Arkansas State Medicaid Managed Care Services Information Center

 

At HHAeXchange, we believe that healthcare should be simple, effective, and transparent. Our mission is to provide better outcomes for patients who represent some of the most vulnerable and fragile members of our society. Since 2008, we have been at the forefront of delivering industry-leading homecare management solutions by helping payers and providers achieve operational efficiency, increased compliance, and improved patient outcomes.

Today, HHAeXchange is the premiere homecare management software solution for the Medicaid LTSS population. We act as the single source of truth in connecting payers, providers, and patients through our intuitive web-based platform, enabling unparalleled communication, transparency, and visibility.

  • OVERVIEW
  • FORMS
  • EDI PROCESS
  • FAQs

EVV and Claims Billing for Arkansas’s State Medicaid Managed Care Organizations (MCOs)

Starting on December 1, 2019, Arkansas Total Care will require providers to use HHAeXchange to submit confirmed visits and bill directly through the free HHAeXchange Portal. 

The first step in effectively working with the MCO is to fill out the following questionnaire for your organization. The answers from your questionnaire will allow HHAeXchange to configure your agency’s portal.

What are the key benefits of the HHAeXchange Portal to homecare agencies?

  • FREE Electronic Visit Verification (EVV) tools
  • Open Model EDI Integration with 3rd Party EVV Vendors
  • Real-time, two-way messaging with each MCO
  • Receive recipient demographics, authorizations, and plan of care electronically
  • Pre-bill scrubbing to ensure clean claims and accelerate revenue cycle

 

Your Agency’s Billing Options

Option 1, Free HHAeXchange EVV: Our agency wants to use HHAeXchange’s free EVV system, provided by the MCO. Great! If you’ve indicated that you’d like to use HHAeXchange’s free EVV system, the contact person listed on your questionnaire will receive more information in the coming weeks on how to set up your agency’s 800 numbers, upload caregivers into the HHAeXchange Portal, and begin processing EVV and claims.

Option 2, Use my Current EVV System: Our agency has an existing EVV system that we’d like to keep. It’s simple to connect your existing EVV system to the MCO through the HHAeXchange Portal. Ensure that you’ve completed the questionnaire, and the HHAeXchange EDI Integrations Team – edisupport@hhaexchange.com – will coordinate with you to create an interface to process your existing EVV visits and claims.

 

What Services are a part of the Program?

  • Personal Care

 

Info Session 

Upon completion of the Florida SMMC Visit Entry Options and MCO Billing Questionnaire, please refer to the links below to access videos and presentations from the Provider Info Sessions, held in Florida in October 2018.

These sessions provided a high-level introduction to the HHAeXchange System (including system demos), as well as MCO-program specific information.

Provider Information Sessions (English)

HHAeXchange Provider Information Session (60 min) VIDEO | SLIDES

MCO Provider Information Presentations:
– Humana Presentation (11 min)  VIDEO | SLIDES
– Staywell Presentation (12 min)  VIDEO | SLIDES
– Sunshine Presentation (13 min)  VIDEO | SLIDES

Provider Information Sessions (Spanish)

HHAeXchange Provider Information Session (45 min) VIDEO | SLIDES

MCO Provider Information Presentations:
– Humana Presentation (10 min)  VIDEO | SLIDES
– Staywell Presentation (12 min)  VIDEO | SLIDES
– Sunshine Presentation (13 min)  VIDEO | SLIDES

 

UPCOMING WEBINARS
  • Wednesday, September 4 @ noon EST: Preparing to Bill – Prebilling and Billing Review
    • Audience: Homecare Provider Agencies using HHAeXchange EVV or HHAeXchange Manual Visit Entry (Visit Quick Entry)
    • Description: This webinar will help EVV and Manual Visit Entry agencies prepare for their first billing. The session will cover identifying and addressing visit-related exceptions which could prevent a visit from being billed, using the HHAeXchange Prebilling Review and Billing Review functionality.

 

  • Thursday, September 5 @ noon EST: Unbilling in HHAeXchange
    • Audience: HHAeXchange EVV Agencies and HHAeXchange Manual Visit Entry Agencies (Quick Visit Entry)
    • Description:  What happens if you realize you need to remove or delete a visit after you have generated an invoice?  How can you stop and fix a claim before it goes out in the overnight processing?  How can you prevent claims from getting rejected?  This session will teach you how to use the HHAeXchange Unbilling functionality to easily remove or repair a visit before it becomes part of the nightly billing process.

