Welcome to the Arkansas Medicaid EVV information page! Below you will find sections for each phase of the Arkansas EVV implementation: Personal Care Services (PCS) and Home Health (HH).

If you have any questions, concerns, feedback, or general inquiries, please see the mostly frequently used contact information below. Please note there is a more comprehensive contact list that can be found here: EVV Contact Information for Providers.

Arkansas Medicaid EVV Helpdesk	[email protected]	This goes directly to the State and should be used for anything related to Medicaid policy, general EVV inquiries, and can also be used if you’re just not sure where to go for help.
Gainwell Provider Enrollment	(501) 376-2211 https://humanservices.arkansas.gov/divisions-shared-services/medical-services/provider-enrollment/	Gainwell Provider Enrollment can assist with PINs and PIN applications, Change of Ownership, agency contact and location information, and other related items.
AuthentiCare Support (Fiserv)	[email protected]	This goes to the AuthentiCare Support / Fiserv team who can assist with anything related to AuthentiCare functionality.

Personal Care Services (PCS)

This section contains information related to the Personal Care Services (PCS) phase of EVV, and applies to provider agencies who perform the following service codes:

• Attendant Care – S5125U2
• Personal Care 21 and Over – T1019U3
• Personal Care 21 and Under – T1019
• Respite – S5150

EVV Overview

The 21st Century Cures Act—which was signed into law in 2016—requires state agencies to implement a system of electronic visit verification (EVV) for personal care services and home health care services provided and reimbursed under Medicaid. The EVV mandate is designed to enhance quality and accuracy of care services.

Electronic Visit Verification is a process that uses electronic means to verify care provider visits for personal or home health care services. The information collected during visits includes:

• The type of service(s) performed
• The individual receiving the service(s)
• The date of the service(s)
• The location of service delivery
• The individual providing the service(s)
• The time the service(s) begins and ends

EVV offers a way for care providers to record their visits by location, time, and tasks. Visits can be logged using an app on the caregiver’s cell phone or the member’s landline phone.

Provider Enrollment Requirements

• All caregivers who will be using EVV for Personal Care, Attendant Care and Respite services must enroll with Arkansas Medicaid. This is a mandatory requirement that must be met for agencies to bill services.
• Caregivers can enroll online through the Billing Portal, or by filling out and mailing in a paper application.
• Once the caregivers are enrolled, they will be given a provider number which may also be called a PIN (personal identification number).

More information about enrolling as a Medicaid provider can be found on the Billing Portal.

Fiserv and AuthentiCare

Arkansas DHS has partnered with Fiserv in the implementation of an Electronic Visit Verification (EVV) system.

The AuthentiCare system provided by Fiserv, is an electronic application. The mobile application is available on Android and iOS, and simply requires the user to download and install the app from the Google Play Store or the Apple App Store. AuthentiCare is also accessible from the client’s landline, if available. Check out the AuthentiCare webpage for more detailed information and to get a look and feel of how the system may function for you.

Third-Party EVV Option

The declaration form on this page is for Medicaid fee-for-service only, not PASSE. You do not need to complete another declaration form for the PASSEs, just one indicating which system (AuthentiCare or third-party) your agency will be using. You will work directly with each PASSE regarding the process for their own EVV vendor(s).

Arkansas has opted to use an open vendor model; this is a hybrid model in which the State contracts with one EVV system vendor and allows providers and managed care organizations (MCO) the option to use either the State-selected EVV vendor or a third-party vendor (new or existing) if it meets the State’s requirements.

Arkansas has contracted with Fiserv to offer AuthentiCare as the State-selected EVV system vendor for agencies at no cost. You may still use your existing EVV system vendor if it meets the following criteria:

• Must be able to comply with 21st Century Cures Act
• Must be able to configure your system to match the Arkansas DHS EVV System Rules and provide attestation that the configuration settings have been applied.
• Must be able to capture all the data fields required as specified in the AuthentiCare Data Aggregator Interface Guide and successfully transmit the information via one of the approved transport methods to Fiserv for upload into AuthentiCare for daily claims processing.

If your chosen EVV system vendor cannot meet the above criteria, you must either choose a new EVV system vendor or move to the State-selected EVV vendor—AuthentiCare.

