Electronic Visit Verification Questions and Answers

1. Will the state provide training on Electronic Visit Verification systems?

The state is using the provider choice model, which means that home care agencies will choose the Electronic Visit Verification (EVV) solution that best meets their needs, as long as it meets minimum EVV requirements established by CMS and the state. The state will not provide training on the individual EVV system. The state will update the provider billing guide so that agencies have the information they need to submit claims through ProviderOne.

2. Has the Centers for Medicare and Medicaid Services (CMS) provided guidance regarding EVV?

Yes, CMS is providing guidance on EVV. For more information from CMS, please visit the federal EVV website.

3. Who will monitor provider EVV compliance?

The Area Agency on Aging (AAA) that holds the contract with the service provider will do the monitoring. Monitoring requirements are not yet available. Additional information will be available prior to implementation.

4. What does "type of service" mean?

Type of service refers to the procedure code such as T1019 for personal care or T1005 for respite. Agencies will still need to collect task information either by current methodology or by EVV.  The local Area Agency on Aging will continue to monitor for task documentation.

5. Currently, we bill monthly to ProviderOne.  Will this change once EVV is implemented?

Billing will not change with EVV. The provider can continue to choose when they submit claims to ProviderOne as long as the claims are submitted within 12 months of the date of service. Providers may bill as frequently as weekly.

6. What happens if the EVV system loses connectivity, staff forget to sign in or out, or if staff are otherwise unable to use the EVV system?

CMS recommends capturing the data and sending it when the system is available. Home care agencies will need to work with their EVV vendor on system outages, supervisor overrides and other system challenges.

7. What if the client will not allow a device in their home, or the client refuses EVV?

CMS response: States, providers and caregivers should work with individuals to understand the importance and value of EVV in their care delivery. If the individual has concerns about the technology, there are CURES Act compliant EVV solutions, such as use of a landline, that are less invasive to the individual than GPS, tablets or other technology dependent solutions. States may also consider, perhaps on an exception basis, allowing the provider to check in/out with GPS right outside of the service location (e.g., before entering and when leaving the individual’s home) to alleviate potential discomfort for an individual while also meeting the CURES Act requirements. Use of an EVV system is not meant to discourage the provision of needed services, or to result in beneficiary disenrollment from HCBS programs. However, if the individual does refuse to comply with the state’s EVV implementation strategy, the state will need to determine appropriate alternatives (which could include being discharged from the program), since Federal reimbursement will not be available for personal care services provided to that individual after EVV is implemented.

8. Can a home care agency use Telephony for EVV?

Yes, as long as the Telephony system can meet all EVV requirements, including location, and conforms to person-centered practices.

9. Is there a discussion around cell phones and the limited number of minutes agency staff may have on their cell phone as it relates to EVV?

The state is going with the provider choice model for EVV implementation, meaning that agencies will choose their EVV vendor. Each agency will need to work with their EVV vendor to resolve any issues related to using a personal cell phone. Some EVV solutions do not include using the client’s landline or cell phone. 

Back to Electronic Visit Verification