Aetna Better Health of Oklahoma, Oklahoma Complete Health, and Humana Healthy Horizons in Oklahoma have partnered with HHAeXchange to implement an Electronic Visit Verification (EVV) system to validate in-home visits for Medicaid recipients. This will bring payers and agencies into compliance with federal regulation, ensure beneficiaries are receiving services as planned and authorized, improve the accountability of caregiver services; and ensure payment accuracy for services provided. HHAeXchange features tools for scheduling, authorization management, and communication with the Oklahoma MCOs.
All agencies are required to complete the Provider Onboarding form as it captures information necessary to notify us of your EVV selection and configure your portal.
As part of your participation with Aetna Better Health of Oklahoma, Oklahoma Complete Health, and Humana Healthy Horizons in Oklahoma you have the following options to ensure EVV compliance:
Regardless of the EVV solution selected, all impacted providers are required to complete the HHAeXchange Provider Onboarding Form.
Training webinars and a Learning Management System and will be offered to help providers learn about HHAeXchange and their HHAeXchange portal beginning in October.
Receive LMS Credentials from the HHAeXchange Onboarding Team and follow instructions to complete the courses and videos on a self-paced format to complete.
This overview is geared towards providers who will be using their own EVV solution and not the payer sponsored EVV solution. If you have your own EVV vendor, in HHAeXchange’s system the vendor will be referred to as an EDI vendor. The information below lists the general requirements and steps to successfully integrate a 3rd Party Agency Management System with HHAeXchange. Electronic Data Interchange (EDI) Providers will be required to comply with both the HHAeXchange Technical Specifications and Business Requirements listed below. After reviewing the specifications and requirements resources, please initiate contact HHAeXchange to begin the integration process.
(Note: This action is not required for agency providers 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. CLICK HERE to access the Caregiver Bulk Import Process Guide, which provides instructions for how to:
What is HHAeXchange?
HHAeXchange is the premiere Homecare Management Software company for the Aetna Better Health of Oklahoma, Oklahoma Complete Health, and Humana Healthy Horizons in Oklahoma population. The HHAeXchange solution will connect payers and homecare providers to enable more collaboration, communication, and workflow efficiencies.
How will the payer-sponsored HHAeXchange EVV system work?
Through the HHAeXchange portal, Aetna Better Health of Oklahoma, Oklahoma Complete Health, and Humana Health Horizons is offering clock-in and clock-out functionality via mobile app or telephony.
A caregiver can download the free HHAeXchange Mobile App (available for both iPhone and Android users) to clock-in and clock-out, review patient information and visit information. Agencies can also use HHAeXchange’s free telephony system with a toll-free 800 number to provide to their caregivers.
What if we would like to use HHAeXchange’s payer-sponsored EVV System?
When completing the Provider Onboarding form, select check box for “I would like to use the payer-sponsored HHAeXchange EVV solution”.
Can I use my own EVV system?
It is simple to connect your existing EVV system to the HHAeXchange portal. Please see the EDI Process page for additional information, and whom to contact.
What information will Aetna Better Health of Oklahoma, Oklahoma Complete Health and Humana Healthy Horizons in Oklahoma send to my agency through the HHAeXchange Portal?
Aetna Better Health of Oklahoma, Oklahoma Complete Health, and Humana Healthy Horizons in Oklahoma will send member and authorizations through the HHAeXchange portal.
How will the HHAeXchange Portal bill to Aetna Better Health of Oklahoma, Oklahoma Complete Health, and Humana Healthy Horizons in Oklahoma?
Claims will be created through the HHAeXchange Portal for verified visits and sent electronically via an 837 e-Billing file to the fiscal agent for adjudication.
Can I check my claims before submitting them to Aetna Better Health of Oklahoma, Oklahoma Complete Health, and Humana Healthy Horizons in Oklahoma?
Yes. The HHAeXchange Portal provides a Prebilling Claims module designed to ensure that your claims are compliant with Aetna Better Health of Oklahoma, Oklahoma Complete Health, and Humana Healthy Horizons in Oklahoma EVV requirements.
Will I need a Portal for Aetna Better Health of Oklahoma, Oklahoma Complete Health, and Humana Healthy Horizons in Oklahoma?
You can link to multiple payers/contracts within one portal.
Can I schedule my caregiver through the HHAeXchange Portal?
Yes. You will be able to schedule your caregivers through the HHAeXchange Portal.
How will I be trained on the HHAeXchange Portal?
Please visit the Training tab.
Can I Import and Export data into the HHAeXchange Portal?
Processes for importing data into the HHAeXchange Portal can be found on the EDI Process tab.
For plan specific information, please contact:
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