All Arkansas Medicaid provider agencies must inform DHS of their decision by completing the Arkansas EVV Declaration Form. This form must be completed whether you choose to use AuthentiCare or a third-party system.

The Arkansas DHS EVV System Rules for a third-party EVV system vendor can be found below. Please send any questions you may have to [email protected].

AuthentiCare Training Information

• Fiserv utilizes a train-the-trainer model, which means one or two people from your agency may attend training, then go back to your agency and train the rest of your staff. The provider agency will be responsible for training your individual caregivers.
• Select training dates that fit your schedule or watch the OnDemand training videos. Remember to register for the modules that match your chosen system.
  • If you use AuthentiCare, you must attend:
    • Mobile Application
    • Web Portal
    • Train-the-Trainer
    • Reports
    • IVR
  • If you use a third-party vendor, you must attend:
    • Web Portal
    • Reports
• Training is available and encouraged for AuthentiCare Arkansas users on an annual basis in Fiserv’s Learning Management System (LMS), called Xchange.

AuthentiCare Web Portal
Training for providers, State staff, and designated contractors addresses the administrative hub for AuthentiCare. This includes claims, scheduling, visit maintenance, onboarding workers and system monitoring.

AuthentiCare Reports
Providers and State staff will be trained on the usage and production of standard AuthentiCare EVV reporting.

AuthentiCare 2.0 Mobile Application
Providers and representatives are trained on administrative and user functions of the AuthentiCare mobile application. Providers and representatives train their caregivers on checking in and checking out using the mobile application after the completion of this training.

AuthentiCare Interactive Voice Response (IVR) System
Providers and representatives are trained on administrative and user functions of the IVR system. Providers and representatives train their caregivers on checking in and checking out using the IVR after the completion of this training.

AuthentiCare Train-the-Trainer
Designated provider staff receive training on how to deliver AuthentiCare training on checking in and checking out to their caregivers.

Accessing AuthentiCare Training

Arkansas has chosen Fiserv as the State-sponsored Electronic Visit Verification (EVV) vendor. Fiserv offers the AuthentiCare EVV system to verify and document home healthcare services. AuthentiCare involves the use of a mobile application or Interactive Voice Response (IVR) system to record caregiver visits to clients. Fiserv uses the train-the-trainer model where providers and representatives learn how to set up and use check-in and check-out methods, which they use to train caregivers.

To access AuthentiCare Arkansas, you must complete the required training. Once you finish the training, you will receive credentials for the AuthentiCare system. These credentials are necessary for Electronic Visit Verification (EVV), regardless of whether you use AuthentiCare or another system. If you haven’t completed all the required training yet, please contact Arkansas DHS at [email protected].

To register for training, you need to sign up for Xchange, the AuthentiCare Learning Management System (LMS). Xchange is an online platform that offers convenient access to training materials, informative videos, and live training sessions. For detailed information about Xchange, refer to the Xchange User Guide. Follow the instructions below to get started:

Documents and Resources

Here you will find required documentation and resource materials, including previous communication that may have been shared via email.

An AuthentiCare demonstration was held on July 28th, 2020. This demo provided an overview of basic system functionality to help inform agencies during system selection. If you were unable to attend, the demo was recorded and can be found on the provider portal.

General

• AuthentiCare Quick Reference Guide

Required for Third-Party Integration

• Third-Party System Certification Process and Checklist
• Third-party EVV System Certification Process (Visual)

Arkansas DHS EVV System Rules, Attestation, and Instructions

Previous Communication Regarding the EVV Personal Care Services Implementation

Please find previous communication regarding the EVV implementation below. Please note these prior communications are for reference only.

