#1 Home care management software to ease EVV and transform the way you provide care.
CareSmartz360, a leading home care software, is integrated with a Hawaii- approved aggregator. Telephony & a GPS-Enabled Mobile App solution assists Medicaid (MedQUEST) enforcing businesses in meeting state EVV requirements. Our EVV solution enables agencies to streamline operations and ensure compliance with easy-to-use features.
Med-QUEST Division (MQD) has mandated implementing an Electronic Visit Verification (EVV) system for Medicaid-funded Personal Care Services (PCS). The Department utilizes EVV to track and monitor service delivery and access to care for members. EVV in Hawaii was implemented in phases, which were as follows:
3rd party EVV visit file layout and guidance was uploaded to the “Resources” tab.
The state of Hawaii mandated the use of EVV.
State mandated the use of EVV by December 30, 2020 and chose the state aggregators for EVV implementation.
The system implemented by MQD would record the type of service, date of service, the service start and end time, individual receiving the service, the service provider, and service location. Know that EVV will impact both agencies and non-agency providers. The 21st Century Cures Act required agencies to select an EVV system that electronically verifies their information.
Home care agencies operating in Nevada must comply with Medicaid regulations overseen by the Division of Health Care Financing and Policy (DHCFP), the agency responsible for administering Nevada Medicaid. These regulations govern how in-home care services are authorized, documented, and reimbursed.
One of the most important compliance requirements for agencies providing Medicaid-funded services is Electronic Visit Verification (EVV).
Nevada uses an Open Choice EVV model, allowing agencies flexibility in meeting compliance requirements. Home care providers can:
This approach enables agencies to continue using compliant home care platforms while securely transmitting required visit data to Nevada Medicaid.
Nevada mandates EVV for various Medicaid-funded in-home services, including:
These services support individuals with Activities of Daily Living (ADLs) such as bathing, dressing, mobility, meal preparation, and housekeeping.
Providers may qualify for EVV exceptions or temporary waivers in cases such as:
Providers must follow the DHCFP exception request process, and agencies should regularly review Nevada Medicaid guidelines for updates.
Hawaii is an at-will state, meaning the home care provider has the right to terminate employment relationships at any time and for any reason. Therefore, home care workers must be aware of their rights and abide by the state regulations, some of which are:
A home care management software can help you abide by Hawaii’s non-medical industry laws. Record keeping, maintaining billing, and automating payroll can be easy with GPS-enabled technology.
Responsively designed and feature-rich apps to seamlessly run your home care agency on the go.
GPS-enabled app to seamlessly manage caregiver visits.
Increase agency staff productivity and organize daily activities on-the-go.
CareSmartz360 is a trusted partner for Hawaii home care agencies looking to scale their operations while meeting state laws and regulations, including EVV standards.
You must employ an EVV system in order to deliver home care services and be paid by Med-QUEST. Claims submitted outside of this system will be rejected if you do not use an EVV system.
Yes, you can use the EVV software of your choice. However, it should integrate well with state aggregators for visit data sharing.
Hawaii Medicaid programs are as follows:
Section 321-14.8 of the Hawaii Revised Statutes (HRS) establishes the authority of DOH to license the home care agencies in Hawaii and enforce some administrative rules.
Yes. Hawaii's Medicaid managed care plan, Med-QUEST includes in-home care benefits for seniors over 65 and above who need support to remain safe in their homes. The agencies offer support on a case by case basis and may include meal delivery, errand service, and personal care, among others.
The Kupuna Caregivers Program (KCGP) is a pilot program launched in 2018 that came into effect for employed Hawaiian residents. The program was administered by the Hawaii Executive Office on Aging (EOA) and implemented through local Aging and Disability Resource Centers (ARDCs). The program aimed at easing the financial burden of providing care to an elderly loved one.
There are no asset or income limits to qualify for the Kupuna Caregivers Program. Caregivers must provide care to an elderly individual who is a US citizen or is at least 60 years of age. The caregivers must work at least 30 hours per week and do not have to live with the care recipient.
Hawaii is providing caregiving benefits as a competitive recruitment and retention tool to attract “sandwich generation” job seekers. These benefits include flexible work arrangements, onsite or subsidized eldercare consultants. Providing time off is another powerful benefit that acts as a retention tool.
Yes. Hawaii is an at-will state, which means that the home care provider does not have to give a reason to the caregiver to let you go, lay you off, or fire you unless you have a contract with the home care provider to be notified of the reason.
CareSmartz360's EVV-based solution helps agencies comply with the 21st Century Cures Act. Some ways in which the home care software feature is helpful are:
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