Electronic Visit Verification (EVV)
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 released a Request for Information (RFI) on November 2 to further inform decision-making. The State will also consider additional guidance from the federal Centers for Medicare and Medicaid Services (CMS), expected in January 2018.
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)
Assisted Living Waiver (ALW)
Pediatric Palliative Care Waiver (PPCW)
HCBS Waiver for Californians with Developmental Disabilities
1915(i) State Plan Amendment for Californians with Developmental Disabilities
- Multipurpose Senior Services Program (MSSP)
The State is still evaluating the impact of the EVV requirement to managed care plans like Senior Care Action Network (SCAN) and the Program of All-Inclusive Care for the Elderly (PACE).
What is your stakeholder engagement process?
Recognizing EVV implementation will result in significant changes to service delivery in California, the State is committed to continued engagement with providers, recipients, and advocates throughout the development and implementation process. The State is currently in the information gathering stage of the implementation process.
Information Gathering Timeline
- October 12: 1st Stakeholder meeting convened.
- October 19 – Deadline for stakeholder comments on the draft RFI.
- November 2 - RFI released.
- December 13 - RFI responses due.
- January 2018 –Centers for Medicare and Medicaid Services expected to issue additional guidance on EVV.
- Spring 2018 – Convene a Second Stakeholder Meeting.
- October 12, 2017
- Spring 2018, and beyond (to be determined)