• Changes to MMIS Inactivation of the MMIS Audit
• December 2023 – Information regarding inactivation of audit for PC before AC
• December 2023 – Use of Personal Care hours before Attendant Care hours, and AuthentiCare instructions
• November 2023 – PC and AC MMIS Information
• September 2023 – EVV Email Inbox
• October 2023 – Denied Claims Due to Incorrect Provider Medicaid ID
• May 2023 – Policy Question
• September 2022 – MMIS Cutoff Information
• May 2022 – Attendant Care Rate Change for ACR Originated Claims
• May 2022 – Attendant Care Rate Change MMIS Adjustment
• May 2022 – AuthentiCare Exception Codes A2 and A3
• February 2022 – Attendant Care Rate Change
• January 2022 – Update and Survey
• September 2021 – 835 processing
• September 2021 – Q&A session update
• August 2021 – Claim Resubmission Process
• July 2021 – Billing Cutoff Update
• July 2021 – File Timing Information
• July 2021 – Batch Submission Info
• July 2021 – Special Characters FYI
• July 2021 – AuthentiCare July Release
• July 2021 – Billing Cutoff Reminder and Claim Information
• July 2021 – Claim Submission Clarification
• June 2021 – Payer Assignment
• June 2021 – Split Shift Information
• April 2021 – AuthentiCare Mobile App for iOS
• March 2021 – AuthentiCare Mobile Release for Android
• March 2021 – Software Upgrade
• January 2021 – Date Update and Geofence Information
• January 2021 – Provider Meetings
• September 2020 – Training Information
• July 2020 – System Selection Bulletin

Home Health (HH)

This section contains information related to the Home Health (HH) phase of EVV, and applies to the following procedure codes:

Provider Type	Procedure Code Description
14	T1021/TD: Home Health RN Visit, Per Visit
14	T1021/TE: Home Health LPN Visit, Per Visit
14	T1021: Home Health Aide Visit
14	S9131: Home Health Physical Therapy by a Qualified Licensed Physical Therapist
14	S9131/UB: Home Health Physical Therapy by a Qualified Physical Therapy Assistant

General Information

In 2022, the Arkansas Department of Human Services (DHS) implemented a new process known as Electronic Visit Verification (EVV) with all Arkansas Medicaid Personal Care Services (PCS) providers, and their employees/caregivers enrolled in IndependentChoices or ARChoices programs. This implementation is in direct response to a federal mandate known as the 21st Century Cures Act.

Home Health Services Providers are also required by the Act to utilize EVV. DHS has been working with a new vendor, called Sandata, to develop an EVV system for Home Health Services. Our current timeframe for system implementation is March 1, 2025.

Please review the information in this section to ensure that as an Arkansas Medicaid provider agency, you are prepared for the upcoming EVV Implementation.

Documents and Resources

• Sandata altEVV Specifications
• Arkansas EVV Sandata Town Hall Q & A
• Arkansas Medicaid Provider Enrollment – How to Submit a PT 95 NT Application
• Arkansas EVV Home Health altEVV System Attestation Form
  Providers using an AlternativeEVV (altEVV) system, please review, complete, and submit the above documentation. Please note that a wet signature is required for compliance.
• Sandata Town Hall #3 Slide Deck
• Sandata Town Hall #3 Recording

Previous Communication Regarding the EVV Home Health Implementation

• December 19, 2024 – Sandata Provider Portal Postponement
• October 8, 2024 – Sandata EVV HH Town Hall Invitation
• August 9, 2024 – EVV Home Health Notification
• January 2, 2024 – Important Update for EVV for Home Health Providers
• March 24, 2023 – Home Health Applicable Service Codes
• September 12, 2023 – Home Health Information and Survey

Provider Enrollment Requirements

• All caregivers who will be using EVV for the procedure codes listed above must enroll with Arkansas Medicaid. This is a mandatory requirement that must be met for agencies to bill for services.
• Caregivers can enroll online through the Billing Portal, or by filling out and mailing in a paper application.
• Once the caregivers are enrolled, they will be given a provider number which may also be called a PIN (personal identification number).

More information about enrolling as a Medicaid provider can be found on the Billing Portal.

If you have never used EVV before, read this information:

• Make sure to enroll your caregivers with Arkansas Medicaid. Enrollment instructions can be found here.
• Familiarize yourself and your agency staff with the EVV mandate, as well as State and Federal EVV requirements.
• Prepare your caregivers with information about what EVV means for them and their day-to-day job roles.

If you are currently using EVV for PCS, read this information:

• Make sure to enroll your Home Health caregivers with Arkansas Medicaid. This is the same process you have already used to enroll your Attendant Care, Personal Care, and/or Respite caregivers.
• Prepare any caregivers currently not using EVV for any changes in their day-to-day job roles.
• If you use a third-party EVV vendor, make sure they are aware of Arkansas Home Health requirements for EVV.