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

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.”

Yes, Pennsylvania can now implement EVV till January 1st, 2021 as per the approval of Good Faith Effort Exemption Request. Home care agencies in Pennsylvania can implement the same by 2021.

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.