Electronic Visit Verification (EVV) For Home Health Providers
Sunshine Health collaborates with HHAeXchange (HHAX) and its electronic visit verification (EVV) technology to enhance member service and comply with the Agency for Health Care Administration's (AHCA) Statewide Medicaid Managed Care contract.
The HHAX portal remains Sunshine Health’s method for communicating authorization information and billing to providers.
Sunshine Health will no longer accept EVV claims that have not been electronically confirmed as of June 1, 2024. We encourage providers to reduce and eliminate EVV exceptions — including manually altered visit times — to avoid any reimbursement delays.
To guarantee real-time EVV data collection, all visit files from providers using a third-party Electronic Data Interchange (EDI) vendor must be sent to HHAeXchange at least every two weeks.
Quick Visit Entry (QVE) Option Ending
Starting August 1, 2024, Sunshine Health will stop offering the Quick Visit Entry (QVE) option through the HHAeXchange Free Portal. For more information about the QVE module sunsetting on the HHAeXchange portal, please visit Provider News.
Florida Providers NPI Data Changes
Florida has changed how it accepts electronic claims/encounters: Billing provider information must exactly match the National Provider Identifier (NPI) that AHCA has on file or the encounters will be denied. Providers must ensure they are validating their agency’s data and address on the Provider Master List (PML). Any changes made to the PML must be communicated to the health plan. Sunshine Health put together a tip sheet to help providers navigate these changes:
Need to Sign up or Get Linked?
Step 1: Complete the HHAeXchange Portal Survey
Indicate which Visit Entry method you will use:
- EVV: HHAeXchange will provide a set of free EVV tools for your agency and caregivers to use.
- EDI: If you have your own EVV system, this allows integration with your existing EVV vendor. Share the latest EDI Import Interface Guide (PDF) with your existing vendor.
Once the survey is completed, call Sunshine Health Provider Services at 1-844-477-8313 to let us know the questionnaire has been completed. Request that your case be escalated to the internal EVV team for assistance getting linked with the health plan and HHAeXchange.
Step 2: Access Provider EVV Resources
Select the HHAeXchange EVV Tools (PDF) to find the guidance and resources your practice needs.
- Caregiver EVV Tools: Tools to help your Caregiver to Clock-In and Clock-Out of visits from a member’s home via telephony or the Mobile App.
- Agency EVV Tools: Tools to ensure you can view the visit confirmations through the HHAeXchange Portal.
Questions?
If you have any questions, please call Sunshine Health Provider Services at 1-844-477-8313 or visit the Secure Provider Portal. Our Provider Engagement staff are also here to help answer questions. Visit the Find Your Administrator tool to confirm the individual supporting your specialty and region. We encourage you stay up to date on Sunshine Health provider notices by reviewing and bookmarking Provider News.
Current HHAX Users:
Visit the Florida SMMC Information Center for training materials and other resources.