Long-Term Services and Supports

Long-Term Services and Supports (LTSS)

The DDA is continuing its efforts to prepare for the DDA LTSS pilot by working closely with Coordinator of Community Services (CCS) agencies and service providers. CCS agencies are creating and entering service plans for all pilot participants. Providers will electronically accept the service plans for all pilot participants within LTSS. Regional Offices will approve service plans for all pilot participants.

Delivery of pilot services will start on December 1, 2019 and run through June 30, 2020.

Electronic Visit Verification

Under the federal law called the 21st Century CURES Act, the DDA is required to implement Electronic Visit Verification (EVV) for all Personal Supports services. EVV helps the DDA ensure that the right services are delivered to the right person at the right time.

Maryland will use a phone based, electronic billing system called In-Home Supports Assurance System (ISAS) to electronically verify services. EVV is required for anyone receiving personal supports through a Home and Community-Based Services waiver in Maryland, including people who self-direct.

Starting July 2020, Direct Support Professionals and self-directed workers will check in and out of Personal Supports services using the person’s telephone or a one-time password (OTP) token, that a person can get through their CCS.

For people in the pilot receiving Personal Supports, DSPs will start using EVV for clock-in and clock-out starting December 1. The calls are quick and free.

ISAS will verify six important things:

• Who is receiving the service?
• Who is providing the service?
• What service is being provided?
• The date of the service.
• The location of the service.
• The time the service begins and ends.