The articles below show how EVV works within SETWorks and how to configure your system so the EVV data is captured and submitted successfully.
If you are not submitting EVV data in Michigan 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:
Michigan-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. Review access to the Manage Batches and Submit Billing page, which is where SETWorks administrators will submit EVV data to HHAeXchange.
5. Enable Primary Location on activity record.
6. Enable EVV Exception Codes. NOTE: SETWorks updates these.
7. Enable EVV Exception Action Codes. NOTE: SETWorks updates these.
Identifiers
Ensure that the following Identifiers are configured:
NOTE: There are three 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.
To add:
a. Navigate to the individual profile, Individual Details tab
b. Click “Edit Record”
c. In the “Identifiers” field enter the “Medicaid ID” number into the “Medicaid” field
Medicaid ID
Medicaid number in Consumer Profile
2. Provider's Tax ID in Provider Profile (9-digits) - Company Tax ID (EIN)
To add:
a. Navigate to the “Settings” index
b. Click on the “Provider Build” tab
c. On the “Provider Profile” live click “Update Provider Profile”
d. In the Tax ID (EIN) field enter the company’s Tax ID number
Tax ID Provider Profile
NOTE: EVV claims get submitted to HHAeXchange; continue to submit billing directly to the funder through existing methods.
3. Employee (Staff/User) Profiles
Ensure that employee profile is set up including the following:
- Name
- Date of Birth (DOB)
- Gender
- External ID
- Professional License Number
- Qualifier
- SSN