For Consumer Directed Services (CDS) & Financial ... · Cable internet provider FIXED VOIP (e.g., Time Warner, Comcast, AT&T, etc.) Unallowable Phone Types: Phone service provided

For Consumer Directed Services (CDS) & Financial Management Service

Agencies (FMSA)

1.2.3.4.

a) DEVICE TYPES

b) SCHEDULING

c) VISIT VERIFICATION

5.a) VESTA GOALS FOR CDSb) VESTA DEVICES FOR CDSc) VESTA WEB APP

6.

• First released in 1996 as a compliance management system for Medicaid providers. • Originally validated paper timesheets with barcode technology.• Introduced Electronic Visit Verification (EVV) in 2002.• Selected in 2014 as one of five EVV Vendors for the State of Texas. • Today, Vesta® EVV is one of two systems still operating as an EVV vendor in Texas.• Holds the largest market share in the state with over 2,600 Medicaid Provider Agencies.• Serves over 150,000 Medicaid eligible individuals. • Collects over 300,000 EVV transactions daily.

1.2. HOW DOES EVV WORK?3.4.

a) DEVICE TYPES

b) SCHEDULING


5.a) VESTA GOALS FOR CDSb) VESTA MOBILE APP

c) VESTA WEB APP

6.

Slow

Error-Accept

No Validation

ConduciveTo Fraud

Difficult to Monitor

Fast

Validation

Error-Reject

ReducesFraud

Easy toMonitor

Providesa process to

ensure that individuals received authorized services

No processin placeto ensure that individuals received authorized services

1.2. HOW DOES EVV WORK?3. OVERVIEW OF THE EVV CYCLE

4.a) DEVICE TYPES

b) SCHEDULING



6.

1.Nightly Eligibility / Authorization

Data Validation

2.Daily Service Delivery Validation

3.Nightly Data Export with

Data Acceptance or Rejection

2. Daily Service Delivery Validation

1.2. HOW DOES EVV WORK?3.4. OVERVIEW OF VESTA EVV CAPABILITIES

a) DEVICE TYPES

b) SCHEDULING



6.

EVV Device TypesVesta EVV incorporates three dependable, accurate, and user-friendly devices to verify visits and comply with federal and state EVV requirements.

LANDLINE TELEPHONEThe Vesta EVV Landline Telephone Interactive Voice Response (IVR) system is a quick and reliable way for employees to verify a visit.

SMALL ALTERNATIVE DEVICEVesta EVV Time Clock Tokens are electronic devices that allow employees to validate visits when landline or cellular service is not available.VESTA MOBILE APPThe Vesta EVV Mobile app makes it easy for employees to log visits. The Mobile app is available for the iPhone and Android.


a) DEVICE TYPES

b) SCHEDULING



6.

Client Profile

The Client Profile tab contains Client/Individual demographic information, as well as vital data used by the EVV System.

In the Client Profile Tab, an Individual receiving EVV services will be marked as “EVV” and a unique EVV ID is generated.

Authorization Tab

The Client Authorizations Tab contains information regarding the Type(s) of Service the Client/Individual is authorized to receive.

Visit Plan

The VisitPlan Tab displays the Client/Individual’s weekly schedule, assigned Employee and displays the Total Weekly Authorized Hours.

Vesta EVV’s advanced Scheduling system allows EVV Users to easily schedule services and assign Employees to shifts. Each night, Vesta EVV loads the next day’s scheduled visits into a Visit Log for Employees.


a) DEVICE TYPES

b) SCHEDULING



6.

Visit Verify

Vesta EVV provides Agencies with three dependable, accurate, and user-friendly solutions to verify visits and comply with federal and state EVV requirements.

As Employees send start and end times to Vesta, the data is reconciled with that day’s Visit Log to automatically verify the visit. Any visit not auto-verified is flagged for further verification.

Call View

All captured call(s) placed into the EVV system for the Agency’s Toll Free number(s) will display in the Call View tab. The Call View tab helps Users analyze what may have happened during the Employees call in/out.