 

 

LUNCH-AND-LEARN RECORDED WEBINARS (RECENT)
  • August 22: Rebilling in HHAeXchange (20 min) VIDEO | SLIDES | JOBAID
  • August 21: Preparing to Bill – Prebilling and Billing Review (23 min)  VIDEO | SLIDES
  • August 15: Unbilling in HHAeXchange (20 min)  VIDEO | SLIDES
  • August 1: Billing Review – On Hold Reasons (23 min)  VIDEO | SLIDES
  • June 26: Assigning User Roles and Member Teams (20 min)  VIDEO| SLIDES
  • May 22: Communications and Notes (19 min)  VIDEO | SLIDES
  • March 7: Automatic Email Notifications (11 min) VIDEO | SLIDES
  • December 26: Go-Live Tips for Florida (15 min) VIDEO | SLIDES
  • December 20: Rate Management (16 min) VIDEO | SLIDES

 

Capturing Missed Visits in HHAeXchange SLIDES

Updating Member Alternate Address and GPS Coordinates Job Aid


FL PROVIDER HOMECARE USER SYSTEM TRAINING WEBINAR
Please click on this link to register and view a recording of the Florida Provider Homecare User System Training Webinar, originally delivered in November 2018.
Register Here
Download Presentation Only

 

USER SYSTEM TRAINING VIDEOS (November 2018)
Please click on the links below to view a video for specific segment of User Training for the HHAeXchange Portal.

Importing Caregivers into HHAeXchange

(Note: This is not required for agencies using an EDI Import file to integrate with their 3rd Party Agency Management System)

To assist organizations with a large census of Caregivers, HHAeXchange has created a Caregiver Bulk Import tool to expedite the entry process. 

Please CLICK HERE to access the Caregiver Bulk Import Process Guide, which provides instructions for how to:

  • Access and Save the Caregiver Import Template
  • Prepare the Caregiver import File for your Agency
  • Send the file to HHAeXchange (EDISupport@hhaexchange.com) for File Processing

EDI Overview (Integrating with a 3rd Party Agency Management System)

  • 3rd Party EVV Implementation Guide Coming Soon.

CLICK HERE to access the HHAeXchange Provider System FAQ Document (check back often for updates to this document).

Yes. The HHAeXchange Portal provides a Pre-billing Claims Scrubbing module designed to ensure that your claims are compliant with the authorization and MCO contract.

HHAeXchange is the premiere homecare management software solution for the Medicaid LTSS population. We act as the single source of truth in connecting payers, providers, and patients through our intuitive web-based platform, enabling unparalleled communication, transparency, and visibility.

  • FREE Electronic Visit Verification (EVV) tools
  • Open Model EDI Integration with 3rd Party EVV Vendors
  • Real-time, two-way messaging with each MCO
  • Intelligent case broadcasting for new referrals / cases
  • Receive recipient demographics, authorizations, and plan of care electronically in real-time
  • Pre-bill scrubbing to ensure clean claims and accelerate revenue cycle

Great! If you’d like to use HHAeXchange’s Free EVV system ensure that you’ve completed the HHAeXchange Portal Configuration Questionnaire. The contact person listed in your response will be contacted by HHAeXchange to set up your agency for EVV.

It’s simple to connect your existing EVV system to the MCO through the HHAeXchange Portal. Ensure that you’ve completed the HHAeXchange Portal Configuration Questionnaire, and the HHAeXchange Integrations Team will coordinate with you to create an interface to process your existing EVV visits and claims. EDI Process Guides can be found in the EDI Process tab, above.

The MCO will send placements, authorizations, plan of care, and all communication through the HHAeXchange Portal. The MCO may send additional information as they deem necessary.

All claims will be created through the HHAeXchange Portal and sent electronically via an 837 eBilling file. Agencies will then receive an 835 eRemittance file back into the HHAeXchange Portal.

Yes. You’ll be able to schedule your caregivers through the HHAeXchange Portal either by creating schedules based on the authorization provided by the MCO, or through automatic creation of schedules based on EVV data imported into the HHAeXchange Portal from your 3rd party EVV system.

Please see the User Training tab, above. 
 

Please see the EDI Process tab, above.

 

 

 

 

855.400.4429
support@hhaexchange.com