Partial federal government shutdown
HCA does not anticipate any immediate impacts to our services or disruption to provider payments at this time. We will continue to monitor the situation and share updates if anything changes.
HCA does not anticipate any immediate impacts to our services or disruption to provider payments at this time. We will continue to monitor the situation and share updates if anything changes.
Learn about electronic visit verification (EVV) for the home health care services (HHCS) program and get updates.
Requirement for National Provider Identifier (NPI) number removed
On January 29, 2025, the Health Care Authority (HCA) removed the requirement for obtaining an NPI number for all home health care services (HHCS) providers as a condition of payment of HHCS claims. View the Provider Alert. To stay updated, sign up to receive notifications.
Electronic visit verification (EVV) is a federal requirement of the 21st Century Cures Act, passed by Congress in 2016 requiring that Medicaid funded in-home personal care services, respite care services, and home health care services are verified as having been provided.
HHCS covers any home health services included in the home health billing instructions and encounter data reporting guide.
Beginning January 1, 2024, there will be three new required data elements. All data element requirements include:
HCA will require the data elements to be submitted with the claim either via direct data entry (DDE) or the 837i. The data elements indicated as “existing” are currently required and Home Health agencies are submitting those today. The data elements indicated as “new” will be new requirements for the Home Health agencies to include in claims submittals.
See the provider requirements section below for additional guidance on these newly required data elements.
Providers will need to:
To enroll individuals as a servicing provider, visit the enroll as a health care professional practicing under a group or facility page.