- Verify the type of service performed
- Identify the individual receiving the service
- Record the date of the service
- Log the location of service delivery
- Identify the individual providing the service
- Record the time the service begins and ends
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.
State EVV Policy as it relates to the ADvantage Program:
- Vendor Agnostic Data Aggregator
- Interactive Voice Response (IVR)
- Smartphone App for Verification
- Location & Service Time Capture
- Integration with MMIS Systems
- Voice Biometrics
- Automated Claims & Billing
- Integrated Scheduler with Real-Time Alerts
- Configurable Data Scoping
- Provider Dashboards
- Flexible Reporting for Payroll Processing
- Centralized Monitoring & Reporting
- Improved Care Plans & Outcomes
- Efficient Care Delivery
- Reduced Administrative Burden
- Improved Program Integrity & Service Quality
- Enhanced Risk Management & Fraud Protection
- HIPAA Compliant Claims Submission
More Information
For more 21st Century Cures Act, visit the EVV FAQ.
