Electronic Visit Verification System for Medicaid In-Home Services

On a routine basis, the Department of Health & Human Services Office of the Inspector General (OIG) notifies the public of additional projects that it has undertaken as part of its Work Plan through its daily What’s New email issuances and announcements on its website.  Recently, the OIG announced its intent to conduct an audit of state implementation of Medicaid Electronic Visit Verification (EVV) requirements.

All States must implement electronic visit verification (EVV) for personal care services (PCS) by January 1, 2020, and for home health services (HHSC) by January 1, 2023, as required by the 21st Century Cures Act. The Centers for  Medicare & Medicaid Services (CMS) granted 1-year extensions (to January 1, 2021) for the vast majority of States to meet the EVV requirements for PCS.

Once implemented, EVV could increase the risk that Medicaid beneficiaries’ needs are not being met, potentially compromising their health and safety. Our objectives will be to determine whether the State: (1) has implemented an EVV system in accordance with Federal and State requirements, and (2) has developed policies and procedures when using EVV to ensure that Medicaid beneficiaries receive their required in-home services.

Announced or Revised Agency Title Component Report Number(s) Expected Issue Date (FY)
April 2022 Centers for Medicare and Medicaid Services Electronic Visit Verification System for Medicaid In-Home Services Office of Audit Services W-00-22-31564 2023

Electronic Visit Verification System for Medicaid In-Home Services

On a routine basis, the Department of Health & Human Services Office of the Inspector General (OIG) notifies the public of additional projects that it has undertaken as part of its Work Plan through its daily What’s New email issuances and announcements on its website.  Recently, the OIG announced its intent to conduct an audit…

NAHC Urges Congress to Not Prohibit GPS & Biometrics in EVV Systems

The National Association for Home Care & Hospice is urging Congress to strongly consider changes to the Cures 2.0 legislation, in particular the proposal to prohibit the use of global positioning systems (GPS) and biometrics within electronic visit verification (EVV) systems. NAHC supported the 21St Century Cures Act (21CC) and is enthusiastic about its next iteration.…

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The Centers for Medicare & Medicaid Services (CMS) has issued for public display a Paperwork Reduction Act (PRA) notice seeking public comments on its plans to require states report on their progress towards electronic visit verification (EVV) for personal care services (PCS) and home health care services (HHCS), as required by section 1903(l) of the…

Trump Signs EVV Delay into Law

President Donald J. Trump on Monday evening signed into law H.R. 6042, a bipartisan bill which passed Congress in July, allowing states to delay electronic visit verification in Medicaid-reimbursed care services for one year. Congress mandated electronic visit verification (EVV), to begin in January 2019, as part of the 21st Century Cures Act, in order to…

Electronic Visit Verification Delay Passes Congress

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After months of uncertainty, the Centers for Medicare & Medicaid Services (CMS) has provided guidance on allowing states to delay implementation of electronic visit verification (EVV) for up to one year. The 21st Century Cures Act (Cures Act) mandates that states implement EVV for all Medicaid personal care services by January 1, 2019, but the…

Electronic Visit Verification Bill Passes House of Representatives

The U.S. House of Representatives on Tuesday, June 18, passed by voice vote a bill that extends the deadline for state Medicaid programs to implement Electronic Visit Verification (EVV) for personal care services for one year. While NAHC supports the use of EVV for these services, but we also recognize that many states have not…

Your Electronic Visit Verification Questions Answered

Earlier this week, the Centers for Medicare and Medicaid Services (CMS) released an Informational Bulletin and FAQs to assist states in meeting electronic visit verification (EVV) requirements specified in the 21st Century Cures Act (Cures Act). The CMCS Informational Bulletin shares EVV implementation strategies and identifies promising practices for EVV education and training. The FAQs…