be significant and it would be uncertain if we could continue to provide services.

6/19/2017 3:59 PM

13 We employ the working poor and many do not have smart phones or have very limited data plans

which means that we will incure additional costs

6/19/2017 3:42 PM

24 / 29




88.55% 147

84.34% 140

5.42% 9

62.65% 104

80.72% 134

15.66% 26





1 all 7/5/2017 11:18 AM

2 financial support would be critical 6/26/2017 1:46 PM

3 electronic, cmputers, phones, internet access 6/26/2017 10:53 AM

4 Money to purchase equipment and internet service ongoing 6/22/2017 5:11 PM

5 Again, we participated in the United pilot project and their system did not work. More work needs to

be done to make the system even close to being usable.

6/22/2017 1:07 PM

6 Would expect all costs be bourne by State as they draw down the federal $ pursuant to Section

1903 of the Social Security Act

6/21/2017 11:02 AM

7 financial support 6/21/2017 9:11 AM

Training


No Concerns

Infrastructure

SoftwareSupport


0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

88.55%

84.34%

5.42%

62.65%

80.72%

15.66%


Training


No Concerns

Infrastructure

Software Support


25 / 29




8 Increase in Rates to cover cost for services and equipment 6/20/2017 4:30 PM

9 Financial, as this will be a HUGE cost to our agency 6/20/2017 4:06 PM

10 higher fees or financial support in some manner 6/20/2017 1:23 PM

11 Monetary support to implement program 6/20/2017 11:40 AM

12 funding to implement 6/20/2017 11:10 AM

13 financial support for cost of hardware/software/training 6/20/2017 10:50 AM

14 unknown 6/20/2017 10:36 AM

15 covering the total costs - could be huge in total 6/20/2017 9:54 AM

16 Hardware 6/20/2017 9:40 AM

17 budget 6/20/2017 9:36 AM

18 costs to purchase equipment 6/20/2017 9:14 AM

19 Hardware 6/20/2017 8:10 AM

20 Financial - not in the budget. Reimbursement rates are already underfunded. 6/20/2017 7:23 AM

21 Administrative support within office (for manual entries, etc) 6/19/2017 9:11 PM

22 The value add of this service and why it's necessary or improves the level of service to members. 6/19/2017 6:09 PM

23 If we can continue to use are current system we would not need any support, if we are forced to

change we would need support in all areas.

6/19/2017 3:59 PM

24 EVV interface into existing systems 6/19/2017 3:42 PM

25 Increase to reimbursement rate 6/19/2017 3:42 PM

26 admin salary to support staff to monitor system, data plans for staff 6/19/2017 3:42 PM

26 / 29




51.18% 87

88.24% 150

87.65% 149

8.24% 14





1 not sure 7/5/2017 11:18 AM

2 IDA 6/30/2017 2:09 PM

3 whoever is goinf to supplement money for cost 6/26/2017 10:53 AM

4 All of our staff. There does not seem to be any other place for comments so I will make them here.

To require EVV at all HCBS locations is absurd. Most of our locations have multiple members and

multiple staff. To require all staff to register themselves for each of the members are very

cumbersome. Again, we do not start working with several of our members at their homes. We

meet them in the community often at a variety of locations. That is what HCBS is about. EVV may

make sense for Home Health agencies and individual CDAC providers but not for all HCBS

services.

6/22/2017 1:07 PM

5 IACP 6/21/2017 3:59 PM

6 i would like to think the expense woudl be covered by the payor since it is an additonal

requirement which would require additiona expense. We also need clear expections and a timeline

to implement effectively

6/21/2017 6:22 AM

7 The company(ies) that we would be working with 6/20/2017 3:25 PM





0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

51.18%

88.24%

87.65%

8.24%






27 / 29




8 Board of Supervisors (for tax asking dollars to pay for it) 6/20/2017 2:12 PM

9 unknown 6/20/2017 10:36 AM

10 Technology companies 6/20/2017 9:54 AM

11 IT 6/20/2017 9:14 AM

12 don't yet know - but we'd like all the help we could get 6/20/2017 9:07 AM

13 Financial 6/19/2017 3:49 PM

14 Software vendors 6/19/2017 3:42 PM

28 / 29




30.06% 52

28.90% 50

26.59% 46

14.45% 25





TOTAL 173



No

Not Sure

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

30.06%

28.90%

26.59%

14.45%




No

Not Sure

29 / 29



Electronic Visit Verification (EVV) Provider Survey Results · There appears to be a great lack of...

Documents

Transcript of Electronic Visit Verification (EVV) Provider Survey Results · There appears to be a great lack of...