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Minnesota Provider Information Center

Provider Portal Questionnaire

Overview

Electronic Visit Verification in Minnesota

Minnesota Department of Human Services is fully operational with Electronic Visit Verification in Minnesota. All Minnesota Providers that serve Minnesotans with EVV services are required to capture EVV.

Minnesota Department of Human Services (MN DHS) will be monitoring and enforcing compliance with EVV starting September 1, 2024. MN DHS is required to report quarterly EVV usage to the Centers for Medicare and Medicaid Services to identify providers who are not using an EVV system. We will provide technical assistance to providers identified in these reports. Please visit the MN DHS EVV website for more information about EVV Compliance Policies and Requirements.

HHAeXchange is the State Aggregator and collects all visit data, regardless of the EVV System being used. Providers have a choice of using the HHAeXchange syscan use the HHAeXchange system to capture

 

Getting Started with EVV

The first step will be to fill out the Provider Enrollment Form listed below as you are identifying yourself as a Minnesota DHS provider. If you provide both Personal Care Services and Financial Management Services, please fill out both surveys. If you have already filled out the PCS survey, please be sure to complete again.

Selecting an EVV solution that fits your provider agency

  • Step 1: Selecting an EVV Solution that fits your provider agency
    • Department of Human Services has deployed an Open Model of EVV in Minnesota. Providers can choose to use the state sponsored HHAeXchange system to capture EVV at no cost OR Providers can use a 3rd Party EVV solution that meets the below requirements:
    • 3rd Party Solution EVV Requirements:
      • All costs associated with 3rd Party Vendor systems are the responsibility of the Provider
      • Providers must ensure their 3rd Party system connects to the HHAeXchange data system and meets state requirement
  • Step 2: Fill Out the Minnesota Provider Enrollment Form
    • This questionnaire is designed to capture key information about your agency in order to build your agency’s HHAeXchange Provider Portal. Organizations that will use a 3rd Party Vendor to capture EVV and organizations that will use HHAeXchange to capture EVV are required to complete one (1) Minnesota Provider Enrollment Form.
    • Important Note: If your agency will be submitting EVV data under more than one NPI and/or UMPI, HHAeXchange needs all identifiers in the system for member, authorization, and visit data to flow properly.
  • Step 3: HHAeXchange System Learning and 3rd Party Provider Integration:
    • 3rd Party Providers: Providers that will be using a 3rd Party Vendor to capture EVV will need to submit an API Configuration ticket to begin the HHAeXchange + 3rd Party Provider integration process. 3rd Party Vendor Providers must work closely with their 3rd Party Vendor and HHAeXchange to complete the systems integration.
    • HHAeXchange System Providers: Providers that will use the HHAeXchange system to capture EVV will receive Learning Management System credentials. Providers are strongly encouraged to take the available LMS courses to thoroughly understand how to use the HHAeXchange system
  • Step 4: Capture EVV
    • HHAeXchange System Providers: Caregivers will capture EVV data using the HHAeXchange mobile application or by telephony (IVR). Providers that use the HHAeXchange system to capture EVV data will manage their caregiver and visit information directly in the HHAeXchange system
    • 3rd Party Providers: Caregivers will capture EVV data using the methods made available by the 3rd Party Vendor. The Provider will work closely with the 3rd Party Vendor to import caregiver and visit data into the HHAeXchange system and work to resolve visit import rejections.

Important Dates

  • October 1, 2024: Transition from PCA service codes to CFSS Service Codes
  • September 1, 2024: EVV Compliance: Minnesota Providers are required to capture EVV for in-scope service codes. MN DHS will be enforcing compliance with EVV starting Sept. 1, 2024
  • October 2023 – Phase 4: Home health services. Launches in October 2023. All home health providers will launch, regardless of payer.
  • June 5, 2023 – Phase 3: Managed Care Organizations (MCOs) launched for personal care services
  • December 12, 2022 – Phase 2: Remaining personal care service providers launched
  • June 2022 – Phase 1: Financial Management Services (FMS) for personal care services (CDCS & CSG) launched

Managed Care Organization (MCO) Overview:

