Learn all about service provision, including information about the Request for Provider (RFP) Portal and Electronic Visit Verification (EVV), as well as providing SELF Waiver services, by clicking on the appropriate tabs below.
Request for Provider (RFP) Portal
When an individual is in need of a provider in Medina County, a Request for Provider (RFP) is posted in the MCBDD’s RFP Portal, which can be found at www.mcbdd.org/provider. The portal requires log-in credentials. Instructions regarding how to create log-in credentials can also be found on this website.
Once you have access to the portal, you can view all of the RFPs that have been posted. If you see one that you are interested in providing services for, and you are certified in the services needed, you can respond to the RFP by filling out the form within the portal. You may respond to as many RFPs as you would like.
Please note: Responding to an RFP does not guarantee that you will be interviewed or chosen to provide services.
When Chosen as a Provider for an Individual
Before beginning services with your first client, you will meet with the individual/their guardian and the SSA to discuss what service(s) you will provide, how often, etc., and the SSA will update the individual’s service plan (ISP) to reflect the addition of you as a provider. Your starting date will also be specified. From that ISP, you will create documentation sheets. If you are to provide a service that requires the use of electronic visit verification (EVV), that will need to be set up as well. Finally, you will have an orientation with MCBDD’s Quality Assurance Specialist.
If you require assistance with documentation, EVV, or understanding what your next steps should be, please contact the Medina County Board of DD.
Note: The process for finding individuals in need of a provider can differ from county to county. If you plan to provide services in multiple counties, you will need to reach out to each county to find out what their process looks like.
Electronic Visit Verification (EVV)
Electronic Visit Verification (EVV) is a requirement for providers of certain services through the Ohio Department of Medicaid (ODM). EVV is an electronic system that verifies key information about the services provided. The EVV system, implemented by ODM, will record the date of the service, the time the service started and ended, the individual receiving the service, the person providing the service, and the location of the service. Both agency and non-agency (independent) providers are impacted by EVV.
EVV is only applicable to providers of routine homemaker personal care (HPC), participant directed homemaker personal care (PD-HPC), and/or IO waiver nursing.
The use of EVV is not optional. If you provide one of the applicable services, you are required to use EVV.
Sign up for EVV training using your Medicaid Provider Number, not your 7 digit DODD contract number. More information about Electronic Visit Verification (EVV) can be found at www.medicaid.ohio.gov.
Sandata EVV Provider Hotline
ODMCustomerCareEmail@sandata.com
855-805-3505
GT Independence and Financial Management Services
When you are chosen as an independent provider of participant-directed (PD) homemaker/personal care (HPC) for an individual, that means the individual/their authorized representative is your employer. Additionally, GT Independence Financial Management Services acts as co-employer to manage the financial aspects of your employment (i.e. payroll, taxes, etc.). GT Independence is responsible for completing new hire paperwork, receiving and processing timesheets, and issuing paychecks (including withholding all required taxes and premiums). The individual/their authorized representative is responsible for things like finding and recruiting an employee, scheduling and participating in interviews, negotiating rate, providing training to employees, making sure employees are providing services as outlined in the plan, signing timesheets, and keeping required paperwork or records.
Providing Participant-Directed Homemaker/Personal Care (PD-HPC)
The process of being chosen as a provider of PD-HPC and beginning to provide those services is different than being chosen as a provider of HPC or other waiver services because of the self-direction aspect of the SELF Waiver. Here are some of the differences:
- You are chosen by an individual/family to be the provider of PD-HPC services. This means you have to be certified in PD-HPC or add PD-HPC to your current certification PRIOR to being added to the plan as the provider.
- GT Independence paperwork needs to be completed and submitted. Staff from GT Independence can assist you with their enrollment process.
- You meet with the individual/authorized representative and the Service and Support Administrator (SSA) to determine what your pay rate will be, what services you will provide, and what your anticipated schedule will be. The SSA will then add you to the individual’s Service Plan (ISP).
- You can start providing services on the assigned start date as long as the start date is on or after the effective ISP date. You will complete and submit your time sheets and documentation to GT Independence per the criteria outlined by GT Independence.
- You are responsible for ensuring you meet the requirements of GT Independence as well as the requirements outlined in DODD rule for providers and requirements as outlined by the Ohio Department of Medicaid (ODM) in regards to electronic visit verification (EVV).
GT Independence
customerservice@gtindependence.com
1-877-659-4500
I want to provide services in multiple counties. How do I do that?
Your certification is valid in all 88 counties. Contact each county you want to provide services in to discuss what their process is to help individuals find providers.
I am moving. What do I need to do to keep my certification?
If you are moving within the state of Ohio, you must report address changes to Ohio Shared Services, DODD and Ohio Department of Medicaid. If you need assistance, please contact the MCBDD Provider Support Specialist.
If you are moving out of state and want to serve individuals that reside in that state, your Ohio DODD certification most likely will not transfer. Contact the state you are moving to in order to determine what you need to do to be a provider.
Is there a limit to the number of individuals I can serve?
No. However, there is a rule regarding overtime. You are allowed to provide up to 60 hours of services without prior approval. If your weekly hours exceed 60, you need to discuss with the individual’s SSA and get approval to provide services for over 60 hours.
What type of records do I need to keep?
Each service you provide has documentation that is required. The rule for the service will specify what is required in each documentation sheet. Additionally, there are documents you must retain in regards to incident reporting and your training.
What do I do if the person I take care of needs medication?
In order to pass medication, you must hold medication administration certification unless you are a family member living with the individual you serve OR you have received delegation from the family. Contact the Medina County Board of DD if you have questions specific to the individual(s) you are serving for specific guidance to your situation. MCBDD provides medication administration classes for those in need. Please visit www.mcbdd.org/provider/medication-administration for more information.
The individual I want to serve has a SELF waiver. What does that mean?
Your services will be outlined in the ISP, however, you do need to work with a financial management service called GT Independence. You will negotiate your pay rate with the individual/their authorized representative, and GT Independence will oversee the financial aspects of your employment. You will need to get established with GT Independence prior to providing services.