The Centers for Medicare & Medicaid Services (CMS) EVV requirement for Home and Community Based Services (HCBS) Waivers mandates states implement EVV for all Medicaid-funded personal care services and home health services requiring an in-home visit. This stems from the 21st Century Cures Act, Section 12006.

States must ensure a minimum of 90% EVV compliance for all services subject to the EVV Federal Mandate.

Noncompliant states may face incremental reductions in their Federal Medical Assistance Percentage (FMAP) up to 1% unless they demonstrate a good faith effort and have encountered unavoidable delays.

317:30-5-764. Reimbursement

Federal Medicaid EVV Policy as it relates to the ADvantage Program

For more 21st Century Cures Act, visit the EVV FAQ.

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