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
HCBS Provider Town Hall on Claims Validation November 13, 2025
EVV Provider Update Meetings Presentation
EVV Claims Validation Presentation
Frequently Asked Questions about EVV
Provider Services Reference Table (PCS)
- EVV Provider Bulletins, Hot Tips, & News
December 17, 2026: Electronic Visit Verification (EVV) - Soft Launch of Claims Validation
November 4, 2025: Electronic Visit Verification (EVV) Aggregator Solution (EAS) –Accrued Minutes
September 15, 2025: Soft Launch of EVV Claims Validation Begins in 2026
August 25, 2025: Electronic Visit Verification (EVV) Claims Validation Readiness
May 28, 2025: Electronic Visit Verification (EVV) Claims Validation
January 16, 2025: EVV Regulation Amendment Clarification
December 26, 2024: EVV Regulation Amendment
October 16, 2024: EVV Best Practices and System Enhancements
- Archives
All Townhalls and presentations
- Vendors
MO Claims Validation Vendor Town Hall November 6, 2025
5/27/25 ACTION REQUIRED Upcoming Changes to Alternate EVV Data Requirements
- 11/6/2025 Vendor Town Hall Q&A
11/6/2025 Vendor Town Hall Q&A
- Is this for HCBS providers or vendors such as MITC?
The Town Hall hosted on Thursday, 11/6 was targeted to vendors; however, it was open to providers as well
- When is this required that we have "Accrued Minutes Visits" to come into EAS for agencies?
The Accrued Minutes Visit (AMV) will be available in production on November 19, 2025. Claims validation will launch in a soft edit mode on January 7, 2026 and hard edits will be turned on in phases by provider type starting in April 2026. Following application of the hard edits, claims for accrued minutes without an associated AMV in EAS will be denied.
- Can we collect accrued minutes and send the visit all at one time at the end of the month for a client/billing code?
Accrued Minutes Visits are allowed to be submitted once per day, per client, per procedure code/modifier and can be collected and sent as one Accrued Minutes Visit at the end of the week or end of the month, if the duration of units is divisible by 15.
- We are sending exact time to the millisecond to the EAS system with no rounding. All the examples show rounding to the minute on clock in and out times. Is EAS rounding to the minute and if so should we round to the minute to match?
Original call records should not be altered. Sandata truncates the seconds on the Call In and Call Out and bases the calculation off the minutes.
- Will auditors be aware of these accrued minutes visits? In other states providers have had issues where an auditor would look at that last date for example and see 8 units billed but there is only 3 units of true documentation and service provided on that date. Any recommendations there?
Yes, MMAC is aware of these changes and has been involved in all conversations related to Accrued Minutes Visits and Claims Validation.
- Can we send a correction to the Accrued Minute Visit if we have to adjust the visits that were used to accrue and had available minutes?
Yes, adjustments to the Accrued Minutes Visit can be made. Alternatively, providers can omit Accrued Minutes Visit and resubmit.
- Are accrued visits allowed to overlap with other visits?
While it is not recommended, accrued visits are allowed to overlap with normal visits and will be accepted into EAS.
- What if we have already billed the claims and now want to rebill by updating the visit times? If the visit times are reduced for a particular day, should the corresponding accrued visits be omitted? What should we do in this case — should we also remove the accrued visits from Sandata?
Claims will always be a value against visits at the point in time that the request was made. Therefore, if you need to make adjustment or resubmit claim to correct times, you should update the visit in EVV (including AMV if necessary), resubmit them to EAS, and then resubmit the claims.