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Electronic Visit Verification (EVV)

UnitedHealthcare Community Plan of Arizona is compliant with Section 1903 of the Social Security Act (42 U.S.C. 1396b), also known as the 21st Century Cures Act, and the requirements set forth by AHCCCS; the Arizona State Medicaid program. This consists of the implementation of Electronic Visit Verification (EVV) for non-skilled in-home services (attendant care, personal care, homemaker, habilitation, respite) and in-home skilled nursing services (home health) as of Jan. 1, 2021. 

 

As of Jan. 1, 2023, EVV Hard Edits began for non-skilled in-home services (attendant care, personal care, homemaker, habilitation, respite) and for in-home skilled nursing services (home health). Please use the UnitedHealthcare Community Plan of Arizona Electronic Visit Verification Hard Edit Interactive Guide to learn more about complying with EVV requirements to prevent unnecessary claim denials. We encourage you to review this resource with your organization. For questions, please refer to the Resources section at the end of the guide for additional contact information. Find more information under the Electronic Visit Verification (EVV) section of our site.   For updated EVV information, please review the material below or visit the AHCCCS Electronic Visit Verification (EVV) page.

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AHCCCS

 

UnitedHealthcare Community Plan of Arizona

The AHCCCS Service Confirmation Portal is required to be used by providers when providing an EVV service that does not require prior authorization by a health plan. If a service subject to EVV already requires prior authorization by a health plan, there is no change to that health plan’s process, providers are advised to continue to follow the specific prior authorization requirements and processes for the health plan. If a service subject to EVV does not require prior authorization by the health plan, providers will use the AHCCCS Service Confirmation Portal to notify the health plan of their intention to provide a new service or continue providing an existing service. NOTE: If you are contracted to provide the same service for multiple health plans, you may have to adhere to different requirements and processes depending on the prior authorization requirements for each health plan.

 

UnitedHealthcare Community Plan of Arizona would like to encourage our provider community using EVV to have a policy in place outlining their process for following all of the provider requirements, as specified in AMPM 540. A policy may be essential in the future for potential review and auditing purposes.

For Sandata Aggregator account access, your agency must have an EVV contact on file. You can find details in our EVV Contact Add/Update User Manual. You can also use this process if you need to update your EVV contact or if you are using an Alternate EVV vendor. 

AHCCCS
  • EVV email: evv@azahcccs.gov
  • Sign up for EVV email notifications for updates on recent developments for initiatives

 

UnitedHealthcare Community Plan of Arizona
  • Please include your tax ID number (TIN), agency/provider name, contact information, member name, authorization number (if applicable), date of service and reason for inquiry to the appropriate inbox below:

Need help?

Connect with us through chat 24/7 in the UnitedHealthcare Provider Portal, or contact our call center at 800-445-1638, available 8 a.m.–5 p.m. CT.