+1
Under review

Allow signatures from Clients to be recorded only one time per week.

Eugene Yang 4 years ago in Scheduling updated by Lisa Izzo 4 years ago 3

In order to be in compliance in our state, a signature is needed from the client. Some of our caregivers have overnight schedules where the client is usually sleeping so to wake them up everyday while they are sleeping just to get a signature at the end of every shift is very inconvenient. Before EVV was mandatory, clients only had to sign once on the paper timesheets (DMAS-90) that covered one weeks worth. It would be great if you could update the system where the client would only have to sign once per week instead of having to sign at the end of every caregiver shift.

There may be emergencies where the caregiver may have to call out sick which would make implementing one signature at the end of the week very difficult to do. If you were to have the client sign on the first day of the caregiver's weekly shift, it could help alleviate this problem and have them only sign once per week even if a temporary caregiver had to work mid-week.

Thank you!

Under review

Eugene,

The purpose of the client signature is to verify that the service took place.  If the client signs once a week, on Monday, you would have verification of service for a week.  If the caregiver was a no-show for the rest of the week, any agency could claim the shifts were worked and collect the Medicaid reimbursement.  

If the application only requires signature at the end of the week, the caregiver might plan to collect on Friday, but then the client cancels the shift on Friday, and you have no client signature for the week.

Hi Lisa,

I understand your point about the caregiver being a no-show for the rest of the week and there being a possibility that the agency could create claims that were never worked for but wouldn't the GPS location help verify if the schedules were actually done or not as they would not match with the client's home address GPS location?

Thanks for the reply as I do want to see if this change would be possible or not by talking out all the little details.

The agency could manually enter clock in/out times and enter the appropriate exception codes.  If there were too many, obviously, the agency could be audited, but since at least some manual entry is allowed, this would invite the possibility of more Medicaid fraud.