Electronic Visit Verification (EVV)
New: CMS FAQs and Information Bulletin
What is Electronic Visit Verification (EVV)?
Electronic visit verification (EVV) is a telephone and computer-based system that electronically verifies service visits occur. Pursuant to Subsection l of Section 1903 of the Social Security Act (42 U.S.C. 1396b), all states must implement EVV for Medicaid-funded personal care services by January 2019 and home health care services by January 2023. There is no prescribed solution from the federal government, so states can select and implement their own EVV design. However, EVV systems must verify:
- Type of service performed;
- Individual receiving the service;
- Date of the service;
- Location of service delivery;
- Individual providing the services; and
- Time the service begins and ends.
What is the State currently doing regarding EVV?
California is currently analyzing the impact of EVV ONLY on personal care services, not on home health services (scheduled to implement in 2023). The State has not decided how, or when, EVV will be implemented. The State is in the process of gathering information and is currently evaluating responses to a recent Request for Information (RFI) to further inform decision-making. The State will also consider forthcoming guidance from the federal Centers for Medicare and Medicaid Services (CMS), which includes Frequently Asked Questions and an Informational Bulletin.
Which programs will be impacted by EVV in California?
EVV will impact all personal care services and home health care services provided under the state plan and various waivers. In California, personal care services are delivered to eligible aged, blind and disabled individuals as an alternative to out-of-home care through multiple programs managed by California Department of Social Services (CDSS) and Department of Health Care Services (DHCS).
Most publicly-funded personal care services are managed by CDSS through the following four programs collectively known as the In-Home Supportive Services (IHSS) Program:
- Personal Care Services Program (PCSP)
- IHSS Plus Option (IPO)
- Community First Choice Option (CFCO)
- IHSS Residual (IHSS-R)
DHCS and its designees (Department of Aging, Department of Developmental Services and Department of Public Health) are responsible for providing oversight of personal care services provided under Medicaid Home and Community-Based Service (HCBS) programs. Impacted HCBS programs include:
- Home and Community-Based Alternatives (HCBA) Waiver
- In-Home Operation (IHO)
- Pediatric Palliative Care Waiver (PPCW)
- HIV/AIDS Waiver
- HCBS Waiver for Californians with Developmental Disabilities
- 1915(i) State Plan Amendment for Californians with Developmental Disabilities
- Multipurpose Senior Services Program (MSSP)
What is your stakeholder engagement process?
The State intends to comply with federal law in the manner that respects recipients and providers, does not alter their Olmstead protections and minimizes state costs relative to federal penalties. More importantly, no implementation will occur without significant ongoing involvement from recipients, providers, stakeholders and the Legislature.
Information Gathering Timeline
October 12, 2017 - First Stakeholder Meeting
- October 19, 2017 - Stakeholder Submit Comments on draft RFI
- November 2, 2017 - RFI Released
- December 13, 2017 - RFI Responses Received, EVV Overview Presentation, CMS
- January 10, 2018 - Best Practices Guidance, CMS
- March 9, 2018 - Second Stakeholder Meeting
- May 16, 2018 - CMS FAQs
and Information Bulletin
- TBD - Future Stakeholder Meetings