Electronic Visit Verification (EVV)

Section 12006(a) of the 21st Century Cures Act mandates that states implement EVV for all Medicaid personal care services (PCS) and home health services (HHCS) that require an in-home visit by a provider. This applies to PCS provided under sections 1905(a)(24), 1915(c), 1915(i), 1915(j), 1915(k), and Section 1115; and HHCS provided under 1905(a)(7) of the Social Security Act or a waiver.

EVV is a system that may include multiple point-of-care verification technologies, such as telephonic, mobile, and web-based verification inputs. The system electronically verifies the occurrence of home-or community-based service visits, identifying the time that service provision begins and ends to ensure accurate claims disbursement and safeguarding that beneficiaries who are authorized to receive services get the expected care. EVV is used to:

• Verify visits on a real-time basis, including date, location, type of service, individual(s) providing and receiving services, and duration of service(s)
• Validate hours of work for home health employees
• Eliminate billing data entry mistakes
• Reduce costs related to paper billing and payroll
• Help combat fraud, waste, and abuse

• Important: EVV Attestation Information

  New York State Department of Health (NYSDOH) has chosen the EVV Choice Model which allows providers to select an EVV system of their choosing. The Choice Model allows providers flexibility to meet the needs of their business and the needs of the consumers they serve.

  NYSDOH provides guidance to providers for selecting an EVV system. This guidance is available on the on the EVV Website, EVV System Selection Considerations.

  NYSDOH must ensure that providers have met the requirements of the 21st Century Cures act, CMS Guidance, and the NYSDOH EVV Program Guidelines. NYSDOH is requiring an attestation be submitted from Providers/Fiscal Intermediaries who are subject to EVV acknowledge that:

  • They are in compliance and will comply with the Cures Act
  • They are complying with NYS Requirements
  • They have provided and will continue to provide Caregivers and EVV Submitters training on their EVV system of choice
  • They understand their obligations for submitting data to the Medicaid Management Information System, also known as eMedNY
  • They understand they need to maintain records and documentation for Live-in caregivers
  • They may be audited by NYS OMIG or DOH Compliance Reviews

  
  

3 Simple Steps to send EVV to eMedNY

Enroll as eMedNY Medicaid Provider



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