Thank you for completing our new EVV survey! Summarized information will be used in our advocacy efforts with the Ohio Department of Medicaid. Your individual responses will be kept confidential.

All questions are optional. The survey is set up so you can edit the survey as much as you need until you complete the survey. Once you complete the survey, you will not be able to edit. If you need to edit your survey or have questions about the survey or EVV, please email Christine (ctouvelle@opra.org). 

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* 1. Agency

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* 2. How many individuals do you serve are receiving EVV-required services (HPC billed in 15-minute units, waiver nursing, waiver nursing delegation)?

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* 3. What percentage of your current DODD-funded services are subject to the EVV requirement?

0 100
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i We adjusted the number you entered based on the slider’s scale.

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* 4. Is your agency using the state-provided Sandata system or an alternate vendor?

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* 5. How is your agency administering and monitoring the visits logged by DSPs/other staff? Check all that may apply.

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* 6. Have you or do you plan to hire additional staff to help monitor your EVV visits?

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* 7. On average, how many hours per week per person served does it take to administer and monitor EVV in your agency?

0 20
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i We adjusted the number you entered based on the slider’s scale.

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* 8. Looking at the most recent report in eMBS, if claims would be denied based on EVV units, what percentage of your claims subject to EVV would have been denied?

0 100
Clear
i We adjusted the number you entered based on the slider’s scale.

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* 9. In the eMBS report, what are your most common exception of why claims would deny? Ex- Not enough EVV units for visit, no EVV units for visit, etc.

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* 10. Now that we are four months into EVV implementation, what are your biggest issues with implementing EVV?

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* 11. Have you turned down requests for services because the services are subject to EVV? Do you anticipate turning down new services in the near future (within the next 12 months)?

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* 12. Do you know how much coming into compliance with EVV has cost your agency (cost for staff training, writing and implementing new policies and procedures, admin time for monitoring and oversight of EVV visits, cost of alternate systems if applicable, etc.)? If yes, about how much has it cost? If not, please leave the question blank.

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* 13. Anything else you want us to know about how EVV is going in your agency?

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