VERIFI Act

To amend title XVIII of the Social Security Act to require the use of electronic visit verification systems for home health services under the Medicare program. 1. Short title This Act may be cited as the Verifying Electronically the Receipt of In-Home Care For Individuals Act VERIFI Act 2. Requirement that Medicare home health agencies have in place an electronic visit verification system (a) Condition of participation Section 1891(a) of the Social Security Act ( 42 U.S.C. 1395bbb(a) (7) (A) In the case of home health services furnished on or after January 1, 2019, the agency has in place an electronic visit verification system that meets standards established by the Secretary. (B) In this paragraph, the term electronic visit verification system (i) the type of service performed; (ii) the individual receiving the service; (iii) the date of the service; (iv) the location of the service is furnished; (v) the individual furnishing the service; and (vi) the time the service begins and ends. (C) By not later than July 1, 2018, the Secretary shall establish standards for electronic visit verification systems. In establishing such standards, the Secretary shall consult with home health agencies to ensure that such standards— (i) are minimally burdensome; (ii) take into account existing best practices and electronic visit verification systems in use; and (iii) require that the systems are conducted in accordance with the requirements of HIPAA privacy and security law (as defined in section 3009 of the Public Health Service Act). . (b) Rules of construction (1) No employer-employee relationship established Nothing in the amendment made by this section may be construed as establishing an employer-employee relationship between the home health agency and the individuals who, under a contract with such an agency, furnish such services for purposes of part 552 of title 29, Code of Federal Regulations (or any successor regulations). (2) No particular or uniform electronic visit verification system required Nothing in the amendment made by this section shall be construed to require the use of a particular or uniform electronic visit verification system (as defined in paragraph (7)(B) of section 1891(a) of the Social Security Act ( 42 U.S.C. 1395bbb(a) (3) No limits on provision of care Nothing in the amendment made by this section may be construed to limit, with respect to home health services furnished under title XVIII of the Social Security Act, provider selection, constrain beneficiaries’ selection of a caregiver, or impede the manner in which care is furnished.

Summary: Verifying Electronically the Receipt of In-Home Care For Individuals Act or the VERIFI Act This bill amends title XVIII (Medicare) of the Social Security Act to require the use of electronic visit verification systems for certain services under the Medicare program. An "electronic visit verification system" is a system under which care-related visits are electronically verified with regard to: (1) the type and date of service, (2) the individual receiving the service, (3) the individual providing the service, (4) the location of service delivery, and (5) the time the service begins and ends. A home health agency must have such a system in place for home health services as a condition of participation in the Medicare program. The Centers for Medicare & Medicaid Services shall establish standards for the systems and must consult with agencies to ensure that such standards: (1) are minimally burdensome, (2) account for existing best practices and electronic visit verifications systems already in use, and (3) require that the systems are conducted in accordance with specified legal requirements related to privacy and security.