Home Health Provider Verification Organizations (VO)

Overview

Under Social Services Law, certain certified home health agencies, long term home health agencies or personal care providers exceeding $15 million in Medicaid fee-for-service and/or Medicaid managed care reimbursements are required to utilize a verification organization (VO) to perform a pre-claim review. Participating providers are required to contract with a VO vendor that uses electronic means of verification, including but not limited to contemporaneous telephone verification or contemporaneous verified electronic data to ascertain whether a service or item was provided to an eligible Medicaid recipient.

The VO must verify the home health service(s) within the claim or encounter, collected from the electronic visit verification (EVV), prior to submission of the claim or encounter to the Department of Health (DOH) or to a managed care provider.

Many providers in New York State, especially in New York City (NYC), are familiar with EVV technology.  NYC Human Resources Administration (HRA) has for many years stipulated the use of this technology for Medicaid Personal Care Level 2 providers and recently also stipulated the use of a VO vendor. HRA's VO requirements are not the same as those required by OMIG.

To assist the Medicaid provider community, OMIG will periodically develop a list of the participating providers who are required by the OMIG to contract with a VO and will notify them by certified letter. Only providers who receive notification from OMIG are required to have their services verified by a VO.

Providers must select their VO from the joint OMIG/DOH list of approved VOs, which appears below. Please note that the VO selected does not have to be the same vendor utilized for EVV services.

Providers who have questions regarding their status and/or VO requirements may contact Kevin Ryan at (518) 402-0045.

More information about NYS Medicaid Requirements for Home Health Providers and VOs is available here: 

Verification Organizations Approved by DOH/OMIG

AccuPoint, LLC
660 Newark Avenue
Second Floor Suite 1
Jersey City, NJ 07306
Contact: Matthew Serel, President at 646-926-7081 ext. 7001 or [email protected]

Arrow Solutions, LLC 
116-12 Myrtle Avenue 
Richmond Hill, NY 11418
Contact: Michael Appel, CCO at 718-805-2266 ext. 7001 or  [email protected]

HHAeXchange
1 Court Square 
Long Island City, NY 11101
Contact: John Pandolfi, Director of Client Success at 646-813-5106 or [email protected]

Sandata Technologies
26 Harbor Park Drive
Port Washington, NY 11050
Contact: Rossana Follender, Director of Special Projects, New York Business Unit, at 516-484-4400 ext. 1235 or [email protected]

Visiting Aid, LLC
2744 Hylan Blvd. #153
Staten Island NY, 10306
Contact: Alex Pantelo at 347-850-4477 or [email protected]