Electronic Visit Verification (EVV)
A State-by-State Guide

Section 12006 of the 21St Century Cures Act (the Cures Act), P.L. 114-255, added Section 1903(l) of the Social Security Act (SSA). Section 1903(l) provides that states must require the use of an electronic visit verification (EVV) system for personal care services (PCS) and home health care services (HHCS) that require an in-home visit by a provider.

No. Using EVV system is easy and you may not have to recruit any extra staff. Keep in mind that your caregivers and office staff are fully trained and compliant with EVV.

No, you can use your existing home care software with built-in EVV system for HCBS services.

Yes, home health agencies providing the above listed care services come under EVV mandate. If the agencies submit a claim for reimbursement without corresponding EVV after January 1, 2021, they may face denial of the claim.

The key technologies used in implementing EVV for capturing visit and care delivery information at the POC:

• Mobile Visit Verification (MVV): A GPS-enabled mobile application downloaded on a smartphone or tablet.
• Telephony Visit Verification (TVV): A system accessed via toll-free number, accessible 24 hours a day, 7 days a week.

Cloud-based solution for home care agencies facilitates the same purpose through:

• Agency Portal: Agencies utilizing the EVV-based solution can access the information to view and modify visit activity, and in limited circumstances, create EVV records. The data entered via the agency portal is notated as a manual entry and will be subject to Department audit.
• Data Aggregator: The Data Aggregator is a solution provider to interface with both the State EVV Solution and provider choice systems to transmit EVV data. Providers will have read-only access to a web portal in the Data Aggregator to view visit data.

No. As long as all of the statutorily mandated information is collected on personal care and home health care services requiring an in-home visit by a provider, states have significant discretion to utilize the system(s) of their choosing. Centers for Medicare & Medicaid Services (CMS) does not endorse one type of system over another.