Provider Notice 2019-41: LDH Issues HPA 19-15 Requiring Electronic Visit Verification for EPSDT Services

Date: 10/28/19

On behalf of Louisiana Department of Health, Louisiana Healthcare Connections would like to inform providers about upcoming change for EPSDT personal care services.

Effective January 1, 2020, LDH is requiring electronic visit verification (EVV) for providers of Early and Periodic Screening, Diagnosis and Treatment (EPSDT) personal care services (PCS).  This is a federal requirement that applies to all managed care EPSDT PCS providers. If providers fail to use the EVV system, claims may be withheld or denied reimbursement for services.

EVV is a web-based system that electronically verifies service visits occurrences and documents the precise time services begin and end via smart devices. The purpose of an EVV system is to verify that individuals are receiving the services authorized in their plans of care, reduce inappropriate billing/payments, safeguard against fraud and improve program oversight.

Agencies shall use the EVV system designed by LDH, the Louisiana Service Reporting System (LaSRS), to electronically report begin and end times for EPSDT PCS. Providers will have access to this system at no cost and should schedule training for the EVV system through the Department's EVV contractor, Statistical Resources Inc., by calling 225-767-0501.

Providers can review additional detail of the HPA 19-15 (PDF).