Healthfirst Information Center

Healthfirst Information Center

Provider Portal Questionnaire

HHAeXchange & Healthfirst Partnership

Healthfirst has partnered with HHAeXchange to leverage our homecare management Provider Platform to implement Electronic Visit Verification (EVV) for Personal Care Services (PCS) and Home Health Care Services (HHCS), as part of the approach for the 21st Century Cures Act.

Through the HHAeXchange platform, you will be provided with new member demographic data and authorizations from Healthfirst, with the ability to schedule, confirm, and bill visits for those members.

In addition, the HHAeXchange platform offers a robust agency management solution that can help streamline and automate time-consuming agency functions including placement, scheduling, compliance, and billing of services.

What does the HHAeXchange Portal provide to homecare agencies?

The HHAeXchange Portal provides a direct connection from the agency to Healthfirst for:

  • Electronic case broadcasting, authorizations, confirming visits using EVV

  • Real-time two-way messaging with Healthfirst

  • Free EVV solution for time & attendance and duty tracking

  • Electronic billing along with pre-billing review 

Your Agency’s Options & Onboarding Phase

PHASE 1:

Enterprise Free Agencies currently using HHAeXchange’ s EVV tools: You had a free HHAeXchange portal created through completing an enrollment questionnaire for a previous implementation. You will be able to continue using HHAeXchange, utilizing the system’s linked contract functionality. Providers will be implemented with the linked Healthfirst contract in Phase 1. Providers should have received a detailed welcome letter in advance, letting them know which phase they fall under along with the go-live date expectations.

Enterprise Free Agencies currently using another 3rd Party EVV Solution (Existing EDI Providers): You had a free HHAeXchange portal created through completing an enrollment questionnaire for a previous implementation. You will be able to continue using HHAeXchange, utilizing the system’s Healthfirst Linked Contract functionality. Schedule and visit data will be imported from your 3rd party system into HHAeXchange to be billed to Healthfirst. Please work with your EVV Vendor to determine requirements to set up this interface and refer to the EDI Process tab for more details. Providers will be going live with the linked Healthfirst contract in Phase 1.

  • Please click here to view your HHAeXchange & Healthfirst EDI Provider Welcome Packet for Enterprise Free Providers Integrating a 3rd Party EVV solution.

Agencies not currently using HHAeXchange: You will receive a free HHAeXchange Portal as part of this Implementation. Please complete the Provider Portal Enrollment Form to ensure our team can create your unique credentials for access. Providers will have the choice to either use the free HHAeXchange EVV tools or select to integrate with their existing third party EVV system. Providers will be going live with the linked Healthfirst contract in Phase 1.

  • You will receive a welcome packet upon making an EVV selection and completing a the Provider Enrollment Form.  

PHASES 2 & 3:

Enterprise Agencies currently using HHAeXchange – You currently pay for the HHAeXchange Full Enterprise platform. With Healthfirst, you will be able to continue using HHAeXchange, utilizing the system’s enhanced Linked Contract functionality. Providers will be implemented with the linked Healthfirst contract in Phases 2 and 3. Providers will receive a detailed welcome letter in advance, letting them know which phase they fall under along with the go-live date expectations.

Important Milestone Dates for Providers: 

Claim Denial Date: Jan 1, 2023

Phase 1 (New/Existing Enterprise Free Providers):

  • Phase 1 Go Live: Aug 15, 2022

Phase 2 (Enterprise Providers):

  • Phase 2 Go Live: Oct 17, 2022

 Phase 3 (Enterprise Providers):

  • Phase 3 Go Live: Nov 14, 2022