Managed Care Organizations (MCOs) have partnered with HHAeXchange to provide a free Electronic Visit Verification (EVV) system for providers of personal care services and home health services. The HHAeXchange EVV Portal features tools for scheduling, authorization management, and communication for all Minnesota MCO Providers. HHAeXchange also supports the unique workflows of self-direction. *Please note, Minnesota Providers may choose to use the free HHAeXchange EVV Portal or a 3rd Party System. 3rd Party System costs are the responsibility of the Provider and the Provider must ensure that their selected 3rd Party System meets the business and technical integration requirements to integrate with HHAeXchange. Providers using a 3rd Party System should refer to the ”EDI Process” section of the MN State Info Hub.

Getting Started with EVV: Fill out the Minnesota HHAeXchange Provider Enrollment Form and refer to the steps in the “Overview” section of the MN State Info hub.

Managed Care Organizations (MCOs)

  • BlueCross
  • HealthPartners
  • Hennepin Health
  • Itasca Medical Care (IMCare)
  • Medica
  • PrimeWest Health
  • South Country Health Alliance
  • UCare
  • UnitedHealthcare

Services in Scope

Service Name HCPC Timeline
Crisis Respite, 15 minutes T1005 Current
Crisis Respite, Specialized, 15 minutes T1005:TG Current
Crisis Respite, Daily S9125 Current
Homemaker, Assistance with Personal Care, 15 minutes S5130:TG Current
Individual Community Living Support, In Person, 15 minutes H2015:U3 Current
Night Supervision, 15 minutes S5135:UA Current
Respite Care Services, In Home, 15 minutes S5150 Current
Respite Care Services, In Home, Daily S5151 Current
Individualized Home Supports with Training, Daily H0043:UC:U3 Current
Individualized Home Supports with Training, 1:1, 15 minutes H2014:UC:U3 Current
Individualized Home Supports with Training, 1:2 Ratio, 15 minutes H2014:UN:UC:U3 Current
Individualized Home Supports with Family Training, 1:1 Ration S5125:UC Current
Individualized Home Supports with Family Training, 1:2 Ratio S5125:UC:UN Current
Individualized Home Support without Training, 1:2 Ratio S5135:UC Current
Individualized Home Support without Training, 1:2 Ratio S5135:UC:UN Current

 

Home Health Services in Scope

Service Name HCPC Timeline
Direct Skilled Nursing, RN, Home or Hospice, 15 minutes G0299 Current
Direct Skilled Nursing, LPN, Home or Hospice, 15 minutes G0300 Current
Respiratory Therapy, Per Visit S5181 Current
Respiratory Therapy, Extended, Per Visit S5181:UC Current
Speech Therapy, Per Visit S9128 Current
Speech Therapy, Extended, Per Visit S9128:UC Current
Occupational Therapy, Per Visit S9129 Current
Occupational Therapy, Extended, Per Visit S9129:UC Current
Occupational Therapy, Assistant, Per Visit S9129:TF Current
Occupational Therapy Assistant, Extended, Per Visit S9128:TF:UC Current
Physical Therapy, Per Visit S9131 Current
Physical Therapy, Extended, Per Visit S9131:UC Current
Physical Therapy Assistant, Extended , Per Visit S9131:TF Current
Physical Therapy Assistant, Extended, Per Visit S9131:TF:UC Current
Home Health Aide, Extended, 15 minutes T1004 Current
Home Health Aid, Per Visit T1021 Current
Skilled Nurse Visit, RN, Per Visit T1030 Current
Skilled Nurse Visit, LPN, Per Visit T1031 Current

 

Personal Care Services in Scope

Service Name HCPC Timeline
PCA Services T1019 (all modifiers) Current
CFSS, Agency, 1:1 T1019:U9 (additional modifiers) Effective 10/1/2024
CFSS, Budget, 1:1 T1019:UB (additional modifiers) Effective 10/1/2024

 

 Important Dates

  • June 2023: EVV go-live for Managed Care Organization providers
  • May 2023:
    • Learning Management System Access for Managed Care Organization providers (May 10th)
    • System User Training (May 16 – 18th)
  • April 2023: Information Session for Managed Care Organization providers (April 18 – 21st)

