Specifications include, but are not limited to: The provision of an Electronic Visit Verification System (EVV) for all Medicaid personal care services (PCS) and home health services (HHCS) that require an in-home visit by a provider. EVV for these services is required by Section 1903 of the Social Security Act (42 U.S.C. 1396b), also known as the 21st Century Cures Act. The Department is required to implement EVV for in-home personal care services to bring the Department into compliance with the 21st Century Cures Act, and EVV is required for in-home home health services by January 1, 2023. With the expansion of in-home and community-based care and services comes a need to ensure that care is being delivered properly and confidentially, and that publicly funded resources are being managed and spent appropriately. The future EVV system will capture time and service information about home and communitybased member visits. Goals and objectives for the EVV system are: i. Ensuring individuals receive the services that they are authorized to receive in order to stay healthy and safe in the community; ii. Complying with the requirements within the 21st Century Cures Act; iii. Providing data to support quality improvement and program efficiencies; iv. Viewing of utilization and services provided in real time; v. Improving quality of care for Medicaid recipients; vi. Reducing unauthorized services, billing errors, and improving payment accuracy; and vii. Providing additional auditing tools to reduce fraud, waste and abuse.
