Iowa EVV - Start Here
SETWorks supports Electronic Visit Verification! Read on to learn more!
EVV data in Iowa is submitted to CareBridge. The articles below show how EVV works within SETWorks and how to configure your system so the EVV data is captured and submitted successfully.
Attached is a list of IA services required for EVV submission.
If you are not submitting EVV data in Iowa successfully, please contact support@setworks.com to get additional support with configuration.
This 1 hour webinar reviews EVV in SETWorks from start to finish.
About the Submission Process:
How To Submit EVV (article)
All about EVV (webinar)
Iowa-specific Configuration Notes
There are several privileges and settings that need to be enabled in order for EVV to work properly. Please review the Electronic Visit Verification (EVV) Services article for a full description of all settings. The most important things to enable are:
1. Enable the EVV Experience so that users can access the SETWorks EVV Experience.
2. Enable Check-In and Check-Out for all roles that will be using the EVV Experience.
3. Ensure any services that require EVV are set as "EVV Services".
4. Check your Billing Codes in the Service/Phase Utility. Billing and EVV is impacted by incorrect codes.
NOTE: Billing claims are generated through submissions for EVV and forwarded on by CareBridge to the funder.
NOTE: Billing claims are generated through submissions for EVV and forwarded on by CareBridge to the funder.
5. Review access to the Manage Batches and Submit Billing page, which is where SETWorks administrators will submit EVV data to CareBridge.
6. Enable Primary Location on activity record. This captures Group Location Address.
7. Enable EVV Exception Codes. NOTE: SETWorks updates these.
IA Identifiers
Ensure that the following five Identifiers are configured:
NOTE: There are five identifying numbers that need to be in your SETWorks system for the integration to be successful.
1. Consumer's Medicaid number in the Consumer's Profile.
NOTE: Member ID's for Amerigroup or Iowa Total Care can be used in the case a Consumer does not have a Medicaid number. This is processed as a Custom Identifier on the Consumer Profile. Code = MEMBER_ID
2. Consumer's Date of Birth (DOB) in the Consumer's Profile.
3. Provider Medicaid ID processed in Provider Profile DMH ID field.
4. Provider EIN (Tax ID) processed in the Provider Profile Tax ID field.
5. Contract Number to be processed as follows in the Contract/Funder/Funding Source Contact Utility, assign to the contract:
- Amerigroup: IA_AGP
- Iowa Total Care: IA_ITC
- Molina Health Care: IA_MHC
Information from CareBridge regarding submitting EVV data through a vendor (SETWorks, in this case)
Medicaid number in Consumer Profile
Date of Birth in Consumer Profile
Provider Medicaid ID and Tax ID (EIN) in Provider Profile
Contract Number in Contract/ Funding Source/ Funding Source Contact