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Finding Massachusetts ASAP Member Info for EVV

Review this article to learn how retrieve EVV required data for Massachusetts ASAP clients.

Finding Authorization information for Massachusetts ASAP members

Authorization and payor information can be found in Provider Direct, which is hosted by Wellsky. Under Service Plans, you will be able to find authorization information such as the Provider name, units, Care Program (Payor Program), and the authorization status:

ASAP EVV 1

A full report is also available that includes:

  • Client ID
  • Consumer Name
  • Service
  • Agency
  • Units
  • Unit Price
  • Care Program (aka Payor Program)
  • Service Date
  • Provider

This report is obtained by:

  1. Login to the Wellsky Provider Direct portal
  2. Clicking “Reports”
    ASAP EVV 2
  3. Under the Services column, look for “Care Plans”, then “HPD Consumer Monthly Service Plan Report” under Consumer Service Delivery Report
    ASAP EVV 3
  4. Title should read “Service Report” and Shared With should read “Provider”.
    ASAP EVV 4
  5. Make sure to choose your organization under “Shared with Organization”
    ASAP EVV 5

Then you will be able to download the report.

Translation Table

This is specific to Massachusettes, but they use “Care Program” and “Payor Program” interchangeably. The Payor Program according to EVV specification has its own code. The translation between Provider Direct’s Care Program and the required EVV Payor Program are below:

Care Program

Payor Program

Choices / Waiver

Choices

ECOP / Non-Waiver

ECOP

Home Care / Percent Based

HCPB

Home Care Basic / Non-Waiver

HCBNW

Home Care Basic / Waiver

HCBW

One Care - Network Health Unify 1 (Primary)

 

SCO - Fallon Navicare 1 (Primary)

SCFAL

SCO - Senior Whole Health 1 (Primary)

SCSWH

SCO - Tufts 1 (Primary)

SCTUF

SCO - United 1 (Primary)

SCUNI

SCO - Commonwealth Care Alliance 1 (Primary)

SCCCA

One Care - Commonwealth Care Alliance 1 (Primary)

 

One Care - United Health Care 1 (Primary)

 

NAPIS - Title III

 

LOC - SCES - Properzi