Pennsylvania Electronic Visit Verification (EVV)

EVV Model: Open Model | Aggregator: Sandata and HHAeXchange | Implementation Deadline: January 01, 2021

Pennsylvania has received an exemption against good faith effort exemption request.

CareSmartz360 is integrated with the state system. Agencies can use CareSmartz360 as an EVV compliant home care software in Pennsylvania to bill for Medicaid benefits.

Governing Body: Pennsylvania Department of Human Services

Questions about EVV?

EVV is still to be implemented in most of the states with different guidelines and regulations. We’re keeping up with the updates related to EVV implementation and if there is something we haven’t included, please share with us. To learn how CareSmartz360 can help in ensuring compliance, please get in touch with us.

FAQs: Pennsylvania EVV Implementation

January 2021 – 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.”

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.

Can’t find the answer you’re looking for?

EVV State Guide

CareSmartz360 EVV Ready
  • Caregivers Tracking
  • Clock-in, Clock-out
  • Manage Schedules
  • Telephony
  • Ensure Compliance & Regulation
  • GPS Enabled Caregiver Mobile App

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