Electronic Visit Verification

Electronic Visit Verification (EVV) is required for Home Care Agencies contracted to provide Medicaid services in Washington state, including PACE-contracted Home Care Agencies. EVV will apply to providers who serve people receiving in-home personal care services from Aging and Long-Term Support Administration and the Developmental Disabilities Administration. Licensed residential services and supported living services are not required to comply with EVV requirements. 

EVV is a federal requirement from the 21st Century Cures Act, passed by Congress in 2016. See Section 12006 of the 21st Century Cures Act. States are required to have Electronic Visit Verification systems in place for personal care services by January 1, 2020. Washington State received a good faith exemption which extended the requirement of an EVV system in place for personal care services to January 1, 2021.

The new Consumer Directed Employer will implement EVV for Individual Providers.  

If you would like to provide suggestions or have questions about federal EVV requirements, you may contact the Centers for Medicare and Medicaid Services (CMS) directly through the EVV mailbox

DSHS has finalized direction regarding EVV for Live-in Providers:

  • IPs who live with the client to whom they provide services will not be required to clock in or out, or record the location of the services. Instead, they will record the hours and tasks worked by day and submit timesheets to the CDE no less than weekly.
  • IPs working for a client with whom they do not live will use EVV to record hours of services provided as required by federal law. This includes clock in/out and tasks performed.

More information specific to EVV and the CDE project can be found on Talking Points #2 and #19 under “Materials and Resources” above or at https://www.dshs.wa.gov/altsa/stakeholders/consumer-directed-employer-materials-and-resources

What EVV Includes

Once implemented, the following information will be captured electronically for personal care services:

  • Type of service performed
  • Who received the service
  • Date of service
  • Location of service delivery at the beginning and ending of the work shift
  • Who provided the service
  • When the service begins and ends

Washington state will also continue to require home care agencies to utilize a process that includes:

  • Tracking services at a task level
  • Client verification of service performed

This information can be collected electronically or by using current paper process but must be stored with the provider for monitoring purposes.

Requirements and Implementation


For additional information, email EVVQuestions@dshs.wa.gov.