Electronic Visit Verification
Overview
For the most recent information on Electronic Visit Verification (EVV), please review the updated Frequently Asked Questions document.
We want to hear from our providers now that these rules are in place. What is working? What areas need improvement going forward? To share your feedback or ask additional questions about EVV, please email EVV@dmas.virginia.gov.
- Medicaid EVV FAQs - Updated June 1, 2023 [pdf]
- EVV Bulletin to Home Health Providers and MCOs - June 1, 2023
The federal 21st Century CURES Act of 2016 requires states to implement 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 has applied for a Good Faith Extension and is working toward a July 2023 implementation for Home Health Care Services (HHCS) EVV.
The Virginia Appropriations Act expanded the use of EVV to include consumer-directed personal care and respite and companion services.
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.
Upcoming Training
| Date | EVV Training Webinar Link | Audio Conference | Access Code for Audio |
| Thursday, June 22, 2023 3:00-4:00 pm |
Click here for the 6.22.2023 EVV Training | 1-866-692-4530 | 2436 762 4174 |
Training Materials
Virginia Medicaid Resources
EVV Home Health Care Services Fact Sheet 2023
Medicaid Home Health Care Services (HHCS) EVV Project Update January 26, 2023
MES EDI 837I Companion Guide February 3, 2023 Revised
FFS 837I HH EVV Example A December 5, 2022
FFS 837I HH EVV Example B December 5, 2022
Medicaid Bulletin Electronic Visit Verification Required September 1, 2020
Medicaid Bulletin Electronic Visit Verification Required September 1, 2020 (1)
MSR 2020 077 001 W Attachment COVID 19 MEMO V1.0 Dtd March 19, 2020
MSR 2020 002 001 W Attachment EVV Update 2 Bulletin V1.0 Dtd January 3, 2020
MSR 2019 267 001 W Attachment EVV Update Bulletin V1.0 Dtd September 25, 2019
MSR 2019 232 001 W Attachment EVV Provider Manual Cover Memo V1.0 Dtd August 21, 2019
MSR 2019 231 001 W Attachment Medicaid Bulletin V1.0 Dtd August 20, 2019
Medicaid Bulletin V1.0 Dtd April 22, 2019
MSR 2018 304 001 W Attachment Memo V1.0 Dtd November 1, 2018
Virginia Health Plans
Electronic Visit Verification Documents from Virginia Health Plans
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 the two links about the Companion Guides above along with the FAQs and the Draft EVV Regulations.
Contact
For additional questions about Electronic Visit Verification (EVV)
Regulations
The EVV regulations went into effect on August 18, 2021. They are available at 12VAC30-60-65 Electronic Visit Verification. They will be updated to include EVV requirements for Home Health Care Services.