Electronic Visit Verification

As required by Section 12006 of the 21st Century Cures Act, the North Carolina Department of Health and Human Services (DHHS) will implement an Electronic Visit Verification (EVV) system for Personal Care Services (PCS) by January 2021 and for Home Health Care Services (HHS) by January 2023.

What is EVV?

EVV is a method used to verify visit activity for services delivered as part of home- and community-based service programs. EVV offers a measure of accountability to help ensure that individuals who are authorized to receive services in fact receive them.

If you are a provider, please complete this quick survey about EVV

Announcements

EVV Beneficiary Rack Card

The EVV Beneficiary Rack Card is being distributed to PCS beneficiaries subject to EVV in the State Plan PCS Program, the Community Alternatives Program for Children (CAP/C), and the Community Alternatives Program for Disabled Adults (CAP/DA). The rack card notifies the beneficiary of the EVV requirement, what programs are impacted, and how EVV will directly impact them. It also provides contact information should beneficiaries have follow up questions. Mailings began week of Oct. 12, 2020. 

PCS Stakeholder Meeting 

Audience: All PCS Stakeholders/Providers including CAP/C and CAP/DA 

PCS EVV Stakeholder Meeting 
Oct. 22, 2020 1 p.m. 
GoToWebinar – registration required 

Agenda

NC Medicaid will host a PCS Stakeholder Meeting on Thursday, Oct. 22, 2020 from 1-3 p.m. This stakeholder meeting will be held via webinar with the meeting agenda and webinar link emailed to the Stakeholder group and posted on this page. This meeting will provide updates for all PCS Providers, but will focus primarily on the upcoming EVV implementation. We will introduce providers to Sandata Technologies, discuss the policy and program changes developed to support EVV, and provide information about upcoming stakeholder meetings and training plans.  

Please continue to send all EVV questions to Medicaid.EVV@dhhs.nc.gov as we work to develop FAQs and inform upcoming stakeholder engagements.   
 

Oct. 2, 2020: EVV Contract Award

NC DHHS awarded a contract to Sandata Technologies, LLC on Sept. 24, 2020, and will implement services for Electronic Visit Verification (EVV) statewide on Jan. 1, 2021. EVV is a method used to verify visit activity for services delivered as part of home- and community-based service programs. EVV offers a measure of accountability to help ensure that individuals who are authorized to receive services in fact receive them.

In compliance with Section 12006 of the 21St Century Cures Act (the Cures Act), P.L. 114-255 was added to Section 1903(l) of the Social Security Act (SSA). Section 1903(l) requires the use of an electronic visit verification (EVV) system for personal care services (PCS) and home health care services (HHCS) that require an in-home visit by a provider for states participating in the Medicaid program. Programs subject to the EVV requirement are State Plan Personal Care (PCS)  [In-Home], CAP/DA, CAP/C, self-directed personal attendant care services, Innovations Waiver, TBI Waiver and the 1115 Managed Care Demonstration Waiver. 

NC Medicaid will provide additional information in the coming weeks regarding the onboarding of Sandata, including dates and times of provider and beneficiary training. Medicaid will conduct stakeholder engagement discussions throughout the month of October to provide the details of the implementation plan for each of the affected program groups. Our process will ensure that Medicaid LTSS continues without disruption to our providers and beneficiaries.

Please check this webpage frequently for more information on EVV as we move toward implementation.

Resources

EVV Flyer

Centers for Medicare & Medicaid Services (CMS) EVV Presentation - Part 1

Centers for Medicare & Medicaid Services (CMS) EVV Presentation - Part 2

Centers for Medicare & Medicaid Services (CMS) Informational Bulletin - May 16, 2018

Centers for Medicare & Medicaid Services (CMS) Informational Bulletin - Frequently Asked Questions - EVV

Long-Term Services & Supports (LTSS) / Home- and Community-Based Programs

Community Alternatives Program for Children (CAP/C)

Community Alternatives Program for Disabled Adults (CAP/DA)

Money Follows the Person

NC Innovations

Personal Care Services

Contact

Email: Medicaid.EVV@dhhs.nc.gov

Short web address: medicaid.ncdhhs.gov/evv