New Mexico Medicaid EVV Requirements for Home Care Agencies
Overview of New Mexico Medicaid EVV
New Mexico Medicaid requires home care agencies to use an Electronic Visit Verification (EVV) system to document personal care and home health services. EVV is mandated by the 21st Century Cures Act to prevent fraud, ensure accurate billing, and improve care transparency.
EVV System Requirements
With the new New Mexico House Bill 269 HB0269, providers are now able to chose their preferred EVV Vendor. Agencies must use an EVV system that records:
- Type of service provided
- Date and time of service
- Location of service delivery
- Individual receiving services
- Caregiver providing the service
New Mexico Medicaid provides an EVV system through the New Mexico Human Services Department (HSD) and its chosen vendor, Sandata, but agencies may also use alternative state-approved EVV vendors.
Who Needs to Comply and what are the penalties?
Home care agencies providing Medicaid-funded services, including:
- Personal care aides
- Home health aides
- Skilled nursing providers
- Therapy service providers under Medicaid home care programs
Failure to comply with EVV regulations can result in:
- Claim denials or payment delays
- Increased audits and reviews
- Potential Medicaid disqualification for non-compliant agencies
Simplify EVV Compliance with INMYTEAM
Managing EVV compliance can be complex, but INMYTEAM offers an intuitive, all-in-one home healthcare software solution that streamlines documentation, improves caregiver efficiency, and ensures compliance with New Mexico Medicaid regulations.
Benefits of Using INMYTEAM for EVV:
- Seamless Integration: Works with New Mexico Medicaid-approved EVV aggregators, including Sandata.
- Real-Time GPS Tracking: Ensures accurate visit verification for compliance.
- Automated Documentation: Reduces manual errors and administrative workload.
- Instant Reporting & Audit Readiness: Stay compliant and prepared for state audits. We provide a live EVV Percentage report to show you where you stand.
- User-Friendly Mobile App & Nurse Portal: Enables caregivers, nurses or therapists to clock in/out with ease, as well as complete any notes, care plans, or assessments all with digital signatures.
- Two Forms of EVV: We offer our mobile app as well as a customized Telephony line at no additional charge in case it is easier for the caregiver to call in from the patients phone, versus using the app.
How to Get Started with EVV in New Mexico
At INMYTEAM we help you get seamlessly integrated with the required state aggregators. We also provide full hands-on training to walk you and your staff through how to use the different types of EVV and review EVV compliance reports. With our tools and training, this will make sure your agency and staff remains above a 90% compliance rate.
Conclusion
Complying with New Mexico Medicaid’s EVV requirements is essential for home care agencies to ensure accurate service documentation and timely reimbursements. Stay updated with state regulations through the New Mexico Human Services Department (HSD) website or your chosen EVV vendor.