EVV is federally required for Medicaid-covered personal care and applicable supportive home care services. This includes services authorized through Medicaid and BadgerCare Plus fee-for-service, health maintenance organizations (HMOs), long-term care managed care organizations (MCOs), and IRIS (Include, Respect, I Self-Direct). EVV visit data will need to be collected for care provided under the following service codes:
|Service or Modifier||Medicaid and BadgerCare Plus fee-for-service, BadgerCare Plus and Medicaid SSI HMOs||Family Care, Family Care Partnership||IRIS|
|T1019: Personal Care Services per 15 minutes||Yes||Yes||Yes|
|T1020: Personal Care Services per day||n/a||Yes||n/a|
|S5125: Supportive Home Care per 15 minutes||n/a||Yes||Yes|
|S5126: Supportive Home Care per day||n/a||Yes||Yes|
|KX Modifier: identifies a live-in worker not required to collect EVV data||Yes||Yes||Yes|
EVV visit data
EVV verifies authorized Medicaid-funded personal care and applicable supportive home services were provided by collecting the following information:
- Who receives the service
- Who provides the service
- What service is provided
- Where service is provided
- Date of service
- Time in and out
Wisconsin's EVV solution
The Wisconsin Department of Health Services (DHS) selected an EVV system that can be used by all DHS programs and impacted provider agencies, HMOs, MCOs, Family Care fiscal employer agents (FEAs), and IRIS FEAs. Individual organizations do not need to purchase an EVV solution. Organizations may choose to use an alternate EVV system. Learn more about specific DHS business and technical requirements.
Technology to collect EVV data
When using the DHS-selected EVV system, workers may use a mobile phone, tablet, landline phone, or a fixed VoIP phone to capture visit data. Cellular, internet, and Wi-Fi availability are not required at the point of care for workers to complete this step. Cellular, internet, or Wi-Fi are only required to send the visit information afterwards. In certain situations, a small digital device provided by DHS can be used to capture visit data.
Alternate EVV systems may provide different options for collecting visit data. Traditional methods of logging information, such as paper records of care, may continue but do not fulfill EVV requirements.
DHS EVV training
DHS provides free train-the-trainer sessions and resources on the DHS EVV system to the provider agency administrators across all delivery systems. Administrators from Family Care FEAs and IRIS FEAs will also need this training. Learn more about available training.
DHS recognizes our responsibility to minimize the impact of this federal regulation on your important work. We will continue to work with provider agencies to ensure the following goals are met:
- Maintain services provided, including community integration
- Support provider selection
- Keep an individual’s choice of a worker
- Ensure services are provided
- Ensure data is secure and compliant with the Health Insurance Portability and Accountability Act (HIPAA)