EVV Requirements Overview

Electronic Visit Verification (EVV) is a federal requirement under the 21st Century Cures Act that mandates electronic verification of home care visits. States must verify six data points for every Medicaid-funded visit: (1) type of service, (2) individual receiving the service, (3) date of service, (4) location of service, (5) individual providing the service, (6) time the service begins and ends.

When a caregiver clocks in and out using the mobile app, the system automatically captures all six required data points: the procedure code (service type), the patient (individual receiving), the date, the GPS coordinates (location), the caregiver (individual providing), and the start/end timestamps.

Verified visit records are transmitted electronically to your state's designated EVV aggregator (e.g. Sandata, Tellus, or HHAeXchange). This transmission is required before claims can be paid by Medicaid.

Visits clocked in offline are still EVV-compliant as long as GPS was available at the time of clock-in and clock-out. The timestamp is recorded at the moment of the action, not when it syncs.