5.28 Release

Last updated on 8/27/2025


Versioning

Posted Date

Comments

9/17/2025

Initial posting


Table of Contents

5.28 Feature Release        2

EVV: HHAX v5 (FL) - Edit Visit and Missed Visit Reason Code Updates        2

EVV: HHAX v5 (PA) - Updates to Missed Visit Reason and Action Codes        3

Live Patient Record: Renamed to ‘Live Client Record’ (LCR)        4

Payroll: Increase to Reliability        4

Admin: Teams: Removed Field ‘Treat Team as Facility’        4

Settings: Permissions: Facility, Training, and Inventory        4

Settings: Training        5

Settings: Inventory Management        6

Settings: Pick Lists: Note Types        6

Clinical: Intervention Types: New Options: Outcome & Objective and Targeted Behavior        8

Clinical: Input/Output Type New Options: Does NOT Flow to I/O Record        10

Facility: Facilities        12

Facility: Calendar: Facility Census        12

Facility: Calendar: Facility Check In Start        13

Facility Day View        14

Facility: Facility Management: Tasks/Forms & Audit        15

Billing: Payers: Service Codes: Rate Type: Per Diem        16

Billing: Payers: E-File Option: Team/Facility        19

Calendar: Facility: Scheduling a Client and/or Employee        19

5.28 Feature Release

Release Date: September 25, 2025

EVV: HHAX v5 (FL) - Edit Visit and Missed Visit Reason Code Updates

Edit Visit Reason Codes 916-922 and 998 are now available for Florida HHAX v5 visits.

When selecting Edit Visit Reason Code 916-921 a note is required.

Code

Description

916

HHAeXchange EVV Mobile App Down (Note required: Support ticket number) (Warning: May result in audit)

917

HHAeXchange EVV IVR Down (Note required: Support ticket number) (Warning: May result in audit)

918

HHAeXchange Scheduled EVV System Downtime (Warning: May result in audit)

919

EDI EVV Mobile App Down (Note required: Vendor support ticket number) (Warning: May result in audit)

920

EDI EVV IVR Down (Note required: Vendor support ticket number) (Warning: May result in audit)

921

EDI Vendor Scheduled EVV System Downtime (Note required: Vendor support ticket number) (Warning: May result in audit)

922

Member not active in HHAeXchange - member not placed or member discharged at time of service (Warning: May result in audit)

998

PDO Only: Live-in caregiver, EVV not required. (*Self-Direction only).

When selecting Missed Visit Reason Code 8 and 27 a note is required.

Code

Description

8

Other (must include description in Comments section)

27

COVID-19: Other (If selecting COVID-19: Other, please provide additional details in the Note section)

When selecting Missed Visit Action Code 6 a note is required.

Code

Description

6

Other (must include description in Comments section)

EVV: HHAX v5 (PA) - Updates to Missed Visit Reason and Action Codes

When marking a visit as Missed for Pennsylvania HHAX v5, Reason Codes 520-525 will now require a note be entered and the payer names have been appended to the end of the description text for each code that is valid only for a subset of payers.

Missed Visit Reason Codes

Code

Description

508

UN – Agency is unable to staff the case (Amerihealth, Centene PA Health & Wellness, Centene PA H&W HHCS, Highmark, Keystone, UPMC)

510

AR – Participant/Family refused or unavailable (Amerihealth, Centene PA Health & Wellness, Centene PA H&W HHCS, Keystone, UPMC)

511

HU – Hospitalization unplanned (Amerihealth, Centene PA Health & Wellness, Centene PA H&W HHCS, Highmark, Keystone, UPMC)

512

IS - COVID-19: Participant refused, receiving service through informal supports (Amerihealth, Centene PA Health & Wellness, Centene PA H&W HHCS, Highmark, Keystone, UPMC)

513

SI - COVID-19: Participant refused, self-isolating, not receiving service (Amerihealth, Centene PA Health & Wellness, Centene PA H&W HHCS, Highmark, Keystone, UPMC)

514

FA - COVID-19: Participant is in hospital or Nursing Facility (Amerihealth, Centene PA Health & Wellness, Centene PA H&W HHCS, Keystone, UPMC)

517

TX - COVID-19: Worker switched to cover another case (Amerihealth, Centene PA Health & Wellness, Centene PA H&W HHCS, Keystone, UPMC)

519

CV - COVID-19: All other cases where the agency could not staff due to COVID-19 (Note: If selecting this reason, please provide additional details in the Notes section) (Amerihealth, Centene PA Health & Wellness, Centene PA H&W HHCS, Highmark, Keystone, UPMC)

520

UN - Agency is unable to staff the case (Amerihealth EPSDT, Centene PA Health & Wellness HHCS, Health Partners, Keystone EPSDT, United, UPMC Health Choices)

521

NA -The assigned staff could not cover the shift because of illness or some other reason (Amerihealth EPSDT, Centene PA Health & Wellness HHCS, Health Partners, Highmark, Keystone EPSDT, United, UPMC Health Choices)

522

H - Did not need covered because the member is in the hospital (Amerihealth EPSDT, Centene PA Health & Wellness HHCS, Health Partners, Keystone EPSDT, United, UPMC Health Choices)

523

FR/FD - The family refused the services that were offered / Family deferred the scheduled hours so they can be provided at a different time (Amerihealth EPSDT, Centene PA Health & Wellness HHCS, Health Partners, Highmark, Keystone EPSDT, United, UPMC Health Choices)

524

OA - A different agency provided the services (Amerihealth EPSDT, Centene PA Health & Wellness HHCS, Health Partners, Keystone EPSDT, United, UPMC Health Choices)

525

PI - Private insurance is covering these hours (Amerihealth EPSDT, Centene PA Health & Wellness HHCS, Health Partners, Keystone EPSDT, United, UPMC Health Choices)

Missed Visit Action Codes

Code

Description

51

Contact MCO for Backup Plan initiation (Amerihealth, Amerihealth EPSDT, Centene PA Health & Wellness, Centene PA Health & Wellness HHCS, Health Partners, Keystone, Keystone EPSDT, United, UPMC, UPMC Health Choices)

56

Visit rescheduled by agency (Amerihealth, Amerihealth EPSDT, Centene PA Health & Wellness, Health Partners, Highmark, Keystone, United, UPMC, UPMC Health Choices)

Live Patient Record: Renamed to ‘Live Client Record’ (LCR)

The Live Patient Record (LPR) has been renamed the Live Client Record (LCR)

Payroll: Increase to Reliability

To mitigate risk associated with payroll processing within the system, the lambda that marks all assignments as paid must finish prior to delivering the payroll CSV file to users. This will ensure that if that process fails, payroll cannot be rerun with duplicate data.

When a user clicks to run payroll, we will lock the payroll screen with a spin icon and process all work in the background, resulting in a file download at the end of the final update.

Admin: Teams: Removed Field ‘Treat Team as Facility’

Within a Team’s Profile, the system will no longer have the option to mark a Team as a Facility.

Settings: Permissions: Facility, Training, and Inventory

Within the Admin & Patient section of Permissions, there are new permissions controlling access to various menu options.

Facility: allows user to access and/or edit the Facility menu (this is still the permission that allows a user to view the Calendar (formerly labeled PPECC))

Facility Tasks: allows user to view/edit/delete Facility Tasks within the Facility menu

Training: this permission will be visible in 5.28 but it will not have any effect until after Release 5.29

Inventory: this permission will be visible in 5.28 but it will not have any effect until after Release 5.29

Settings: Training

This menu option will navigate users to a new page for a Learning Management System within Statewise where providers may create and save training content.

This feature will be toggled off when 5.28 is released and will be fully functional with Release 5.29.

Settings: Inventory Management

This menu option will navigate users to a new page for Inventory Management within Statewise where care providers may add, track, and audit inventory for clients or facilities with electronic signatures and full history. #49573

This feature enables care providers and administrators to manage inventory items for clients or facilities efficiently. Users can add inventory records with essential details, track quantities and values, and audit all changes with electronic signatures. The system supports viewing current inventory summaries and detailed history for each item, ensuring full transparency and compliance. Inventory management workflows apply consistently across various facility types.

This feature will be toggled off when 5.28 is released and will be fully functional with Release 5.29.

Settings: Pick Lists: Note Types

Required Fields

Optional Flags and Selections for all Assigned To Options

Optional Flags and Selections for ‘Client Only’ and ‘Facility Only’ Assigned To Options

Optional Flags and Selections for‘Facility Only’Assigned To Options

Clinical: Intervention Types: New Options: Outcome & Objective and Targeted Behavior

NOT YET AVAILABLE IN THE APP

Two new Intervention Types, Outcome & Objective & Targeted Behavior are available in the system. Similar to Vent Settings, these fields get filled in by the assessing clinician and are viewable by the DSP when charting.

