Electronic Visit Verification (EVV)

What is EVV?

EVV is an electronic system that uses technologies to verify that authorized services were provided. Workers will be required to send information at the beginning and end of each visit to an EVV system, including:

  • Who receives the service
  • Who provides the service
  • What service is provided
  • Where service is provided
  • Date of service
  • Time in and out

Stay up to dateIcon of person with speech bubble

Join in Key Conversations, or attend an upcoming training for new provider agency workers

Key Conversations are informal, monthly drop-in sessions for provider agency administrators. DHS staff will be available to answer questions about EVV.

  • August 15, 2022: 1–2 p.m. | Join online | Call in: 669-254-5252 and use webinar ID 160 112 5213
  • September 19, 2022: 1–2 p.m. | Join online | Call in: 669-254-5252 and use webinar ID 160 112 5213

Wisconsin's EVV informational video

We invite you to watch and share our informational video about EVV. Sam Self-Determined and Pat Provider will walk you through the basics of EVV and answer some common questions.

Updates

EVV for home health care services

The federal 21st Century Cures Act requires states to implement EVV for Medicaid-covered home health care services (HHCS) by January 1, 2023. Federal statute allows a one-year extension if the state has made a good-faith effort to comply. The Wisconsin Department of Health Services (DHS) intends to request the extension and therefore implement EVV for HHCS by January 1, 2024. If DHS does not implement EVV for the required services, DHS will face penalties beginning in 2024.

Home health care providers do not need to do anything or purchase anything to be in compliance with the EVV requirement at this time.

Please join our email list to receive updates about EVV as they become available.

EVV soft launch for personal care services extended

EVV for personal care services (PCS) has been required since the soft launch of EVV in Wisconsin on November 2, 2020. Provider agencies not using EVV for PCS are out of compliance with current Wisconsin DHS policy. 

Payers, provider agencies, and workers should use the soft launch to become more efficient with EVV, streamline processes, and take additional training as needed. Hard launch plans will be communicated at a future date.

For more information, read ForwardHealth Update 2021-40 (PDF), "Electronic Visit Verification Soft Launch Has Been Extended."

Upcoming training

EVV Essentials Webinar - For Personal Care Workers

Do you have new personal care workers or workers with minimal experience using the Sandata Mobile Connect application (SMC app)? If so, please have them join us for a 45-minute webinar. This session is part of a series developed for workers new to EVV who use the SMC app on a cell phone or tablet.

At this webinar, workers will:

  1. Review key terms and what information they will capture using EVV.
  2. Observe how to log in, start, and complete a visit using the app.
  3. Learn how to reset their SMC app password using the device.
  4. Understand how the SMC app works when Wi-Fi or cell service is not available.
  5. Learn tips and tricks to make using the SMC app as easy as possible.
  6. Identify where helpful EVV resources are found.
  7. Be able to ask questions to EVV specialists about the app.

This session is devoted to sharing everything we know about the SMC app. Workers who plan to attend this session should download the SMC app to their iOS or Android device prior to joining.

If your agency is not using the DHS-provided Sandata EVV system, this training will not be helpful to you.

Participants only need to register for one date. Select date to register:

 

Policy decisions

The Centers for Medicare & Medicaid Services (CMS) issued states additional guidance on EVV requirements. CMS provided states the flexibility to decide if live-in workers and services rendered in the community are subject to EVV requirements.

DHS policy decisions

  • DHS is not requiring EVV for live-in workers.​
  • DHS will require EVV for services regardless of where the services are provided, whether in the community, in the home, or both.
  • Managed care organizations (MCOs), health maintenance organizations (HMOs), and provider agencies may independently decide, based on business needs, if their live-in workers are required to use EVV.
  • IRIS Fiscal Employer Agents (FEAs) cannot require participant-hired live-in workers to use EVV.

Definition of a live-in worker

For the purposes of EVV, a live-in worker is a worker who either:

  • Permanently resides in the same residence as the member or participant receiving services, or
  • Permanently resides in a two-residence dwelling where the member or participant receiving services lives in the other half of the dwelling and is a relative of the member or participant receiving services.

Workers who do not meet this definition are not considered live-in workers. Live-in worker status must be established between each member and worker and verified at least annually. When a live-in worker provides services to more than one member with whom they permanently reside, live-in worker status must be validated for each member.

Examples of workers that are not considered live-in workers.

  • Workers who live with the member receiving services for only a short period of time, such as two weeks, are not considered live-in workers.
  • Workers who work 24-hour shifts, but are not residing with the Medicaid member “permanently” are not considered live-in workers.

Affected programs

This requirement affects all personal care and home health services, including services provided through:

  • Medicaid and BadgerCare Plus fee-for-service (ForwardHealth card)
  • BadgerCare Plus and Medicaid SSI HMOs
  • Family Care and Family Care Partnership
  • IRIS (Include, Respect, I Self-Direct)​

Wisconsin’s commitment

DHS will work to:

  • Maintain services provided, including community integration.
  • Support provider selection.
  • Keep an individual’s choice of a worker.
  • Ensure needed care is delivered.
  • Ensure data is secure and compliant with the Health Insurance Portability and Accountability Act (HIPAA).

Contact us

Provider agencies, members, participants, workers, and program payers can contact Wisconsin EVV Customer Care for help with technical and program-related questions.

EVV Customer Care is also offering personalized office hours.

  • Agencies set up a one-on-one appointment with an EVV specialist who will talk through the agency’s specific challenges and help them find solutions.
  • The EVV specialist will come to the appointment with an understanding of where the provider agency is in the process, what issues they may be facing, and suggested solutions.
  • Office hours can be a one-time tool for getting started with EVV or solving a specific issue, or agencies can schedule regular office hour sessions with the same EVV specialist for ongoing support.

Contact Wisconsin EVV Customer Care by phone at 833-931-2035 or by email at vdxc.contactevv@wisconsin.gov.  Monday–Friday, 7 a.m.–6 p.m. CT.

Input from our stakeholders is essential to the successful implementation of EVV. Questions and comments can be emailed to vdxc.contactevv@wisconsin.gov or mailed to:

Division of Medicaid Services
Attention: Electronic Visit Verification
PO Box 309
Madison, WI 53707-0309

Pursuant to Section 12006(a) of the 21st Century Cures Act, which mandates that states implement EVV for all Medicaid personal care services that require an in-home visit by a provider

Last Revised: August 11, 2022