Ohio Home Health Providers Must Use EVV Platform to Avoid Claim Denials

Aug 08, 2025

1 minute

Ohio Home Health Providers Must Use EVV Platform to Avoid Claim Denials

COLUMBUS, OH- As of June 1, 2025, UnitedHealthcare Community Plan of Ohio will deny claims to some home health services unless they use the state-mandated Electronic Visit Verification (EVV) system with Sandata. This complies with the 21st Century Cures Act and the Ohio Medicaid.

Affected services are-

G0156: Home health aide
G0151: Home health physical therapies
G0152: Home health occupational therapies
G0153: Home health speech language pathology therapies
G0299: Home health nursing RN
G0300: Home health nursing LPN

To prevent denials, the providers need to enroll in Sandata and get the required training, and make accurate visits in the EVV platform.

The Ohio Department of Medicaid provides supporting resources such as webinars, fact sheets, and helpline sessions. To get help, the providers may write to ODMCustomerCareEmail@Sandata.com, dial 855-805-3505, or visit a 24/7 chat on the UnitedHealthcare Provider Portal.

To learn more, see the Sandata EVV Portal or the Ohio Medicaid EVV webpage.

Services

Credentialing

Credentialing is the rigorous process of verifying a healthcare provider’s qualifications, including their education, training, licenses, and clinical experience. This service ensures that practitioners meet the high standards required by insurance networks and hospitals to provide care and receive reimbursement.

Billing & Collection

Billing and Collection service involves confirming a patient’s insurance coverage, active status, and specific benefits before their appointment. By identifying co-pays, deductibles, and required prior authorizations upfront, staff can prevent claim denials and help patients understand their financial responsibilities.

Eligibility Verification

Eligibility verification is the process of verifying a patient’s health insurance coverage and benefits to determine what services are covered and the level of coverage available. This process is essential for healthcare providers to ensure that they receive proper reimbursement for services rendered and that patients are not left with unexpected medical bills.

Revenue Cycle Management

RCM is the financial process that manages the entire lifecycle of a patient’s account, from the initial appointment scheduling to the final balance payment. It integrates eligibility, coding, billing, and collections into a single, cohesive workflow aimed at maximizing a practice's profitability.

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