​​​​​​​​​​​​​​What Is Electronic Visit Verification?

Electronic visit verification (EVV) is an electronic system providers use to record information when delivering Personal Care Services (PCS), which includes certain in-home or community-based 1915(c) Home and Community Based Services (HCBS) or Home Health Care Services (HHCS). ​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 implemented EVV for HHCS in Kentucky on Jan. 1, 2024. Ef​fective Jan. 1, 2025, any HHCS claim without a corresponding visit​ documented using EVV will be denied. 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 offers a state-sponsored system, which is free of charge for providers. Ther​ap​​​​​ provides the s​tate-sponsored system for EVV HHCS. 

Providers can use a third-party EVV system or continue to use using an existing one. Providers are responsible for the costs of any third-party system they use and for ensuring the system meets the requirements of the Cures Act​. 

​EVV PCS 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 Electro​nic Visit Verification - Affected Services​ ​document for a listing of services by waiver that must use EVV.

Kentucky is transitioning the state-sponsored EVV system for 1915(c) HCBS waivers from Netstmart's Mobile Caregiver+ system to Therap. The Therap system is live as of Jan. 1, 2025​. Providers who transition to Therap can use the system free of charge. Providers also have the option to keep Netsmart as a third-party system, continue using an existing third-party system, or to begin using a third-party system. 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 Therap​ to allow DMS to reimburse for rendered services and conduct waiver quality assurance activities. 

EVV Support

EVV Policy Questions

If you have policy questions about EVV, please email the 1915(c) Waiver Help Desk or call (844) 784-5614.

EVV PCS System Support

If you have technical issues with Mobile Caregiver+, submit a ticket using the Netsmart Customer Support Portal​ or call Netsmart at (833) 483-5587.

EVV HHCS System Support

If you have questions about Therap EVV, please email Therap​.