EVV implementation. What does it mean for service providers and recipients?

May 06, 18 EVV implementation. What does it mean for service providers and recipients?

What is EVV

FROM NASAUD: EVV stands for electronic visit verification. It was first developed by a nurse from Akron, Ohio named Michelle Boasten as a tracking system to help prevent home and community-based service fraud and waste. Michelle was looking for a way to ensure medicaid recipients actually received services and she wanted to increase service provider accountability.
What this means for families of the elderly or with disabled children is greater involvement in health care decisions and self-determination. For example, if an autistic child is supposed to receive an hour of speech therapy the therapist must get the parent’s signature that the full hour was provided before they get paid. The EVV system could also verify if the signature provided matches previous signatures, helping to prevent fraud.

The purpose of EVV

According to NASAUD, EVV can be used in many ways including
– Improving accuracy of home and community-based service delivery
– Verifying visits on a real-time basis
– Automating missed visit alerts to more quickly implement back-up plans
– Validating hours of work
– Eliminating billing data entry mistakes
– Reducing costs related to paper billing and payroll
– Using reports, metrics and analytics for strategic planning, budgeting, and audits (NASAUD)


The National Association of States United for Aging and Disabilities (NASUAD) released a report discussing policy considerations for states and service providers
On May 1, 2018, NASUAD released a report on Electronic Visit Verification (EVV) in Medicaid-funded home and community based services systems. This report describes key considerations and policy decisions that states should consider as they work to implement EVV systems in accordance with the mandate included in the 21st Century Cures Act. The paper also examines different approaches that states may wish to use to establish EVV within their HCBS programs, and discusses some of the benefits and challenges associated with each approach. Lastly, it includes case studies of four states with existing EVV systems.
Click Here for the full article.


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External Resources

National Association of States United for Aging and Disabilities

Administration for Community Living

Pathfinders for Autism

Disability Scoop

Depression and Bipolar Support Alliance

National Center for PTSD

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