The 21st Century Cures Act requires electronic visit verification (EVV) systems for Medicaid-funded personal care services (PCS) and home health care services. To learn more, check out the EVV overview presentation.
The Centers for Medicare & Medicaid Services (CMS) states that PCS consists of services supporting activities of daily living (ADL), such as movement, bathing, toileting, transferring, and personal hygiene or offers support for instrumental activities of daily living (IADL), such as meal preparation, money management, shopping, and telephone use. For more information on the EVV requirement for PCS, click here.
For Pennsylvania this includes:
Office of Long-Term Living Waivers (Includes Agency and Participant-Directed Services)
Intellectual Disabilities/Autism Waivers (Includes Agency and Participant-Directed Services)
Adult Autism Waiver
Pennsylvania will use an open EVV system.
Under an open system:
The act requires implementation of EVV for PCS by January 1, 2019 and home health care services by January 1, 2023. Recently signed federal legislation has delayed penalties for PCS implementation until January 1, 2020.
The tentative plan for Pennsylvania’s implementation of EVV is:
Providers participating in Community HealthChoices (CHC) can utilize the Department’s system for compliance or reach out to the CHC-MCOs they are contracted with to discuss potential opportunities to meet compliance requirements with the CHC-MCO- contracted EVV system, HHAeXchange.
For participant-directed programs in the OLTL waivers, the vendor fiscal agent, Public Partnerships, LLC (PPL), will be utilizing their EVV system, Time4Care, to satisfy EVV requirements.
Questions regarding EVV can be sent to RA-PWEVVNotice@pa.gov.