Electronic Visit Verification

EVV Good Faith Effort Exemption
On Nov. 21, 2019, the Centers for Medicare and Medicaid Services (CMS) granted approval of North Carolina’s EVV good faith effort exemption request. Approval of the Good Faith Effort Exemption allows NC Medicaid until Jan. 1, 2021, to be fully compliant with implementation of EVV per the 21st Century Cures Act (Cures Act). NC Medicaid is planning to resume Stakeholder Engagement and a list of meeting dates and engagement opportunities will be available on this webpage. Stay tuned.   

EVV Good Faith Effort Exemption
Question: Will NC request a Good Faith Effort Exemption to delay EVV implementation through Jan. 1, 2021?
Answer: Yes, NC submitted a Good Faith Effort Exemption Request to CMS on Oct. 23, 2019. Stakeholder Meetings will resume once we receive a response from CMS. 

Outcomes-based Certification for EVV Systems
On Oct. 24, 2019, CMS released an Information Bulletin describing refinements made to the existing certification process as they apply to EVV systems used for all Medicaid personal care services and home health services requiring an in-home visit by a provider. The Cures Act authorized enhanced federal financial participation for EVV systems, which are therefore subject to the federal regulations 42 CFR § 433.112(b) —Mechanized Claims and Processing Information Retrieval Systems. For more information visit https://www.medicaid.gov/federal-policy-guidance/downloads/cib102419.pdf. 
 

EVV Good Faith Effort Exemption
NC Medicaid is in the process of developing our request for a Good Faith Effort Exemption from CMS. Approval of the Good Faith Effort Exemption allows states to delay implementation of EVV through January 1, 2021. Medicaid will update the EVV website with the CMS response once received. NC intends to implement EVV (State Plan PCS and Waiver PCS) for both Medicaid FFS (Medicaid Direct) and Managed Care, at one time.

As we prepare for implementation and develop a tentative timeline, we will consider the possibility of initiating a voluntary EVV pilot program prior to Go-Live. Medicaid will reconvene the previous EVV Stakeholder group once the Good Faith Effort Exemption has been submitted to CMS. The target date for submission is late September. If you have additional questions regarding EVV, please email Medicaid.EVV@dhhs.nc.gov.

For more information on the Good Faith Effort Exemption Request Process, view "EVV Update: Requests from States for Good Faith Effort Exemptions."