What are the six EVV data points?

Type of service performed, individual receiving the service, date of the service, location where the service was delivered, individual providing the service, and time the service begins and ends.

Do live-in caregivers need EVV?

CMS allows states to exempt visits where the caregiver lives with the person receiving care, and many states do. Requirements vary, so check your state’s page in the EVV directory.

Is your agency ready for EVV?

Answer five questions. The checker lists what your state requires and what your agency still needs to put in place before Medicaid claims will pay.

1. Your state

2. Do you bill Medicaid for personal care or home health visits?

Yes No

3. Can every caregiver use a smartphone at visits?

Yes No

4. Do any caregivers live with the client they care for?

Yes No

5. Does your scheduling system already capture all six EVV data points at check-in?

Yes No

Your EVV checklist

Pick your state to see its aggregator, model and phone backup.

EVV may not apply to you yet. EVV is a Medicaid requirement. It doesn't apply to private-pay clients under federal law. Does EVV apply to private pay?
EVV is required for your Medicaid visits. Personal care since January 1, 2020 and home health since January 1, 2023 under Section 12006 of the 21st Century Cures Act.
Plan a non-smartphone method. The usual alternatives are a phone call from the client's landline or a small fixed device in the home. EVV without a smartphone
Mobile GPS check-in will work. Make sure each caregiver has their own login and location services on. Why GPS check-in fails
Check the live-in rule. CMS allows states to exempt live-in caregivers, but some states, including Texas and Arizona, require EVV for every visit. Exemptions need proof of residence and approval first. EVV for live-in caregivers
Close the data gap. Every EVV record must capture type of service, individual receiving the service, date, location, individual providing the service, and start and end time. The six EVV data elements
Confirm the data reaches the state. Ask your vendor whether its visits are accepted by your state's aggregator, or whether you need the state's own system alongside it. Using your own EVV system with the aggregator

How Caregiver Scheduling handles this

Caregivers check in and out with a geofenced GPS check at the client's home, and an out-of-range check-in needs an override reason. Timesheets built from verified check-ins are coming soon. See geofenced check-in.

Sources

CMS, electronic visit verification
CMS informational bulletin, August 8, 2019
State aggregators and models: the EVV state directory, sourced per state

Frequently asked questions

EVV is a Medicaid requirement. It doesn't apply to private-pay clients under federal law.

These free tools are made by the team behind Caregiver Scheduling, caregiver scheduling software for home care agencies.

Simple pricing

From $199 /month

Up to 10 caregivers on Starter, 50 on Growth.

More than 50 caregivers? We'll put together a custom Scale plan for your agency.

Book my demo See pricing

Is your agency ready for EVV?

How Caregiver Scheduling handles this

Sources

Frequently asked questions

Does EVV apply to private pay clients?

What are the six EVV data points?

Do live-in caregivers need EVV?