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The 21st Century Cures Act is federal law that went into effect December 2016. Part of the 21st Century Cures Act requires states like Oregon to implement an electronic system for verifying the attendant care services (EVV). The EVV system must electronically capture the following information at the time the service is occurring:
- Type of service performed
- Individual receiving the service
- Date of the service
- Location of the service
- Individual providing the service
- Time the service begins and ends
Currently ODDS uses eXPRS which captures a lot of this information. However, there are limitations to eXPRS which are not currently meeting the EVV requirements.
- PSWs generally do not enter their time into eXPRS at the time of service. It is entered after the service has been completed, sometimes many days afterward.
- Location of the service is not captured by eXPRS
The 21st Century Cures Act also recommends that states seek stakeholder input from family caregivers, PSWs, and individuals receiving services along with other stakeholders when developing their EVV systems.
If ODDS does not have an EVV system in place by Jan. 1, 2019, ODDS may not be able to get a portion of federal Medicaid matching funds for ODDS services. See PDF presentation for more information
ODDS EVV Plan Overview
Much of the work for an EVV system is already part of eXPRS. ODDS plans to build upon what eXPRS already has in place to meet the federal requirements. This plan will allow ODDS to meet the January 1st 2019 deadline with fewer changes to the PSWs and their employers.
One of the recommendations of the 21st Century Cures Act is for states to get input from individuals receiving services, their families, and the PSWs on the state’s EVV system.
Starting in Spring 2018 ODDS will be holding a series of stakeholder meetings. ODDS uses the ODDS Engagement and Innovation page
to sign up participants for stakeholder groups.
Training and Informational Materials Coming Soon!