Virginia MedicaidElectronic Visit Verification
Overview
The federal 21st Century CURES Act of 2016 required states to implement Electronic Visit Verification (EVV) Subsequent legislation extended the deadline for states to comply with the EVV requirement for Medicaid personal care services to January 1, 2020. There was no change in the date for home health services: January 1, 2023. DMAS received a Good Faith Extension to implement Home Health Care Services (HHCS) EVV by July 2023. The Virginia Appropriations Act expanded the use of EVV to include consumer-directed personal care and respite and companion services.
For the most recent information on Electronic Visit Verification (EVV), please review the updated Frequently Asked Questions document.
- Medicaid EVV FAQs - Updated November 16, 2023 [pdf]
- EVV Bulletin to Home Health Providers and MCOs - November 16, 2023
To share feedback or ask additional questions about EVV, please email: EVV@dmas.virginia.gov
Benefits
There are several benefits to adopting an EVV system:
- Promote quality outcomes for individuals (Quality of Care)
- Greater opportunity for enhanced care coordination and data sharing.
- Reduce billing errors and improve payment accuracy (Program Integrity)
- Electronically verifies that a caregiver is physically present for a visit.
- Promote oversight of the services provided
- Comply with federal and state requirements.
Live-In EVV Requirements
Effective October 1, 2026, all consumer-direction personal care attendants regardless of live in status, will be required to use an approved Electronic Visit Verification (EVV) method to submit all shifts.
Attendants may use the Fiscal Employer/Agent (F/EA) mobile application or Interactive Voice Response (IVR) system to clock in at the beginning of each shift and clock out at the end of each shift. When using the mobile application, attendants must have the GPS location turned on. If this feature is turned off, the shift will be considered non-compliant.
The web portal is not an approved EVV method. Shifts submitted through the web poral are considered non-compliant.
The Employer of Record (EOR) is responsible for ensuring that their attendants remain compliant with EVV requirements. Attendants who do not comply with EVV requirements may no longer be eligible to provide services to members participating in the Consumer Direction model of care.
Service Facilitators should work with the members and EORs to ensure they are aware of this new change.
Additional EVV Live-In Requirements may be found at the links below.
Electronic Visit Verification (EVV) Frequently Asked Questions (FAQs)
Electronic Visit Verification (EVV): Important Change Effective October 1, 2026
A Message from DMAS: We Heard Your Concerns
Training
Home Health Services
Waiver Services
Employer of Record and Member EVV Information
Services Facilitation EVV Information
Fiscal Employer Agent (F/EA) EVV Materials
For more information on how to use mobile applications or IVR systems, please visit:
Virginia Medicaid Resources
Virginia Health Plans
Electronic Visit Verification Documents
Federal Resources
National Resources
Beneficiary & Caregiver
The individual receiving services and supports and the caregiver should be informed about EVV. Foremost, EVV provides a level of assurance the caregiver is onsite to provide the services identified in the plan of care. This is a useful tool to reduce fraud, waste and abuse which promotes the integrity of the service. Additionally, your provider may have specific requirements that may involve the member or caregiver.
Vendors
Vendors are encouraged to review all Electronic Visit Verification (EVV) Companion Guides, Frequently Asked Questions (FAQs), and EVV Regulations.