Choosing an EVV System that Supports, Not Hinders, Self-Direction for State Medicaid Programs

Choosing an EVV System that Supports, Not Hinders, Self-Direction for State Medicaid Programs

Discover how the right EVV system can help improve care, expand choice for participants, and support a more effective self-direction program.

With more than 1.25 million people now participating in self-direction programs nationally and a major uptick in individuals choosing self-direction in response to certain dangers posed by COVID-19, now is the time to build on the successes of participant control. In this guide, discover six key elements to consider when choosing an EVV system in self-direction:

  1. Self-scheduling

  2. Participant review and approval 

  3. Flexibility

  4. Geo-data collection

  5. Variability

  6. Controls for program integrity


Meet the Authors

Marnie Basom | Vice President, Government Relations & Medicaid Market, HHAeXchange

Ms. Basom has a Bachelor of Science and Master’s in Public Health from Oregon State University and more than 25 years of public service working in Medicaid and public health - implementing government programs, contracts, and services in over 18 states. In her role with HHAeXchange, Marnie helps States and Medicaid Managed Care Organizations identify opportunities to better serve those receiving home and community-based services and long-term care support services and meet regulatory mandates.  She is a strategic leader and translator in creating operational constructs that bring federal and legislative mandates to operational reality. 

Mollie Murphy | Executive Director of Self-Direction, HHAeXchange

Mollie Murphy is a nationally recognized expert on Financial Management Services (FMS) in self-direction. With over seventeen years’ experience in self-direction, Mollie has assisted state and federal agencies in designing and implementing self-direction programs with high-performing and compliant FMS, also known as Fiscal Intermediary (FI) and Fiscal/Employer Agent services.Mollie co-founded Annkissam and specializes in policy, operations, and workflow in self-direction. Her experience has enabled Annkissam to build critical workflows to support high volume and compliant self-direction into its software. She was also the founder of Applied Self-Direction, a thought leadership membership organization in self-direction. She has worked with states to develop FMS from their inception and to improve services and processes in existing self-direction programs.Mollie regularly presents at national conferences and was a frequent author of content on self-direction for government agencies, foundations, and more.