What is Electronic Visit Verification (EVV)


It all began in December 2016, when the 114th US Congress enacted the 21st Century Cures Act. Section 12006 of the Act specifies that it is mandatory for states to implement Electronic Visit Verification (EVV) for Personal Care Services and Home Health Care Services that come under Medicaid by January 1, 2019, and January 1, 2023, respectively.

This will significantly change the way home care agencies provide services.

Through the implementation of EVV systems, the Act aims to curb fraud and improve care quality.

The Meaning of Electronic Visit Verification

EVV is a technological solution that automates collecting data regarding the service by capturing time, attendance, and care plan details punched in by a caregiver at the point of care.

It helps access information on care delivery in real time to ensure there are no care gaps throughout the service schedule. It helps verify – the type of service performed, the individual receiving the service, the individual providing the service, the date the service was provided, the location of service delivery, and the time the service starts and ends.

What makes the EVV system for home care so effective?

While using an Electronic Visit Verification solution, service delivery information can be collected and accessed in many ways. For home care agencies, the ease of use, efficiency, and flexibility of this solution helps them perform business operations with utmost accuracy. The tech integrated within the systems and mobile devices allows the agencies to work even without cellular or wireless connectivity, enables the elderly to confirm care delivery with their signatures, helps recognize unauthorized services, and provides highly controlled access to client data. Meanwhile, read-only features prevent times or costs from being manipulated and create flags for service deliveries that don’t meet specified criteria.

On the functional level, EVV features integrated within the home care software capture and track data. However, features embedded in the software are geared toward helping Medicaid payers reduce readmission rates.

By implementing an EVV software for home care, agencies can benefit in

  • Caregivers and agencies can communicate in real-time
  • Quicker point-of-care documentation
  • Crucial information can be accessed whenever needed for better care service delivery at a low cost
  • Get no-show alerts for missed visits in real time
  • Get text alerts to confirm caregiver visits start and end
  • Schedule, budget, and authorization reporting
  • Restrict clock-in if the budget exceeds
  • Capture care delivery documentation
  • Alerts regarding training, licenses, and more

How States and Agencies Can Implement EVV?

The 21st Century Cures Act has allowed states to select and implement the EVV model of their choice as long as it meets the minimum requirements. Accordingly, some states have opted for the ‘Open Model’, and some went with the ‘Closed Model’. Another provision to mandate EVV without putting pressure on care providers is through the ‘Provider Choice Model’.

To learn more about the state-wide implementation model and strategies, administrative structure, eligibility, penalty, and deadlines, click on the states given below:

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


Though EVV was essentially introduced to combat fraud, additionally, it unlocks several benefits for home care agencies and the elderly alike.

For agencies, EVV streamlines operations via capturing data in real-time, facilitating seamless communication, and reducing administrative burdens. Besides, EVV strengthens data security and ensures that the billing practices are precise.

For older adults and families, the implementation of EVV systems means improved care quality. Data visibility in real-time allows for better decision-making and helps identify potential care gaps.

As states continue to become EVV compliant, the home care industry embarks on a new era of accountability, efficiency, and superior care for the elderly.

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Related blog posts:

How does EVV/EDI Work for Home Care Businesses?
Why there is a Growing Demand of EVV in Home Care Industry?

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