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

If you have an existing EVV-based solution in use, it should:

• Ensure the EVV system collects all information required by the CURES Act
• Monitor and track caregivers/attendants to verify required care delivery
• Encourage all recipients of Medicaid funded Personal Care Services to use EVV, explaining the risk of losing service eligibility if EVV is refused.

If you are not under an agreement with an EVV vendor, you should identify and contract an EVV vendor as soon as possible, ensuring the vendor of choice collects all required information.

Pursuant to EVV regulation at 19 CSR 15-9.200 (4), if the participant refuses to allow the use of EVV, the provider must document why the EVV system is not being utilized and file for services delivered as specified in 13 CSR 70-3.030, and the provider must use a paper timesheet for that participant. For more info, visit here.

Providers should refer to Missouri Revised Statutes 660.023.1 and 208.909.1, as well as 19 CSR 15-9 and PM-16-17/VM-16-17. Visit here.

No, you do not have to bear any continuous cost for the DSS EVV system. However, if you choose to integrate your current scheduling system into DSS’ EVV system, or any other third-party EVV-based solution then you may have to pay for that service.

Under the new mandate, the EVV system must verify the following:

• Date of service
• Location of service
• Individual providing service
• Type of service
• Individual receiving service
• Time the service begins and ends

Behavioral Services (provided in the home), Consumer Directed Attendant Support Services (CDASS), Durable Medical Equipment (requiring in-home setup), Home Health, Homemaker, Hospice, Independent Living Skills Training (ILST), In-Home Respite, In-Home Support Services (IHSS), Occupational Therapy (provided in the home), Physical Therapy (provided in the home), Pediatric Behavioral Therapy, Pediatric Personal Care, Personal Care, Private Duty Nursing, Speech Therapy (provided in the home), Youth Day