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

EVV allows verification of an employee’s location, hours of work for payroll and billing, visits being reported are actually taking place, and that the patients are getting the care they require. Better care delivery, gapless communications, enhanced productivity of the staff, and automation of key processes are some other benefits of implementing EVV. It also helps to curb fraud and ensure transparency in care quality with continuous tracking and monitoring.

Centers for Medicare & Medicaid Services does not interpret the EVV requirement to apply to PACE program services. In CMS’s view, PACE is a separate Medicaid benefit listed at section 1905(a)(26) of the Social Security Act, and that provision is not cited in section 12006(a)(5)(C) of the Cures Act.

• Improved service accountability
• Reduced billing errors and claim denial
• Reduced manual processes and use of paper due to streamlined automation
• Streamlined communications between provider office and caregivers
• Service dashboard with reporting capabilities
• Search, select, assign and schedule a caregiver easily

There is a scheduling module within the EVV system. DSS has also selected the option to integrate third party schedule solutions with EVV. Home care software solutions are integrated with advanced capabilities that can automate matching and scheduling of caregivers as per the client needs.

The hybrid approach to EVV implementation permits flexibility when choosing which system to utilize. Home care agencies may choose to utilize the State EVV Solution at any time. Since training and systems requirements for the State EVV Solution may differ from that of provider choice systems, the Department recommends that providers plan timelines accordingly to ensure seamless transition.

A train-the-trainer model of training will be provided to the agencies and their staff through the Department’s EVV vendor. If going with a third-party EVV solution company, the training will be imparted by them.