Home Health Electronic Visit Verification: Provider Updates

NCDHHS will implement an Electronic Visit Verification system for Home Health Care services starting with a soft launch Jan. 1, 2023, and a hard launch April 1, 2023. This complies with the 21st Century Cures Act.

The North Carolina Department of Health and Human Services (NCDHHS) will implement an Electronic Visit Verification (EVV) system for Home Health Care Services (HHS) starting Jan. 1, 2023. This complies with the requirements of Section 12006 of the 21st Century Cures Act (the Cures Act).

Soft Launch: Jan. 1, 2023 through March 31, 2023

NCDHHS will implement a soft launch of its EVV HHS system from Jan. 1 through March 31, 2023. During this soft launch period:

  • Home Health Care providers will submit EVV information
  • The EVV HHS system will operate as Pay and Report
  • Claims will not pend based on failed validation. If a claim fails validation, the EVV HHS system will generate a report of the validation issue and allow the provider to receive payment.

Hard Launch: April 1, 2023

  • A hard launch will begin April 1, 2023. On this date:
  • All Home Health Care providers are expected to be fully compliant with EVV requirements
  • EVV data must be validated prior to claims adjudication
Contract Soft Launch Start Hard Launch Start
NC Medicaid Direct 1/1/2023 4/1/2023
Standard Plans (Home Health) 1/1/2023 4/1/2023
Tailored Plans (Home Health) 1/1/2023 4/1/2023
Tailored Plans (PCS) 12/1/2022 4/1/2023

Services covered through the State Plan and the 3-A Home Health Clinical Coverage Policy that will be subject to the EVV requirement:

  • Aide Services
  • Physical Therapy
  • Occupational Therapy
  • Skilled Nursing Visits

EVV will verify:

  • Date of service
  • Beneficiary receiving services
  • Location of service
  • Individual providing service
  • Type of service rendered
  • Time the service begins and ends

Revenue Codes and Services for Claims Subject to EVV

Home Health Care Claims Subject to EVV:
NC Medicaid Direct, Standard Plans, Tailored Plans

Revenue Code 




Physicial therapy


Physical therapy evaluation


Occupational therapy


Occupational therapy evaluation


Speech-language pathology services


Speech-language pathology services evaluation



Skilled nursing: Initial assessment/re-assessment (initial assessment of a new patient or 60 calendar-day re-assessment)


Skilled nursing: Treatment, teaching/training, observation/evaluation


Skilled nursing: For a dually eligible beneficiary when the visit does not meet Medicare criteria (for example, beneficiary is not homebound)


Skilled nursing: Venipuncture


Skilled nursing: Pre-filling insulin syringes/Medi-Planners



Home Health Aide


Personal Care Services Claims Subject to EVV: Tailored Plans

Revenue Code


99509 (modifier HA)

State Plan PCS under Twenty-One

99509 (modifier HB) 

State Plan PCS Adults 


TP TBI Personal Care 


TP TBI In Home Intensive 

T1019 (modifier U4) 

TP Personal Care/Individual Support 


TP TBI Life Skills Training - Individual and Group 

T2013 (modifiers TF, HQ, U4) 

TP 1915 (i) Community Living and Supports - Group 

T2013 (modifiers TF, U4) 

TP 1915 (i) Community Living and Supports 

T2013 (modifiers TF, HQ) 

TP (IN) Community Living and Supports-Group 

T2013 (modifier TF) 

TP (IN) Community Living and Supports 

T2033 (modifier U1) 

TP (IN) Supported Living - Periodic 

Third Party Alternate EVV Specifications 

Third Party Alternate EVV specifications have been posted to the EVV webpage on the NC Medicaid website under  Provider Resources and Service Codes > Third Party Alternate EVV > HH Alternate EVV. 

Home Health providers are encouraged to frequently monitor the EVV webpage for Home Health Services EVV announcements, bulletins, FAQs, stakeholder meetings and other communications. 


Send questions to medicaid.evv@dhhs.nc.gov

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