“At a macro level, it’s extremely concerning,” Terzaghi said. It could be weeks before it’s voted on, but states and home health providers should keep their eye on it as it moves through Congress. Like many in the industry, Terzaghi and his colleagues are fighting for the status quo as opposed to the anti-GPS provision.īut a solution other than striking the ant-GPS provision is hard to come by, industry experts told HHCN.Ĭures 2.0 has not received a CBO grade in Washington as of Wednesday afternoon. We’re talking millions and billions of dollars across the country, right?” What happens next
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“We have expenses at the state level to redesign the systems, and then we have expenses at the provider level because a number of providers decided to use their own systems, so they would then have to change all of their verification methods to be compliant with this.
“We have multiple layers of expenses,” Terzaghi said.
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It would be the federal government reversing course and taking away a state’s ability to make the decision on how to implement EVV.
Kaboff said this change would be a massive step backward. That doesn’t take into consideration all the organizations or home care agencies that have put technology in place to manage a decentralized workforce with GPS, who have spent tens – if not hundreds – of million dollars. That’s a quarter of a billion dollars that the federal government has now, in essence, committed to pay for. “Let’s say those contracts represent at least $5 million in value each. “Let’s just say right now 50 states have enacted some type of technology, and those states have signed contracts with organizations to provide services,” Kaboff said. If GPS is cut from EVV as a whole, providers will likely feel like a rug was pulled out from underneath them.Īndrew Kaboff, chief revenue officer for the EVV technology company CellTrak, detailed a hypothetical.
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Those who don’t may not get their full federal match. Under the Cures Act, states are required to use EVV for all Medicaid-funded home health services by Jan. Following the Cures Act, EVV is now necessary for states to unlock their full share of federal funding. One of EVV’s primary goals is to stop fraud, waste and abuse in home-based care. “States that tried to devise other ways to address the location issue without GPS were essentially told that that’s not verification of location, and so every single state that has implemented EVV has GPS as part of its system.” “ essentially made states use GPS in their systems,” Terzaghi said. Centers for Medicare & Medicaid Services (CMS) played a large part in GPS being a part of EVV. The COVID-19 pandemic didn’t help the situation, but by now, providers all across the country have started to invest and make the transition to implement EVV. Larger providers and some states were able to hit the ground running, but most states and smaller providers followed slowly behind. The argument they would make - which I don’t necessarily disagree with - is by virtue of having a disability, they’re being told that you don’t have this option, that you must accept to be tracked in order to receive services that, in many cases, are necessary for them to live.”ĮVV implementation did not get off to a great start once Cures was passed.
“We have the option to turn off GPS or not use our phones if we so decide. “We as a culture have made some value-based judgments that we’re willing to sacrifice some of our privacy for the convenience of our cell phone telling us what products or services that we like are nearby,” Terzaghi said. It all comes down to privacy, Damon Terzaghi, the senior director of long-term services and supports policy for ADvancing States, told HHCN. ADvancing States, a national organization that provides leadership and guidance to state aging and disability agencies, also opposes the bill’s anti-GPS provision.
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