Minnesota Fee For Service (FFS) Program Overview:

The Minnesota Department of Human Services and Managed Care Organizations (MCOs) have partnered with HHAeXchange to provide a free Electronic Visit Verification (EVV) system for providers of personal care services and home health services. The HHAeXchange EVV Portal features tools for scheduling, authorization management, and communication for MN DHS and all Minnesota MCO Providers. HHAeXchange also supports the unique workflows of self-direction. *Please note, Minnesota Providers may choose to use the free HHAeXchange EVV Portal or a 3rd Party System. 3rd Party System costs are the responsibility of the Provider and the Provider must ensure that their selected 3rd Party System meets the business and technical integration requirements to integrate with HHAeXchange. Providers using a 3rd Party System should refer to the ”EDI Process” section of the MN State Info Hub.

Getting Started with EVV: Fill out the Minnesota HHAeXchange Provider Enrollment Form and refer to the steps in the “Overview” section of the MN State Info hub.

MN DHS Programs and Managed Care Organizations (MCOs)

  • MCOs:
    • BlueCross
    • HealthPartners
    • Hennepin Health
    • Itasca Medical Care (IMCare)
    • Medica
    • PrimeWest Health
    • South Country Health Alliance
    • UCare
    • UnitedHealthcare
  • MN DHS Programs:
    • Community First Services and Supports (CFSS) FFS
    • Home Health FFS
    • Waiver Services FFS

Services in Scope

Service Name HCPC Timeline
Crisis Respite, 15 minutes T1005 Current
Crisis Respite, Specialized, 15 minutes T1005:TG Current
Crisis Respite, Daily S9125 Current
Homemaker, Assistance with Personal Care, 15 minutes S5130:TG Current
Individual Community Living Support, In Person, 15 minutes H2015:U3 Current
Night Supervision, 15 minutes S5135:UA Current
Respite Care Services, In Home, 15 minutes S5150 Current
Respite Care Services, In Home, Daily S5151 Current
Individualized Home Supports with Training, Daily H0043:UC:U3 Current
Individualized Home Supports with Training, 1:1, 15 minutes H2014:UC:U3 Current
Individualized Home Supports with Training, 1:2 Ratio, 15 minutes H2014:UN:UC:U3 Current
Individualized Home Supports with Family Training, 1:1 Ration S5125:UC Current
Individualized Home Supports with Family Training, 1:2 Ratio S5125:UC:UN Current
Individualized Home Support without Training, 1:2 Ratio S5135:UC Current
Individualized Home Support without Training, 1:2 Ratio S5135:UC:UN Current

 

Home Health Services in Scope

Service Name HCPC Timeline
Direct Skilled Nursing, RN, Home or Hospice, 15 minutes G0299 Current
Direct Skilled Nursing, LPN, Home or Hospice, 15 minutes G0300 Current
Respiratory Therapy, Per Visit S5181 Current
Respiratory Therapy, Extended, Per Visit S5181:UC Current
Speech Therapy, Per Visit S9128 Current
Speech Therapy, Extended, Per Visit S9128:UC Current
Occupational Therapy, Per Visit S9129 Current
Occupational Therapy, Extended, Per Visit S9129:UC Current
Occupational Therapy, Assistant, Per Visit S9129:TF Current
Occupational Therapy Assistant, Extended, Per Visit S9128:TF:UC Current
Physical Therapy, Per Visit S9131 Current
Physical Therapy, Extended, Per Visit S9131:UC Current
Physical Therapy Assistant, Extended , Per Visit S9131:TF Current
Physical Therapy Assistant, Extended, Per Visit S9131:TF:UC Current
Home Health Aide, Extended, 15 minutes T1004 Current
Home Health Aid, Per Visit T1021 Current
Skilled Nurse Visit, RN, Per Visit T1030 Current
Skilled Nurse Visit, LPN, Per Visit T1031 Current

 

Personal Care Services in Scope

Service Name HCPC Timeline
PCA Services T1019 (all modifiers) Current
CFSS, Agency, 1:1 T1019:U9 (additional modifiers) Effective 10/1/2024
CFSS, Budget, 1:1 T1019:UB (additional modifiers) Effective 10/1/2024