Reporting

Vesta EVV provides complete visibility and electronic documentation with comprehensive reporting features. The Vesta EVV system minimizes Information delays and documentation gaps.

VISIT MONITOR

Vesta EVV includes Visit Monitor, a dashboard which provides a real time view for State Agencies, OIG and Payers.


a) DEVICE TYPES

b) SCHEDULING


5. VESTA EVV FOR CONSUMER DIRECTION

a) VESTA GOALS FOR CDSb) VESTA DEVICES FOR CDSc) VESTA WEB APP

6.

Vesta Goals For Consumer Direction

• Respect & Dignity

• Accessibility

• Flexibility

• Usability

• A system that works for all stakeholders

Respect & Dignity…

• for the Consumer

• for the Stakeholders

• for the Policy

• for the Process

Accessibility…• Systems are designed to allow accessibility features of the platform to be used

• Alternative processes and devices appropriate to the needs of the individual

• Communication and documentation in multiple languages and formats that

ensures users are able to learn the process and systems required to

implement EVV

• Responsive support systems to resolve issues in a timely manner

Flexibility…

• Capability to use Vesta EVV without stringent schedules

• Capability to use Vesta EVV in multiple locations

• Capability to use Vesta EVV under multiple circumstances

Usability…

• Minimal visit maintenance

• A web interface for the CDS Employer

• Multiple devices for the CDS Employee

A system that works for all stakeholders

• Stakeholder input is vital to the success of EVV

• Regular stakeholder meetings

• Transparency

• Responsive Support


a) DEVICE TYPES

b) SCHEDULING




6.

1. Using the Client’s landline phone, call your Agency’s Toll-Free number and listen for the “Vesta” welcome message.

2. At the prompt “Enter Employee ID” - Enter your assigned Employee EVV ID.

3. At the prompt “If Required, enter Client ID” – Enter the Client’s EVV.

4. You will hear “If Required, enter Token Number or wait for time.

5. Retrieve a call time and the call will end.

6. Call Demonstration

Landline Telephone

Allowable Phone Types:Home telephone service where the phone cannot be disconnected and used at a different address/location. This includes phone service through the local:Wired phone connected to a phone jack in the wallCable internet provider FIXED VOIP (e.g., Time Warner, Comcast, AT&T, etc.)

Unallowable Phone Types:Phone service provided over a cellular, satellite or other mobile network is not acceptable.

Portable alternative phone services that use Non-Fixed VOIP, including but not limited to MagicJack, Vonage, Skype or GoogleVoice.

Landline Telephone

Clients/Individuals that do not have aLandline phone or do not want the employeeto use their Landline phone may have a SmallAlternative Device (SAD) affixed in their home

The Small Alternative Device (SAD) has aunique serial number and is assigned to aspecific Client/Individual; the EVV Systemidentifies a specific Client/Individual via theirassigned EVV ID

Small Alternative Device (SAD)

The Small Alternative Device (SAD)continuously displays a unique six (6) digitnumber on the screen that represents aspecific date and time for the Client/Individual(EVV ID) that it is assigned to

The Small Alternative Device (SAD) six (6)digit unique number changes every 60seconds; every 10 seconds, a new line isdisplayed to the left of the six (6) digit numberthat indicates how much time is left before thenumber will change

Small Alternative Device (SAD)

The Vesta® Mobile App was developed asan alternative method for verifying visits ascellular smartphones continue to replaceland line phones.

The Vesta Mobile Smartphone Applicationoffers the ability to verify visits anddocument the precise time and location theservice provision begins and ends.

Vesta Mobile App

GPS Technology

What is GPS?• Acronym for Global Positioning Service

• A navigational system using satellite signals to fix the location of a

radio receiver on or above the earth's surface

GPS uses satellite signals to determine the geolocation of a device receiving the signals.

GPS Geolocation

An example of GPS Geolocation is…• Latitude and Longitude coordinates

are used to identify a location on a map

• Geolocation of the Texas Capitol:30.274665200, -97.740350500

• The first number is Latitude

• The second number is Longitude

Example: Satellite Signals used to find a Location

A geolocation is a specific point in space; an address occupies a range of space.

