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PATHS Third Party EVE CHC MCO Only Addendum v1.15Sandata Technologies, LLC 26 Harbor Park Dr. Port Washington, NY 11050 Toll Free: 8005447263 Tel: 5164844400 Fax: 5164840679 Email: Web: www.sandata.comVersion
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To fill out PA-DHS Third Party EVV, follow these steps:
02
Begin by gathering all the necessary information and documents, such as the provider details, recipient details, relevant service codes, and service details.
03
Start by entering the provider information into the designated fields, including the name, address, contact information, and any other required details.
04
Proceed to enter the recipient information accurately, providing their name, address, contact information, and any additional information as required.
05
Enter the service details, including the start and end times, service codes, and any specific service-related information.
06
Ensure that all the information is correctly filled out and double-check for any errors or omissions.
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Review the completed form thoroughly to ensure accuracy and completeness.
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Sign and date the form, acknowledging that the information provided is accurate and complete.
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Submit the filled-out PA-DHS Third Party EVV form to the relevant authority or department as instructed, following any additional guidelines or instructions provided.
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Keep a copy of the filled-out form for your records.

Who needs pa-dhs third party evv?

01
PA-DHS Third Party EVV is needed by providers in Pennsylvania who offer waiver services or services funded by the Department of Human Services (DHS) and are required to track and verify service delivery using an Electronic Visit Verification (EVV) system.
02
This includes providers of home health care, personal care services, attendant care services, and other related services.
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PA-DHS Third Party EVV is the Electronic Visit Verification system implemented by the Pennsylvania Department of Human Services for third-party providers to electronically document the time and location of services provided to individuals receiving home and community-based services.
Third-party providers delivering home and community-based services in Pennsylvania are required to file PA-DHS Third Party EVV.
Providers can fill out PA-DHS Third Party EVV by using the approved electronic system to record visit data, including the start and end times of services, and the tasks performed.
The purpose of PA-DHS Third Party EVV is to ensure accurate and timely recording of services provided to individuals, monitor caregiver attendance, and prevent fraud and abuse.
Information reported on PA-DHS Third Party EVV includes the date of service, start and end times, location of service delivery, tasks performed, and caregiver identification.
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