 

Important Dates

  • October 2023: Go-live for Home Health services. All home health providers, regardless of payer, launched for EVV
  • September 2023:
    • Learning Management System Access for Managed Care Organization providers (Sept. 20th)
    • System User Training (Sept. 26 – 28th)
  • August 2023: Information Sessions for Home Health Providers (August 21 – 23rd)
  • June 2023: Managed Care Organizations (MCOs) launched for personal care services
  • May 2023:
    • Learning Management System Access for Managed Care Organization providers (May 10th)
    • System User Training for managed Care Organizations Providers (May 16 – 18th)
  • April 2023: Information Session for Managed Care Organization providers (April 18 – 21st)

HHAeXchange EVV Portal

HHAeXchange is offered at no cost to the providers. However, we understand that providers may need to expend time and resources to implement a change this large in order to achieve compliance in partnership and cooperation with MN DHS. Here’s a look at some of the benefits you will get if you choose the no-cost HHAeXchange EVV Portal.

EVV

  • Participant Management for the MN DHS Program
  • Mobile Application in Multiple Languages
  • Telephony Lines in English and Spanish
  • EVV options focused on self-direction
  • Clock-In / Clock-Out Exception Dashboard
  • Submission / Aggregation of EVV Data to MN DHS

Scheduling

  • Master Week Scheduling
  • Case & Scheduling Coordination
  • Plan of Care Management

Compliance

  • Minnesota Statutes 256B.073 Compliance
  • Plan of Care Adherence
  • Visit Confirmation Compliance
  • Visit reporting

Purpose-Built for Self-Direction

  • Participant or employer review and approval of time worked
  • Workflows to support self-directing participants and FMS entities
  • Integrate easily with FMS tools

Training

Get up and running in no time with a combination of product walkthrough webinars, live system user training sessions, and guided education through our Learning Management System (LMS). Please visit and bookmark HHAeXchange Knowledge Base for additional detailed documentation, training, and information about HHAeXchange system features and functionality.

 

HHAeXchange System User Training:

Provider System User Training will be provided via the HHAeXchange Learning Management System (LMS). Providers will have to log on the Learning Management System to complete their training to understand the use of the HHAeXchange Provider Portal along with its functionalities. This training is required to ensure you have a clear understanding of the functionalities available to you in the HHAeXchange Provider Portal. The courses include a variety of videos, documents, and tests to help ensure you have a clear understanding of the different aspects of the Provider Portal to use for your EVV benefits.

Use the Learning Management System (LMS):

Receive LMS Credentials from the HHAeXchange Onboarding Team and follow instructions to complete the courses and videos on a self-paced format to complete.

  • An email will be sent to the contact that completed the Cognito Survey
  • One Username will be sent for your Agency to use. Username can be distributed amongst all members of your agency to complete the assigned courses.
  • Login to the LMS website using the provided credentials in the email
  • Work on completing the courses by reviewing the information provided
  • Any updates made to the password should be distributed amongst all members who have access to the account
  • All providers can contact us by submitting a ticket via the Client Support Portal: https://www.hhaexchange.com/supportrequest

EDI Process

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

Electronic Data Interchange (EDI) is the process of transmitting data security from a 3rd Party EVV Vendor to HHAeXchange. Providers who utilize a 3rd Party Vendor to capture EVV are often referred to as “EDI Providers.” Please review the information on this page to understand the EDI process and your agency’s responsibilities as it relates to capturing EVV and transmitting data to the HHAeXchange system

Please review and follow the steps below, (these steps are also found on the HHAeXchange Provider EDI Welcome Packet):

  1. Business Requirements Link: Business Requirements for Third Party EVV Data Aggregation MN
  2. Technical Specification document: HHAeXchange EVV API Technical Specifications MN
  3. To contact our EDI team, go to hhaexchange.com/supportrequest, from the support portal page please click on 3rd party integration support request and include the name of MN EVV.

 

EDI Integration Process

Note, this process only pertains to Providers who will use a 3rd Party Vendor to capture EVV data. Below you will find information about the general requirements and steps to successfully integrate your 3rd Party Management System with HHAeXchange.

