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

Pennsylvania’s plan is as follows:

• March 2019 – DHS business rules to be finalized and initial FAQs to be released
• April 2019 – Technical specifications and DHS Addendum to be distributed
• July 2019 – Provider training to be offered with phased in system use. Training will continue to be offered through full implementation
• September 2019 – Soft launch of DHS EVV system
• January 2020 – Full implementation of system as required by Cures Act

States that have not implemented EVV by January 1, 2020 will be subject to FMAP reductions unless they have made a “good faith effort” to comply and have encountered “unavoidable system delays.”

An annual provider fee to support the Statewide EVV system is under consideration. Home care agencies who are using EVV-based software solution as per the State’s technical specifications and are approved as EVV vendors can continue to use their EVV systems.

Yes, you can use an EVV solution of your choice from a third-party provider. However, you may be required to go through the pre-defined channel of the state or aggregator to implement EVV. Currently the State of Pennsylvania is working with Sandata and DXC to integration with HHAeXchange

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

Yes, the objective an electronic visit verification system is to reduce the need for managing paper timesheets manually. This will also help to eliminate the need for caregivers to report to the agencies with paper timesheets.

Yes, your agency will be the billing provider. The caregiver will not be billing Pennsylvania Medicaid directly. All claims will still be mandated to be billed from the agency.