Electronic Visit Verification Requirement
In response to the federal 21st Century Cures Act, the Wisconsin Department of Health Services (DHS) is required to implement electronic visit verification (EVV) for Medicaid-covered personal care services and home health services. This requirement impacts any personal care and home health services, including services provided through Medicaid and BadgerCare Plus fee-for-service, BadgerCare Plus health maintenance organizations (HMOs), Supplemental Security Income HMOs, Family Care, Family Care Partnership, IRIS (Include, Respect, I Self-Direct), and Children’s Long-Term Support Waiver. DHS is in the process of reviewing the Act to determine the specific services that will be subject to EVV.
EVV is an electronic system that uses technologies to verify that authorized services were provided. Home care workers will be required to send information at the beginning and end of each visit to an EVV system, including:
- Date of services.
- Time of services.
- Location of services.
- Service type.
- Individual providing services.
- Individual receiving services.
Providers and other interested stakeholders are strongly encouraged to continue checking this site as it provides all current EVV information. This site will be updated on an ongoing basis as more information becomes available.
DHS plans to implement the new EVV requirement over a span of multiple years based on the federal 21st Century Cures Act requirements.
The federal 21st Century Cures Act requires EVV to be implemented for personal care services by January 1, 2019. DHS acknowledges that implementation of EVV by January 1, 2019, is not practical for personal care providers. As a result, DHS is not planning to implement the EVV requirement by January 1, 2019, and will continue to work with providers, partners, and the federal Centers for Medicare & Medicaid Services (CMS) to develop an appropriate and realistic timeline for EVV implementation. DHS will share updated information regarding the expected timeline with providers when available. Providers do not need to do anything or purchase anything to be in compliance with the EVV requirement at this time.
The federal 21st Century Cures Act requires EVV to be implemented for home health services by January 1, 2023.
DHS plans to implement EVV by establishing a single EVV vendor. This vendor will provide one EVV system to be used by all DHS programs and impacted providers, HMOs, managed care organizations (MCOs), and program administrators. Providers will not have to purchase an EVV system.
DHS would like to hear from stakeholders regarding the implementation of EVV. The input from stakeholders is essential to the planning process for this new requirement and will be used by DHS to make decisions in implementation planning and assist in determining the best way to be compliant with the federal requirement.
Providers and other stakeholders can email inquiries to DHS. Submissions to this email address will be used to develop a frequently asked questions document.
The following resources are available to find out more about EVV implementation: