Electronic Visit Verification (EVV)

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.
 

What information must the EVV system collect?

  1. Type of service provided
  2. Individual receiving the service
  3. Individual providing the service
  4. Date of the service
  5. Location of the service deliver
  6. Time the service begins and ends
     

What is considered PCS?

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)

  • Personal Assistance Services
  • Respite (unlicensed settings only)

Intellectual Disabilities/Autism Waivers (Includes Agency and Participant-Directed Services)

  • Companion
  • In-Home and Community Support
  • Respite (unlicensed settings only)
  • Homemaker/Chore (chore portion not included)

Adult Autism Waiver

  • Community Support
  • Respite (unlicensed settings only)
     

What kind of system is Pennsylvania using?

Pennsylvania will use an open EVV system.
Under an open system:

  • Providers with an existing EVV system may continue to use their system as long as that system can send information to the state system. The state run system will receive information from the non-state system.   
  • Providers without an existing EVV system can use the state-provided EVV system.
     

Regulatory Dates

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.

 

When will Pennsylvania implement EVV?

The tentative plan for Pennsylvania’s implementation of EVV is:

  • January 2019 – PA guidance will be distributed.
  • Spring 2019 – provider training will be offered with phased in system use.
  • Summer 2019 – full implementation of system.

     

WHAT EVV VENDOR CAN PROVIDERS USE FOR COMMUNITY HEALTHCHOICES (CHC)?

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.