What Is Electronic Visit Verification (EVV)? | Medicaid

What Is Electronic Visit Verification (EVV)? | Medicaid

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Electronic visit verification (EVV) is a method used to verify home healthcare visits to ensure patients are not neglected and to cut down on fraudulently documented home visits. Beginning January 1, 2020, home care agencies that provide personal care services must have an EVV solution in place or risk having their Medicaid claims denied, under a mandate included in the 21st Century Cures Act.

While the federal mandate sets key data points that must be collected and electronically verified, states create their own systems. State governments decide how to gather and report data that EVV vendors use, and whether to include additional EVV compliance rules.

Section 12006(a) of the 21st Century Cures Act mandates that states implement EVV for all Medicaid personal care services (PCS) and home health services (HHCS) that require an in-home visit by a provider. This applies to PCS provided under sections 1905(a)(24), 1915(c), 1915(i), 1915(j), 1915(k), and Section 1115; and HHCS provided under 1905(a)(7) of the Social Security Act or a waiver.

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