EVV Extension 2021 – What Home Care Agencies Need to Know?


Most home care agencies in the United States were in the process of implementing the EVV (Electronic Visit Verification) before the deadline. Fortunately, many states have already given an extension on the basis of ‘Good Faith Effort Exemption’

The next big question that arises is: do home care agencies need to implement EVV now? What if they haven’t implemented EVV yet since the deadline (January 1st, 2020) has already passed?

Here is the detailed information about the entire scenario related to EVV implementation for personal care services.

What is the Good Faith Effort Exemption?

Most states requested that the Centers for Medicare & Medicaid Services (CMS) provide an exemption for completely implementing EVV. The states that were already trying to implement a digital verification system for caregivers mentioned the challenges that they are facing in making agencies compliant.

CMS offered an exemption to most states in accordance with section 1903 (1) (4) (B) of the Social Security Act and by section 12006 (a) of the 21st Century CURES Act.

The states that have made a good-faith effort for complying with EVV requirements through conducting environmental scanning, choosing its EVV model, and enhancing their current EVV system to meet the compliance needs of the federal government have been given an extension.

The federal government clearly depicted that those trying to comply within the provided time and have encountered unavoidable delays would be exempted. Moreover, CMS won’t apply FMAP (Federal Medical Assistance Percentage) reductions in the year 2020.

Download Free State-by-State EVV Guide

What is the new deadline for implementing EVV for states with the exemption?

The states that were provided an exemption for implementing EVV are provided a one-year extension to implement EVV. The states that have been provided an exemption would be considered for FMAP deductions after one year.

This clearly shows that states with the exemption need to implement EVV before January 1st, 2021. Yes, the new deadline for states that have been offered the ‘Good Faith Effort Exemption’ is January 1st, 2021.

What about the states that didn’t request the exemption?

States that have not requested an exemption needed to implement EVV before January 1st, 2020. However, every home care agency delivering personal care services must choose appropriate EVV software to be compliant before the deadline.

States are trying hard to ensure they are compliant to avoid FMAP reductions in Medicaid.

Do home care agencies need to implement EVV now?

Yes, absolutely. Every home care agency needs to implement EVV through third-party EVV partners before their respected deadline. It is crucial for agencies to check their state’s ‘Good Faith Effort Exemption’ status to ensure they haven’t missed the deadline to implement EVV.

Here’s the List of the States that are given Exemption for 1 Year to Implement EVV:

State Status
Alabama Approved
Alaska Approved
Arizona Approved
Arkansas Approved
California Approved
Colorado Approved
Connecticut Approved
Delaware Approved
District of Columbia Approved
Florida Approved
Georgia Approved
Hawaii Approved
Guam Approved
Idaho Approved
Illinois Approved
Indiana Approved
Iowa Approved
Kansas Approved
Kentucky Approved
Louisiana Approved
Maine Approved
Maryland Approved
Massachusetts Approved
Michigan Approved
Minnesota Approved
Mississippi Approved
State Status
Missouri Approved
Montana Approved
Nebraska Approved
Nevada Approved
New Hampshire Approved
New Jersey Approved
New Mexico Approved
New York Approved
North Carolina Approved
North Dakota Approved
Ohio Approved
Oklahoma Approved
Oregon Approved
Pennsylvania Approved
Rhode Island Approved
South Carolina Approved
South Dakota Approved
Texas Approved
Utah Approved
Vermont Approved
Virginia Approved
Washington Approved
West Virginia Approved
Wisconsin Approved
Wyoming Approved

(Note: The States not mentioned here didn’t request for a ‘Good Faith Effort Exemption.’)

Source: https://www.medicaid.gov/

Related blog posts:

How the Good Faith Effort Exemption Impacts Home Care Agencies
How to Implement EVV in States with Exemption under Good Faith Efforts

We've just scratched the surface.

Our users reported 95% customer satisfaction in 2023. Schedule a personal walkthrough to see CareSmartz360 in action.

Request a Demo