The 21st Century Cures Act directs states to require the use of Electronic Visit Verification (EVV) for Medicaid-provided personal care services and home health services. Since its passage, some states have quickly rolled out their EVV implementation plans, while others are dealing with failed attempts. We have compiled information on how different states are approaching the EVV mandate. Our goal is to help you better understand what’s working, what’s not, and how you can appeal to your state for a provider-friendly model.
We will post EVV updates as soon as we confirm them, so check back regularly!
In a July 2018 letter to ANCOR, CMS (Centers for Medicare & Medicaid Services) confirmed EVV systems “are subject to HIPAA privacy and security protections”. HIPAA compliance will impact the range of EVV systems available to providers to choose from. As not all vendors will permit PHI (Protected Health Information) to be stored at their data […]
The 21st Century Cures Act of 2016 had initially carried an implementation deadline of January 1, 2019 on EVV requirements. On Monday, July 30, 2018, the President Trump signed H.R. 6042 into law, which delays for one year the reduction of Federal medical assistance percentage for Medicaid personal visits furnished without an electronic visit verification […]
In some states with EVV mandates, providers are losing money because they must pay their employees more than than can bill for. This happens when rounding rules in the EVV legislation differ from payroll rounding rules set by the labor department. Most programs will only pay for services in 15-minute increments, but EVV solutions capture […]
Consumer-directed services offer the independence many individuals desire, while ensuring they get the care they need. However, these services fall under the reach of the federal EVV mandate. Because of their unique requirements, providers managing programs for consumer- or family-directed services face real compliance and billing challenges that complicate EVV implementations. The purpose of CDS […]
Providers who supposedly have the freedom to choose alternative EVV vendors over state systems are starting to wonder whether the process is actually feasible. Some states have chosen a “hybrid” implementation model, in which providers may use the free state-contracted system or another system that meets requirements. This solution serves to mollify providers who are […]
2018 MITC