Electronic Visit Verification (EVV)

The technology used to verify that home or community-based service visits occur. The purpose of EVV is to ensure that services are delivered to people needing those services and that providers only bill for services rendered. EVV software typically verifies visit information through a mobile application on a smartphone or tablet, a toll-free telephone number, or a web-based portal. EVV requirements were put into action by the 21st Century Cures Act in 2016. Each state is able to decide which model they will use to implement EVV:

1. Provider Choice Model: In provider choice, the state does not become involved in each provider’s vendor selection.
2. MCO Choice Model: In this model, the state allows each Managed Care Organization to decide which vendor it will accept.
3. State Choice Model: The state Medicaid authority selects one or two approved vendors.
4. Open Vendor Model: This is a hybrid solution. The state selects a single vendor while allowing providers and MCOs to continue using their existing EVV software systems.

You can read about the importance of EVV in our blog post.