Accrued Minutes Visits in the EVV Aggregator Solution

Due to the implementation of EVV Claims Validation, a new process has been created to allow for continued billing of accrued minutes. This article defines accrued minutes visits and details the new process.

Per 13 CSR 70-91.010, a provider may not bill time spent in the delivery of service of less than one (1) unit of service for any participant. However, a provider may accrue time spent in the delivery of service of less than one (1) full unit for any participant to establish a unit of service.

Missouri DSS requires providers to bill actual minutes of service billed in 15-minute units. However, not every visit will be delivered in exact 15-minute increments.

For example: If a visit lasts 18 minutes, you bill 1 full unit (15 minutes), and the remaining 3 minutes are considered accrued.

Once the total accrued time reaches 15 minutes, you can submit an accrued minutes visit to EAS. Accrued minutes only apply to services authorized in 15-minute units.

  • To bill for accrued minutes in EAS, you (or your vendor) will need to create a corresponding Accrued Minutes Visit in your EVV system using the new reason code 280 (Accrued Minutes Visit) which will be used to match when the claim is validated.

  • Reason Code 280 (Accrued Minutes Visit) should only be used for accrued minutes visits.

  • Accrued Minutes Visits must include all data elements required for a verified visit:

    • DCN

    • Provider Medicaid ID

    • Employee FCSR (This can be any caregiver involved in that participant’s care during the accrual period.)

    • Service Type: Procedure code and modifier submitted with the original visits. For visits that require tasks, a new task 0280 (Accrued Minutes Visit) may be selected. This task should only be used for accrued minutes visits.

    • Visit date used must match date of service submitted on the claim.

    • Start and end time: Any time may be used so long as it is divisible by 15 (e.g., 30 minutes, 45 minutes) and does not overlap with an existing visit for the same service.

  • Whether created by your vendor’s EVV system or manually entered by you, all accrued minutes visits will be identified as a manual call type.

    Although a manual call type, accrued minutes visits are not included in the Auto-Verification reports in EAS or considered in the auto versus manual verification statistics.

  • Only one (1) Accrued Minutes Visit is allowed per day, per client, per procedure code or modifier.

  • There is no unit restriction, but the duration must be divisible by 15 (e.g., 30 minutes, 45 minutes)

  • Accrued Minutes Visits with a 0-minute duration will be rejected.

  • Accrued Minutes (from multiple visits) accumulate during the month and do not carry over from month to month.