What Is Electronic Visit Verification?
Electronic visit verification (EVV) is an electronic system providers use to record information when delivering certain in-home or community-based 1915(c) Home and Community Based Services (HCBS) or Home Health Care Services (HHCS). The
Department for Medicaid Services (DMS) has transitioned to EVV for its
1915(c) HCBS waivers. DMS will transition HHCS to EVV by Jan. 1, 2024. The use of EVV is a requirement of the
Cures Act passed by Congress in 2016.
EVV must electronically verify six aspects of service delivery: the date, location and type of service, the individual providing the service, the individual receiving the service and the start and end times of the service.
EVV offers several benefits such as eliminating the need for paper documentation, creating flexibility in scheduling and delivering services, improved monitoring of participant health, safety and welfare and reduction in potential Medicaid fraud, waste and abuse.
Guiding Principles of EVV
DMS believes EVV should:
- Simplify required documentation and reduce the administrative burden on Medicaid participants and providers.
- Improve Medicaid participant health, safety and welfare.
- Not reduce a Medicaid participant's services or alter chosen service delivery method.
- Be developed with input from all stakeholders.
- Include training for affected stakeholders.
- Bring Kentucky into compliance with federal law.
EVV for HHCS
DMS is working to implement EVV for HHCS in Kentucky. The following provider types and service codes are required to use EVV when delivering in-home HHCS to Medicaid participants.
- 410 - Respiratory Therapist - MIIW
- 552 - Registered Nurse - MIIW
- 559 - Licensed Practical Nurse - MIIW
- 420 - Physical Therapy - Home Health
- 430 - Occupational Therapy - Home Health
- 440 - Speech Therapy - Home Health
- 550 - Skilled Nursing - Home Health
- 560 - Medical Social Services - Home Health
- 570 - Home Health Aide - Home Health
- T1000 - Private Duty / Independent Nursing - Private Duty Nursing
Providers of HHCS have two options for EVV. DMS is offering a state-sponsored system, which is free of charge for providers. Therap will provide the state-sponsored system for EVV HHCS.
Providers can also choose a third-party EVV system or continue to use an existing system. Providers are responsible for the costs of any third-party system it uses and ensuring their third-party meets the requirements of the Cures Act.
EVV for 1915(c) HCBS Waivers
Traditional service provider agencies and financial management agencies (FMA) that bill certain in-home or community-based services must have direct service providers or participant-directed services employees enter visit information via EVV. This applies to five of Kentucky's six 1915(c) HCBS waivers: Acquired Brain Injury and Acquired Brain Injury Long Term Care, Home- and Community-Based, Michelle P. Waiver and
Supports for Community Living. Read the
Electronic Visit Verification - Affected Services document for a listing of services by waiver that must use EVV.
Netsmart provides Kentucky's state-sponsored EVV system for 1915(c) HCBS waivers, Mobile Caregiver+. Providers who choose Netsmart can use the system free of charge. DMS also allows providers to choose their own EVV systems or continue using their current EVV systems. Providers are responsible for all costs associated with use of third-party systems, ensuring their preferred systems meet the requirements of the Cures Act and ensuring full integration with Netsmart to allow DMS to reimburse for rendered services and conduct waiver quality assurance activities. The following third-party systems have integrated with Netsmart: Ankota, Bluestep Systems, ClearCare, Continulink/Complia, Delta Health Tech, Mains'l, Oasis Technologies, Savii Care and Therap.
If you have policy questions about 1915(c) HCBS waivers and EVV, please email the 1915(c) Waiver Help Desk or call (844) 784-5614.
If you have technical issues with Mobile Caregiver+, submit a ticket using the
Netsmart Customer Support Portal or call Netsmart at (833) 483-5587.
If you have questions about EVV for HHCS, email DMS.
The Department for Medicaid Services (DMS is pleased to announce the selection of a vendor for electronic visit verification for in-home or community-based 1915(c) Home and Community-Based Services of home health care services (EVV HHCS). Read the EVV HHCS Vendor Project Announcement for details.
General EVV Information
EVV guidance from the Centers for Medicare and Medicaid Services
Subscribe to Email Updates
Division of Long-Term Services and Supports
Register for Therap EVV Town Hall
View Therap EVV Town Hall Recordings
Therap Implementation Request Form
Therap Intro to EVV Aggregators
Netsmart EVV information and resources
Select a category to display related documents.
Mobile Caregiver+ Agency Registration
Register for the Mobile Caregiver+ System
Registration is for traditional provider agencies and financial management agencies (FMA) only. Paid caregivers and PDS employees using Mobile Caregiver+ are registered by their provider agency or FMA.
Netsmart Live and On-Demand Training
Netsmart Customer Support Portal, Training,
and User Guide
You also can use the Netsmart Customer Support Portal to check the status of your ticket, track known issues for Mobile Caregiver+ and search an online knowledge base for answers to common questions
EVV FAQ for 1915(c) HCBS Waivers
EVV Who to Call for 1915(c) HCBS Waivers