Outcome & Objective

Assessment view for the assessing clinician:

DSP View: they will see all of the above READ-ONLY and they have to fill out the following:

Then in the LCR users may generate the Outcome/Objective report:

Targeted Behavior

Assessment view for the assessing clinician:

DSP View: they will see all of the above READ-ONLY and they have to fill out the following:

Then in the LCR users may generate the report for Behaviors:

Clinical: Input/Output Type New Options: Does NOT Flow to I/O Record

The I/O table options have been expanded to include new options when creating an Intervention and the Type: Input/Output. These options have been made available to allow for documentation to be recorded by a DSP for IDD Facility clients and do not flow to the I/O record. 

When utilized on the web, the following fields will need to be addressed:

Bowel Movement

Urine Ext

Menstruation

Vomiting

Foods/ Fluids

Facility: Facilities

Access the list of facilities, create or edit a facility’s details, and associate Team(s) to a Facility in the Facilities menu.

Profile Tab:

Check in Option:

Facility Check In Form:

Use Facility Info for Clinical Documents

Billing Facility Name

Inventory Tab:

Not yet available, the group exists for functions becoming available in a future release.

Identifiers Tab:

Billing Identifiers to allow for claim filing details to be associated with the Facility.

Facility: Calendar: Facility Census

Access the facility census via the Facility Calendar to see a list of all clients scheduled that day and their current visit status, including those marked as Missed and the Reason associated with the Missed Visit.

Click on ‘Facility Census’ for a specific day of the week to see the list:

Facility: Calendar: Facility Check In Start

Access the facility check in (clock in/out) via the Facility Calendar. Clock in and access the Facility Census, as well.

Once clocked in, the employee will be navigated to the Facility Day View.

Facility Day View

Once employee clocks in the page will reload to the Facility Day View

Task List

Census

List of clients scheduled at Facility today and visit status

5.29 includes updates that will allow for Groups

Shift Notes

A list of any note that has the assignment date and has been taken about either:

Facility: Facility Management: Tasks/Forms & Audit

This menu option will allow users to access a page where they may create tasks that are assigned to the Facility (versus a client). The tasks may be assigned to a single or multiple facilities.

A user with permission may create/edit Tasks that are specific to a Facility by clicking the +New button. Creating a new Task has Recurrence options (exactly like interventions work).

Users also have an option to +New Detail to set additional fields for the employee to fill in when the task is completed and may add multiple fields

The tasks will appear under the Task List based on the set recurrence.        

Billing: Payers: Service Codes: Rate Type: Per Diem

The system has been updated to allow a billing rate type of ‘Per Diem’ for services that are authorized and billed regardless of how many separate assignments exist in Statewise in a single day. 

Billing Payer: Service Code: Rate Schedule

Client Payer: Authorization Segment

Calendar

Billing Create Claim

Here is an example where a client has 3 separate assignments 7 days/week at the group home:

The claim will send the 1 Per Diem row, making time frames irrelevant and the clinician will equal the facility

(there are two claims below because the payer is set to split at month end)

Secondary Billing

Billing: Payers: E-File Option: Team/Facility

Facilities will have an Address section available and a Billing Identifier group to specify billing identifiers needed for payer e-file options. Update in the Payer > e-File options: 

Calendar: Facility: Scheduling a Client and/or Employee

Prior to Release 5.28

When a team is marked [x] Treat Team As Facility the system:

As of 5.28:

A background ‘client’ will still be created for any Team  that has at least one Facility associated with it.

The calendar updates the left pane because it knows:

Scheduling a client that may receive care at a Facility or 1:1

When the user selects Statewise HH SN Visit Form, the Employee Pick List shows as displayed in image on left.

When the user changes the form to one that is Facility Clinical, the Employee Pick List is replaced with Select Facility as displayed in image on the right.

Scheduling an Employee that may provide 1:1 care OR be scheduled at a Facility

Currently users cannot select a Facility in the client drop down only the Team ‘Facility,’ so the best way to schedule an employee is to filter to them on the top of the page.

Statewise knows that the employee is on a Team that has facilities associated with it so it will default the NEW assignment pane:

Toggle Client/Facility to Facility

The Form will default to the Facility Payroll form (the form is configured by the Statewise team)

To schedule the employee for 1:1 Toggle to Client

The client will auto-populate with the Team’s background client. Then, the user may type the name of an actual client and select 1:1 form and select the employee.