Understanding Electronic Visit Verification (EVV)

Electronic Visit Verification (EVV) provides a framework for preventing fraud, boosting accountability, and strengthening oversight for home and community-based care funded by Medicaid. First introduced in 2016 as part of the 21st Century Cures Act, this system verifies that home healthcare services are delivered as scheduled, to the right client, and by the correct caregiver.

While its intended purpose revolves around compliance, EVV’s utility has evolved far beyond simple box-checking: it also helps agencies build trust among their client base, create a safer and more predictable environment for clients, and simplify operations thanks to real-time documentation. However, because EVV implementation is managed state-by-state, requirements differ across the country. Each state has adopted its own systems and reporting standards, which complicates matters for agencies that operate in multiple regions.

This white paper explores the central role of verification in home care today, why EVV compliance is an essential pillar of operational excellence, and how agencies can navigate state-level nuances.

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