New York State Electronic Visit Verification (EVV) Medicaid Program Overview and Next Steps
The 21st Century Cures Act (the Cures Act) was signed into law on December 13, 2016, mandating that states implement Electronic Visit Verification (EVV) for all Medicaid-funded personal care services (PCS) and home health care services (HHCS) that require an in-home visit by a provider
WHAT IS ELECTRONIC VISIT VERIFICATION (EVV)?
Electronic Visit Verification, or EVV, is an electronic system that verifies when provider visits occur and captures the date and time of the visit, the location of the visit, the person who received the services, the person who provided the services, and the services provided. In most cases, a signature or voice verification from the individual receiving the services can also be captured.
The following are the compliance deadlines established by the Cures Act:
- Personal Care Services – 1/1/2021*
- Home Health Care Services – 1/1/2023
*NYS received a Good Faith Effort Extension, extending the deadline from 2020 to 2021 for Personal Care Services. Failure to meet these deadlines will result in decreased federal funding to the State Medicaid program from Centers for Medicare and Medicaid Services (CMS).
The goals of EVV are to ensure timely service delivery for members, including real-time service gap reporting and monitoring, reduce the administrative burden associated with paper timesheet processing and generate cost savings from the prevention of fraud, waste, and abuse. It aims to strengthen quality assurance by improving the health and welfare of individuals through validation of delivery of services.
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