AZ - Sandata

The state of Arizona is an Open Vendor Hybrid Model, which means agencies providing Medicaid services can use any EVV vendor of their choosing as long as the vendor can send important data elements to the state chosen EVV aggregator. Arizona uses Sandata for EVV aggregation. Rosemark has a direct integration with Sandata in the state of Arizona for participating Medicaid agencies. If you are interested in activating this feature or have further questions please email Customer Care at support@shoshana.com.

 

Why do Arizona Agencies need an integration?

The goal of the integration is for Rosemark agencies to continue managing ALL of their data in Rosemark and have that data be transmitted to the state of Arizona (through Sandata) to maintain compliance with the 21st Century Cures Act. In order for the integration to be successful, each agency must set up their particular data in Rosemark a certain way so that it conforms to expected standards set by the state. These rules must be followed by ALL agencies regardless of what software they use to run their agency.

AZ Medicaid -1.png

More detailed information on Specific Service Codes and Modifiers Can be found here

 

Agency Configuration

In order to sync your agency details correctly with Sandata we will need your Medicaid provider ID. This is supplied to you by the state when you are approved to provide Medicaid services. First go to the main Rosemark File Menu > Configuration > Medicaid. Fill out your Medicaid Provider ID, and set your ICD code number to 10. Move on to identifying Medicaid service types.

 

Identifying Medicaid service types

Each Medicaid program you are registered under and each procedure code you provide services for (and bill for) will need to be set up in Rosemark. You’ll also want to set up payer specific service types

Go to File > Configuration > Service Types and Rates.

Here you'll need to set up service types codes that show three pieces of information:

  1. Payer 

Example: AZCCCS, AZDDD, AZSCH

  1. Type of care being provided 

Example: Homemaker, Personal Care, Chores

  1. Procedure Code 

 Example: S5125, S5130, T1019:U7

Here is an example of a complete service type that is ready to sync to Sandata:

                                   AZDDD - Personal Care - T1019

 

In the description field of the service type code put in the procedure code as well as modifier, if appropriate. Keep in mind that each procedure code you bill under needs to have its own matching service type in Rosemark. For instance, if you bill under T1019 and T1019:U7 then you should have 2 service types in Rosemark. Once you have set up the appropriate service types move on to Client and Caregiver data entry.

 

Client Data

Each Medicaid client profile in Rosemark must contain the following data:

 

Caregiver Data

Each Medicaid caregiver profile in Rosemark must contain the following data:

Once you have completed the Initial Set up instructions as listed in this guide, please email Support@shoshana.com to schedule a call with Customer Care to review your data and complete the integration.