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

Wyoming will be subject to financial penalty in the form of a decrease in the Federal Medical Assistance Percentage (FMAP) rate if EVV is not implemented by the above deadlines.

Yes, home health agencies providing the above listed care services come under EVV mandate. If the agencies submit a claim for reimbursement without corresponding documentation through EVV after January 1, 2021, they may face denial for the same.

The key technologies used in implementing EVV for capturing visit and care delivery information at the service location through:

• Mobile Visit Verification (MVV): A GPS-enabled mobile application downloaded on a smartphone or tablet.
• Telephony Visit Verification (TVV): A system accessed via toll-free number, accessible 24 hours a day, 7 days a week.

Cloud-based solution for home care agencies facilitates the same purpose through:

• Agency Portal: Agencies utilizing the EVV-based solution can access the information to view and modify visit activity, and in limited circumstances, create EVV records. The data entered via the agency portal is notated as a manual entry and will be subject to Department audit.
• Data Aggregator: The Data Aggregator is a solution provider to interface with both the State EVV Solution and provider choice systems to transmit EVV data. Providers will have read-only access to a web portal in the Data Aggregator to view visit data.

Section 1903(l)(5)(A) provides that the system must be able to electronically verify, with respect to visits conducted as part of personal care services or home health care services, the following:

• Type of service was performed
• Individual receiving the service
• Date of the service being provided
• Location of service delivery
• Person providing the service
• Time the service begins and ends

Section 1903(l)(2) also requires states to provide for a stakeholder process to allow input into the state’s implementation of the EVV requirement from providers of PCS and home health services, beneficiaries, family caregivers and other stakeholders.

The following is a high level summary of anticipated changes with the implementation of EVV: