​​​​​​​​​​​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.  

Provider Types

• Model II Waiver (MIIW) 
• Home Health Services (HH) 
• Private Duty Nursing (PDN) 
• HH or PDN services provided through a Managed Care Organization

Services 

• ​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. Ther​ap​​​ 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.

EVV Support

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​.