EDI (Integrating Providers) Information Webinar for Financial Management Services (Providers in Phase 2 should plan to join an upcoming session on how to Integrate):

EDI (Integrating Providers) Information Webinar for Personal Care Services

EDI (Integrating Providers) Information Webinar for Managed Care Organizations

EDI (Integrating Providers) Information Webinar for Home Health

 

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
  • Please follow these instructions in order for the EDI team to receive your file. Go to hhaexchange.com/supportrequest, from the support portal page please click on 3rd party integration support and submit a caregiver import request.

HHAeXchange Resources

  • Knowledge Base: HHAeXchange’s Knowledge Base houses detailed documentation, training videos and other information about the features and functionality of the HHAeXchange system
  • HHAeXchange Resource Library: Stay in-the-know with homecare guides, infographics, blog posts, and more from HHAeXchange.
  • Homecare Glossary: With obscure acronyms and confusing terms that vary from one state to the next, the homecare industry can be very confusing. This concise guide defines key terms and acronyms and provides links to relevant websites for more detailed information.

MN DHS Resources

Minnesota Frequently Asked Questions

MN DHS Provider FAQs

Electronic visit verification / Minnesota Department of Human Services (mn.gov)

Minnesota Providers FAQs

  • How to I check to see if my NPI and UMPIs are up to date in my agency’s HHAeXchange portal?
    • Log into your HHAeXchange Portal and click the “Admin” tab
    • Navigate to Office Setup then click “Search Office”
    • Click on a specific Office
    • Review the NPI and Secondary Identifier fields
      • NPI Field: Must only contain your agency’s 10-digit numeric NPI number. If you do not have an NPI, please leave this field blank
      • Secondary Identifier: MN Provider UMPI values go here. If you have more than one UMPI, your agency will need more than one Office set up in the HHAeXchange Portal. Contact HHAeXchange Client Support and request assistance in setting up another Office.

 

  • What is Auto-Placement and how do I do it?
    • Auto Placement allows providers to schedule and bill for services that do not require Payer Prior Authorization. Instead of waiting to schedule a visit after an authorization is entered in the HHAeXchange system, providers can create their own placements and schedule visits. Follow the instructions found on the Auto-Placement by Service Code page in HHAeXchange’s Knowledge Base.
    • *NOTE: Medicaid ID must be entered for a successful Auto Placement
  • I am missing an authorization or a member in my HHAeXchange Portal, what should I do?
    • Ensure the service code is not listed on the Auto Placement Job Aid. If the service code is on the Auto Placement Job Aid, follow the instructions
    • Ensure your agency’s identifiers (TIN, NPI/UMPI) are up to date in your portal. If you need to correct your agency’s identifiers, please allow for 1 business day for authorizations to reprocess.
    • Check the member’s status. If the member is discharged, please reach out to the Payer to confirm program/service eligibility. If you need to confirm Medicaid eligibility, please refer to the Minnesota Health Care Programs Eligibility Verification website.
  • How do my Caregivers clock in and clock out for overnight shifts?
    • Enable the “Automatic Splitting of Overnight Shifts” feature within your Office Setup. If selected, the system will automatically split visits that occur overnight. Caregivers will only need to submit a clock in and clock out for overnight shifts.
    • Log into your HHAeXchange Portal and click the “Admin” tab
    • Navigate to Office Setup then click “Search Office”
    • Click on a specific Office

  • How can my Caregivers bypass the GPS tolerance range in the Mobile Application when servicing a member in the community?
    • Enable the “Allow Caregiver to select the visit as a Community Visit” feature in the Provider’s Office Setup. Once the feature is enabled at the Office level, all mobile-enabled Caregivers can select the Community Visit option on the HHAeXchange Mobile App.
    • Log into your HHAeXchange Portal and click the “Admin” tab
    • Navigate to Office Setup then click “Search Office”
    • Click on a specific Office

  • For Caregivers servicing members without an internet connection, how will they use the Mobile App to clock in and clock out?
    • Select the “Enable Mobile App Offline Mode” feature available in Office Setup. “Mobile Offline Sync Period” is used to determine how much Patient and Visit data is transferred to the mobile device when the Caregiver logs in when online.
    • Log into your HHAeXchange Portal and click the “Admin” tab
    • Navigate to Office Setup then click “Search Office”
    • Click on a specific Office

FAQs

Click here to review the detailed FAQ document in regard to the Minnesota Implementation which will provide you with more insight on the program, patient placement, billing, EVV, Communications, as well as EDI and other functionalities.

