What is Electronic Visit Verification?
The CURES Act was designed to improve the quality of care provided to individuals, enhance quality control, and strengthen mental health parity. A portion of the bill (Section 12006) requires Electronic Visit Verification (EVV) to be used for all Personal Care Services and Home Health Care Services delivered under the Medicaid program. EVV is a method of utilizing technology to capture point of service information related to the delivery of in-home services. EVV compliance can be achieved in a variety of manners, including but not limited to, the use of mobile applications with GPS capabilities, telephony from a landline, fixed devices and biometric recognition.
Benefits of using EVV include improved health and welfare of individuals through validation and monitoring of delivery of services; reduction in fraud, waste and abuse; elimination of paper documents to verify services; enhanced efficiency and transparency of services; and more robust data collection and analysis capabilities.
Missouri has chosen an open model for EVV, which allows personal care service and home health care service providers to use an EVV solution of their choice as long as the EVV vendor is able to integrate successfully with the EVV Aggregator Solution (EAS) hosted by Sandata Technologies.
In order to provide EVV services in the state of Missouri, all systems must verify the following:
- Type of service performed:
- Requires details specific to tasks for agency model and consumer directed services authorized by the Division of Senior and Disability Services (DSDS)
- Requires memo field detailing activities performed for Division of Developmental Disabilities (DD)
- Individual receiving the service
- Date of the service
- Location of service delivery when it begins and when it ends
- Individual providing the service
- Time the service begins and ends
What services require EVV?
In Missouri, an EVV system must be used to document the delivery of personal care or home health care services under the Medicaid program.
Home Health Care Services
- Nursing (RN/LPN/etc.)
- Occupational Therapy
- Physical Therapy
- Personal Care Aide
- Speech Therapy
- Any of the above services reimbursed by a Managed Care Organization
Personal Care Services
- Advanced Personal Care
- Chore
- Consumer-Directed Personal Care
- Homemaker
- In-Home Respite authorized by DSDS
- Personal Care
- Any of the above services reimbursed by a Managed Care Organization
Note: No exclusions for live-in caregivers.
How to Get Started
1
Choose Your Vendor
Providers have the option to choose from the list of Missouri-certified EVV vendors
If you choose a vendor that is not on the list, the vendor will need to pass EAS testing
2
Register
After you choose your EVV vendor, complete your registration form online
3
Complete Training
At least one person from your agency must complete an eLearning course
4
Log in to EAS
Providers must log in to EAS at least once a week to ensure complete and accurate data.
Provider Responsibilities
Once the EVV vendor has started sending visits to EAS, providers are required to log into EAS on a regular basis (at least once a week) to confirm the visit data continues to be sent and is accurate. If data is absent or inaccurate, providers will need to work with their EVV vendor to troubleshoot and resolve issues.
Providers who fail to comply with all state and federal EVV regulations are subject to having administrative sanctions listed in 13 CSR 70-3.030(4) imposed by the Missouri Medicaid Audit & Compliance Unit, up to and including termination from the Missouri Medicaid program. For program specific questions email Ask.EVV@dss.mo.gov .
- Resources
Frequently Asked Questions about EVV
E-Learning Course
Sandata OnDemand Link
Provider Services Reference Table (PCS)
Provider Services Reference Table (HHCS)
CMS EVV Information
State Regulation
MMAC.EVV@dss.mo.gov
Ask.EVV@dss.mo.gov- Archives
EVV Updates 12.9.20
Good Faith Exemption 10.20.22
Good Faith Exemption
All Townhalls and presentations
HHCS Provider Program Launch Announcement
Minimum EVV System Standards
Personal Care Services Provider Requirements- Vendors
EVV Vendor Specifications
Specification User Guide
Sandata Knowledge Center/Ticket Portal
HHCS EVV Townhall Recording 5.17.23