What is Electronic Visit Verification (EVV)?

The 21st Century Cures Act​ introduced many new requirements for healthcare, including the federal mandate for home providers of care to implement Electronic Visit Verification (EVV) for Personal Care Services (PCS) by January 1, 2020, and Home Health Services by January 1, 2023. The Good Faith Effort Exemption enabled States to earn a one year buffer to implement Electronic Visit Verification for Personal Care Services without penalty (incremental FMAP reductions up to 1%).

According to Section 12006(a) of the 21st Century Cures Act, EVV criteria must include:

1. the type of service performed;

2. the individual receiving the service;

3. the date of the service;

4. the location of service delivery;

5. the individual providing the service; and

6. the time the service begins and ends.

While this Electronic Visit Verification mandate creates many to-dos for States, Managed Care Organizations (MCOs), Health Plans, and Providers, it presents an imperative opportunity to reduce waste, fraud, and abuse in Medicaid while also promoting greater quality and access to care for Medicaid recipients.

Electronic visit verification implemented with compliant software and ​an enterprise device​ has the opportunity to improve efficiencies within provider networks and managed care organizations. Moreover, the industry can get paid faster with Electronic Visit Verification through confirmed visits and quicker claims payment.

The final countdown is on for Electronic Visit Verification implementation. Highlands Mobile is available ​here​ to provide information regarding Electronic Visit Verification and its single-purpose Electronic Visit Verification device, ​LINK​.