Category: EVV Aggregator
AHCCCS to Bring EVV In-House: What It Means for Providers
The Arizona Health Care Cost Containment System (AHCCCS) has announced a significant change to its Electronic Visit Verification (EVV) system, bringing EVV services in-house and building its own EVV aggregator by October 1, 2025. This shift means AHCCCS will not renew its contract with Sandata, the current EVV vendor and aggregator, after September 30, 2025. […]
The Role of Electronic Visit Verification and Medicaid Compliance
Electronic Visit Verification (EVV) has become a critical tool in ensuring the integrity and efficiency of Medicaid-funded home health services. As a federally mandated system, EVV helps verify that home health visits occur as billed, reducing fraud, improving patient care, and ensuring providers receive accurate reimbursement. Direct Care Innovations‘ EVV mobile application is designed to […]
Community Reinvestment Mandates for MCOs
State Medicaid agencies are increasingly mandating community reinvestment requirements in contracts with Medicaid managed care organizations (MCOs). These requirements necessitate that MCOs reinvest a portion of their profits back into the communities they serve to improve health outcomes. At least ten states have adopted or are implementing such requirements. Direct Care Innovations provides solutions that […]
The Medicare & Medicaid Managed Care Lifecycle
With the ever-increasing growth of Medicaid and Medicare managed care, Direct Care Innovations is at the forefront of providing solutions that help agencies navigate these complex systems. On average, 100 million enrollees receive federal health benefits, representing a significant portion of the CMS budget. The Office of Inspector General (OIG) has released a strategic plan […]