To confirm the location of an address, a range of geolocation coordinates is used.

GPS Technology

ADVANTAGES:• Less intrusive than landline phones or SADs for the client receiving services.• More efficient data entry with fewer errors.• Efficiency features, such as alerts and messages to employees.

LIMITATIONS:• Employee must own a smartphone with GPS capabilities and must agree to

use the smartphone for EVV.• Smartphone cannot be jailbroken or rooted in a manner that would allow Mock

GPS to be programmed into the phone.• If the employee lives in the same apartment complex as the individual, GPS

may not be able to detect the difference in location between the employee’s home and the client’s home.

• Smartphone maps may have the wrong geolocation for an address.

GPS Technology

Vesta Mobile AppThe App may be downloaded from the Apple Store for iPhone devices, or Google Play Store forAndroid devices.

Apple App Store Google Play Store

Note: For full functionality, users must accept all permission requests, such as location services and push notifications.

Vesta Mobile App RegistrationOnce the attendant has downloaded the App, the FMSA Administrative Staff starts the Registration Process for each employee.

The Agency ID, Employee EVV ID and Password are Required. Each FMSA Agency will be provided their unique Agency ID and Password by Vesta EVV for Registration purposes.

Vesta Mobile Registration

Once the Attendant’s Mobile Device has been Registered by the Administrative Staff, the App will open the Employee Login Screen. Vesta Mobile App is now ready to use.

Once the smartphone has been registered, it is ready for the employee to start clocking in and out. Upon arrival at the Client’s home to provide services, the employee will:

Step 1. Launch the Vesta Mobile App.Step 2. Enter the Employee EVV ID and click “LOGIN”.

Step 3. Enter the Client EVV ID and click “CLOCK IN”. At end of visit, the employee would click “CLOCK OUT”.

(The GPS coordinates/location information is gathered and the Visit Clock Timer tracks visit duration)

Once a Visit has started, the App may remain open or it may be closed.If App is left open, the “Visit In Progress” screen displays when accessing the App.If App is closed, upon launching the Vesta Mobile App, the “Visit In Progress” screen displays.If the smartphone shuts down due to power loss, upon launching the App, the “Visit In Progress” screen displays.Note: Closing the App does not stop the Visit Clock timer that tracks the Visit duration.

Vesta Mobile Menu

Menu options may be accessed by pressing the Menu Icon.

A list of Menu options will display.

• Schedule• Message• Language• Log Out

The Vesta Mobile App allows the employee to see their weekly planned schedule.

Schedule information is uploaded daily.

If a schedule is changed today, the information will not be displayed until the following day.

Note: It is recommended that Employees check their schedules daily for any updated information.

Vesta Mobile Menu - Schedules

The Vesta Mobile App offers Providers the capability to broadcast messages to ALL mobile users. Once a Message is setup by the Provider, the employees would see the message(s) on the Vesta Mobile App.

Vesta Mobile Menu - Messages

Vesta Mobile Menu - LanguageApp language may be set to English or Spanish. Language can also be indicated during the Initial Login.

Frequently Asked Questions

Q: Will the App alert the attendant to clock out?A: With notifications turned on for the App, reminders are sent to the phone to

clock out.

Q: Can I send messages to individuals through the app?

A: Messages sent using message broadcast are sent to ALL registered users.

Q: If the attendant lives with the client how do they clock in?

A: No difference in steps; the employee will utilize the App to clock in and out.

Q: How will I verify the visits?

A: Visit Verification will still be managed by utilizing the three step process when an exception occurs. Any questions regarding reason code usage would need to be directed towards HHSC.


a) DEVICE TYPES

b) SCHEDULING




6.

Vesta Web App For CDS Employers

Vesta Web App For CDS Employers

Vesta Web App For CDS EmployersMay be used to review and sign off on an employee’s EVV hours.

Documents

For Consumer Directed Services (CDS) & Financial ... · Cable internet provider FIXED VOIP (e.g., Time Warner, Comcast, AT&T, etc.) Unallowable Phone Types: Phone service provided