Orion ISO-FS Electronic Visit Verification (EVV) Live-In Exemption Policy, Procedure, and Attestation

Minnesota program rules allow for Live-in Caregivers to “opt out” of using an EVV real time entry. A Live-In Caregiver is defined as a caregiver who resides in the same residence as the participant receiving services. A Live-In caregiver may choose to be exempt from using EVV real time entry. The Live-In caregiver choosing to “opt out” of EVV real time entry use will follow the procedure and timelines outlined below.

For more information visit MN Department of Human Services

• 1) The EVV real time entry exemption is only available during the time a Participant and Employee reside together. It is the Employee and Employer’s responsibility to inform Orion ISO if living conditions change and the Employee no longer qualifies for the EVV real time entry exemption.
• 2) The Employee must use the EVV real time entry system for documenting  work performed until the end of the pay period in which the Live-In Attestation form is processed.
• 3) The Employer/Employee will request a Live-In Attestation Form from Orion ISO HR or from the Participant's Family Coordinator.
• 4) To apply for the Live-In EVV real time entry exemption, the Employee must complete the Live-In Attestation Form and return the completed form along with required documentation to Orion ISO. The Employee is not eligible for the exemption until they are notified that their Attestation Form has been processed and must continue to use EVV real time entry until they receive notification that their exemption has been approved.
• 5) Documentation for verification can include any of the following:
  • a. Current MN Driver's License or ID card
  • b. Residential Lease
  • c. Tax Statement
  • d. At least 2 consecutive months of utility bills.
• 6) The Employee must resubmit the Live-In Attestation Form and required documentation on an annual basis.
• 7)  The HR Specialist will verify the address of the Participant receiving  services and the Employee who has requested the EVV Real Time Entry  exemption with Orion ISO documentation.
• 8)  If the addresses for the Participant and the Employee are the same, the Employee and Employer will be notified by the Orion ISO staff that the exemption has been processed.
• 9) The Employee may begin using daily entry on the first day of the next pay period following the approval notification from Orion ISO.
• 10) If the addresses do not match, the Employee and Employer will be notified by the Orion ISO staff that the Employee does not qualify for the Live-In EVV real time entry exemption and should continue using real time entry for EVV.

Pursuant of federal law, the State of Minnesota implemented Electronic Visit Verification (EVV) for all Medicaid personal care services and home health services that require an in-home visit by a direct support worker. Electronic Visit Verification (EVV) is an electronic technology system that verifies home or community-based work shifts by recording the exact time the shift begins and ends. Section 12006(a) of the 21st Century Cures Act mandates that states implement EVV for all Medicaid personal care services (PCS) and home health services (HHCS) that require an in-home visit by a provider. Federal guidance permits states to exempt live-in caregivers from EVV real time entry. This exemption may or may not apply to the parent or family member, depending on their living arrangement. A live-in caregiver is a caregiver who resides in the same residence as the participant receiving services.

A live-in caregiver is required to use the Electronic Visit Verification system, Cashe, however they have the option to use EVV in real time or to use EVV at least once per day worked. Please fill out this form if you are a live-in caregiver and are choosing to be exempt from using EVV real time entry.

I understand that it is my responsibility to inform Orion ISO if my living conditions change and that I no longer qualify for this live-in exemption.

I acknowledge that I have read and understand the EVV Exemption Policy and Procedure.

I declare that I am an individual care provider receiving payments under a qualifying state Medicaid program for care that I provide to an individual (whether or not related) living with the individual care provider’s. By signing this document, I attest that the information on this form is true and accurate to the best of my knowledge.