Electronic Visit Verification (EVV)

Electronic Visit Verification (EVV) is a technology system used to verify electronically that a caregiver provides Medicaid personal care services. Federal law outlines that the EVV systems must be able to verify:

  1. Type of service performed;
  2. Individual receiving the service;
  3. Date of the service;
  4. Location of service delivery (in the individual’s home or community);
  5. Individual providing the services;
  6. Time the service begins and ends;
  7. A unique identifier for the visit.

EVV is to provide a level of assurance that the caregiver is onsite to provide the services identified in the plan of care.  It is a tool to reduce fraud, waste and abuse which promotes the integrity of the system.

Why? 
The federal 21st Century CURES Act signed into law in December 2016 requires states to implement Electronic Visit Verification (EVV). States must comply with this requirement for Medicaid personal care services.

The 2017 Virginia Appropriations Act expanded the use of EVV to include consumer directed personal care, respite and companion services.

 When? 
The Dept. of Medical Assistance Services/Medicaid/DMAS announced  that October 1, 2019 is the required date for implementation of Virginia’s EVV system for personal care, respite and companion services. EVV will be required for Home Health Services by January 1, 2023.  We will post additional information as DMAS makes it available.

What settings are excluded from using EVV?
EVV will not be required for individuals in a group home licensed by the VA Department of Behavioral Health and Developmental Services (DBHDS), a sponsored residential home, the REACH Program, or in a school where the personal care is tied to an Individualized Education Program (IEP).

 How is The Arc of Virginia Involved?
The Arc of Virginia participated with the Virginia Department of Medical Assistance Services and other stakeholders to develop regulations for EVV. The Arc of Virginia advocated for and will continue to advocate for Virginia’s EVV program to respect the privacy, dignity and independence of individuals receiving services in a manner that ensures community integration and is minimally burdensome. The Arc of Virginia’s efforts will also focus on promoting the engagement and involvement of people with disabilities and their families in developing Virginia’s EVV program and in providing timely and effective communication with stakeholders. Stay tuned.

For More Information:
VA Dept. of Medical Assistance Services EVV webpage 
21st Century CURES Act

Questions? email: [email protected]