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.

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

Stay Informed

To receive email updates on EVV, please sign up for notifications and select ‘Electronic Visit Verification for Home Care Agencies’ under ‘ALTSA News and Resources’. If you are already signed up for ALTSA communications, you can add ‘Electronic Visit Verification for Home Care Agencies’ to your subscriber preferences.

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
  • Who provided the service
  • When the service begins and ends

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

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

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

Implementation Information

DSHS is working with the Health Care Authority to change ProviderOne to include the data elements required under EVV. ProviderOne changes are expected to be ready for testing in the spring of 2019. 

Washington state is working on a phased implementation and demonstration of a good faith effort to comply with the requirements.

  • Each Home Care Agency will select their EVV vendor to process the EVV and Claims data for their workers. 
  • For agencies who believe they are currently EVV compliant;
    • DSHS is interested in working with you to send your data to ProviderOne early.
    •  As an Early Adopter, you can test your system prior to the new edits being enabled in ProviderOne. 
    • Home care agencies should contact EVVQuestions@dshs.wa.gov if interested, and the state may reach out to agencies.

Contact

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