There has been a change with who to contact at Inclusa when authorization and billing/claim support is needed.
This change will be effective immediately for the following service types:
Moving forward, the new contact will be:
Email: ACS-SHC-SDS-HomeHealth@inclusa.org
Phone: 1-888-544-9353, ext. 7
On January 1, 2024, the Wisconsin Department of Health Services (DHS) will implement the soft launch requirements for Electronic Visit Verification (EVV) for home health care services (HHCS) and nurse supervisory visits using the following service codes:
For a full listing of all service codes identified for EVV, visit: https://www.dhs.wisconsin.gov/evv/service-codes.htm
Soft launch is the time to learn and use the EVV system without affecting payments! Below are a few resources and supports to assist providers in preparing for EVV.
Resources
Supports
Inclusa is here to support providers with any contract or authorization specific questions as it relates to your contracted services.
Wisconsin EVV Customer Care is available to provide support throughout the soft launch transition as it relates to the EVV vendor system. Customer Care is accessible by email at vdxc.contactevv@wisconsin.gov or by phone (in English, Hmong, and Spanish, among other languages) at 833-931-2035 Monday–Friday, 7 a.m.–6 p.m. CT.
Sign up for the DHS email list to receive updates and notifications on training opportunities, policy information, and other important details regarding EVV in Wisconsin.
On May 1, 2023 the Wisconsin Department of Health Services (DHS) implemented the hard launch of the Electronic Visit Verification (EVV) system for hands-on cares for the following Service codes:
Claims will be denied for dates of service on May 1, 2023 and thereafter, if EVV requirements are not followed. Below are a few resources, reminders, and supports to assist impacted providers.
Resources
Important Reminders
EVV Visit Key Needed: Workers are required to check in/out using an EVV system at the start and the end of each visit. Claims without an EVV Visit Key will be denied. The EVV Flyers above provide further details regarding the EVV Visit Key.
No Date Span Billing: Claims for the related services must be submitted separately for each date of service. Claims submitted using date span billing will be denied. The WPS EVV Provider Billing Facts link above provides further details and helpful tips regarding claims and billing.
Date Span Example: A member received services on 14 dates in the month of May. Date span billing is when a date span of 5/1/2023–5/31/2023 is submitted for total units (days) and total charges. Instead, submit each day separately with units and charges on 14 individual claim lines.
Supports
Wisconsin EVV Customer Care is available to provide support throughout the process. Customer Care is accessible by email at vdxc.contactevv@wisconsin.gov or phone at 833-931-2035 Monday–Friday, 7 a.m.–6 p.m. CT.
Inclusa Authorization and Claims Support Team is available to provide support with authorization and claims:
Inclusa Provider Relations Team is available to provide support with contracting questions. Please contact your local Program Manager, ProviderRelations@inclusa.org, or 877-622-6700, option 2, then option 3.