Live-in Caregivers

At this time, providers are not expected to enter data into the EVV system for live-in caregivers. DHS is still working to determine appropriate options for live in caregivers. If you are using a third party EVV system with the ability to designate live-in caregivers, you may use this process but are not required to.

Safe at Home Participants

At this time, participants in the Safe at Home program who receive or provide services in scope will not be using an EVV system, regardless of what system their provider has chosen. DHS is working to determine the appropriate options to ensure information remains confidential.

Waiver Services in Scope

Service Name HCPC Timeline
Crisis Respite, 15 minutes T1005 Current
Crisis Respite, Specialized, 15 minutes T1005:TG Current
Crisis Respite, Daily S9125 Current
Homemaker, Assistance with Personal Care, 15 minutes S5130:TG Current
Individual Community Living Support, In Person, 15 minutes H2015:U3 Current
Night Supervision, 15 minutes S5135:UA Current
Respite Care Services, In Home, 15 minutes S5150 Current
Respite Care Services, In Home, Daily S5151 Current
Individualized Home Supports with Training, Daily H0043:UC:U3 Current
Individualized Home Supports with Training, 1:1, 15 minutes H2014:UC:U3 Current
Individualized Home Supports with Training, 1:2 Ratio, 15 minutes H2014:UN:UC:U3 Current
Individualized Home Supports with Family Training, 1:1 Ration S5125:UC Current
Individualized Home Supports with Family Training, 1:2 Ratio S5125:UC:UN Current
Individualized Home Support without Training, 1:2 Ratio S5135:UC Current
Individualized Home Support without Training, 1:2 Ratio S5135:UC:UN Current

 

Home Health Services in Scope

Service Name HCPC Timeline
Direct Skilled Nursing, RN, Home or Hospice, 15 minutes G0299 Current
Direct Skilled Nursing, LPN, Home or Hospice, 15 minutes G0300 Current
Respiratory Therapy, Per Visit S5181 Current
Respiratory Therapy, Extended, Per Visit S5181:UC Current
Speech Therapy, Per Visit S9128 Current
Speech Therapy, Extended, Per Visit S9128:UC Current
Occupational Therapy, Per Visit S9129 Current
Occupational Therapy, Extended, Per Visit S9129:UC Current
Occupational Therapy, Assistant, Per Visit S9129:TF Current
Occupational Therapy Assistant, Extended, Per Visit S9128:TF:UC Current
Physical Therapy, Per Visit S9131 Current
Physical Therapy, Extended, Per Visit S9131:UC Current
Physical Therapy Assistant, Extended , Per Visit S9131:TF Current
Physical Therapy Assistant, Extended, Per Visit S9131:TF:UC Current
Home Health Aide, Extended, 15 minutes T1004 Current
Home Health Aid, Per Visit T1021 Current
Skilled Nurse Visit, RN, Per Visit T1030 Current
Skilled Nurse Visit, LPN, Per Visit T1031 Current

 

Personal Care Services in Scope

Service Name HCPC Timeline
PCA Services T1019 (all modifiers) Current
CFSS, Agency, 1:1 T1019:U9 (additional modifiers) Effective 10/1/2024
CFSS, Budget, 1:1 T1019:UB (additional modifiers) Effective 10/1/2024

 

FMS Services in Scope

Service Name HCPC Timeline
CDCS Personal Assistance, Decremental T2028:U1 Current
Consumer Support Grant, Decremental T2025 Current
CDCS Personal Assistance, Decremental T2028 CORRECT

Minnesota DHS Direct Contact Info: N DSD Contact Form: DSD Contact Form

HHAX has published a dedicated Minnesota support email address and phone number to better support Minnesota’s providers with EVV implementation.

All providers can contact us by submitting a ticket via the Client Support Portal: https://www.hhaexchange.com/supportrequest