Home Health Electronic Visit Verification Service

The State of Florida, Agency for Health Care Administration (AHCA), is seeking vendors to provide a Home Health Electronic Visit Verification (EVV) Service through a Request for Proposals (RFP). The selected vendor will be responsible for developing, implementing, and operating an EVV system that verifies the utilization of home health services through user-friendly technology to identify service delivery and deter fraudulent or abusive billing. Key requirements include interfacing with the Florida Medicaid Management Information System, enabling provider scheduling and check-in/check-out functionality, creating a provider portal, submitting HIPAA-compliant claims, and integrating with third-party EVV systems. The RFP includes detailed submission requirements and evaluation criteria, with the contract term potentially lasting up to six years, including three optional one-year renewal periods. Respondents must submit a proposal guarantee of $319,600, and the anticipated contract amount for the original term is $3,196,000, with payments based on fixed price deliverables.

The RFP solicitation is open to all qualified vendors, and there are no set-aside designations or restrictions on the types of organizations that can respond. The current Home Health EVV program has 188 unique home health agencies submitting claims, with 29 using alternative (third-party) EVV vendors. Funding for this contract will be provided through the Florida Medicaid program, and the State's performance and payment obligations are contingent upon annual legislative appropriations. The Agency reserves the right to direct amendments to the vendor's disaster recovery plan and require certain security compliance audits annually.