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Home › EVV for HHCS Providers

EVV for HHCS Providers

Posted on November 29th, 2023 in Bulletin Board by CHPW Admin

The Health Care Authority is providing the following guidance for MCOs regarding electronic visit verification (EVV) for home health care services (HHCS).

The HCA will not begin denying claims and rejecting encounters without the EVV HHCS data on 1/1/2024 . There will be a period of technical assistance for providers to come into compliance with EVV HHCS requirements, including enrolling individual HHCS providers with HCA.

MCOs should not deny EVV HHCS claims that do not have all the required EVV data elements with service dates starting 1/1/2024, as stipulated under 9.15.15 of the upcoming amendment to the MCO contract. Initially, there will be a period of technical assistance for providers to become compliant with EVV requirements. HCA will give notice to MCOs for when to begin denying claims without the required data.

MCOs must have their systems ready by 1/1/2024 to begin collecting EVV data elements on claims submitted by providers and send EVV HHCS data to HCA on encounters as detailed in the EDRG and companion guides. This is necessary for HCA’s EVV HHCS reporting requirements to CMS, for HCA to monitor the number of claims without EVV HHCS data, and to identify which providers are not submitting EVV HHCS data.

HCA will perform outreach to those providers not sending the EVV data elements and requests the MCOs also perform outreach and provide support to providers not meeting EVV HHCS requirements starting 1/1/2024.

This information will be incorporated into the EVV HHCS FAQs on the HCA’s EVV HHCS website in the upcoming days. You’ll be notified as to when this has been updated.

Please see HCA’s EVV HHCS website at: https://www.hca.wa.gov/billers-providers-partners/program-information-providers/home-health-care-services-electronic-visit-verification .

The Frequently Asked Questions (FAQ) for EVV HHCS have been updated to reflect the guidance HCA provided via email (#37128) to the MCOs on 11/9/2023. The updated FAQ can be found on HCA’s EVV HHCS website at: https://www.hca.wa.gov/billers-providers-partners/program-information-providers/home-health-care-services-electronic-visit-verification .

Please send any questions to HCA about EVV HHCS to [email protected] . –  Christina McDougall, HCA FADS & EVV HHCS Project Manager

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Home Health – Electronic Visit Verification (EVV) – Updates and reminders

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Electronic Visit Verification (EVV)

Related links.

• HCBS Technical Assistance for States
• HCBS Training Series

Section 12006(a) of the 21st Century Cures Act   mandates that states implement EVV for all Medicaid personal care services (PCS) and home health services (HHCS) that require an in-home visit by a provider. This applies to PCS provided under sections 1905(a)(24), 1915(c), 1915(i), 1915(j), 1915(k), and Section 1115; and HHCS provided under 1905(a)(7) of the Social Security Act or a waiver. 

States must require EVV use for all Medicaid-funded PCS by January 1, 2020 and HHCS by January 1, 2023. Otherwise, the state is subject to incremental FMAP reductions up to 1% unless the state has both made a “good faith effort” to comply and has encountered “unavoidable delays.” Please see below for a list of EVV resources to assist states in complying with CURES Act requirements:

• Documenting EVV in Applications for 1915(c) Waivers and Other Programs - May 2022
• CIB: Additional EVV Guidance  – August 2019
• Requests from States for Good Faith Effort Exemptions  - December 2022
• EVV Update  – August 2018
• EVV Requirements in the 21st Century Cures Act: NASUAD Pre-Conference Intensive  - August 2018
• EVV Requirements in the 21st Century Cures Act: NASUAD Conference Workshop  - August 2018
• CIB: Cures Act for Electronic Visit Verification  - May 16, 2018
• FAQs: Cures Act for Electronic Visit Verification  - May 16, 2018
• Section 12006 of the 21st Century CURES Act Electronic Visit Verification Systems Session 2: Promising Practices for States Using EVV  – January 2018
• Section 12006 of the 21st Century CURES Act Electronic Visit Verification Systems - Session 1: Requirements, Implementation, Considerations, and State Survey Results  – December 2017

Additional Information

• Request Electronic Visit Verification Technical Assistance
• Good Faith Effort Exemption Requests: Personal Care
• EVV Outcomes-Based Certification

EVV by State: A Guide to Electronic Visit Verification Compliance

• December 2, 2021

The 21st Century Cares Act

Although state-by-state EVV requirements are still a developing story, many states are now passing legislation that requires agencies to use Electronic Visit Verification. Few states met the Federal EVV Mandate deadline on January 1, 2020, however, most received a one year extension to implement Electronic Visit Verification requirements. 

With that being said, per-State EVV compliance is a constantly-evolving situation. The Centers for Medicare and Medicaid Services (CMS) have not extended this Jan 1 deadline, so some states are rushing to meet requirements before the New Year. 

The 21st Century Cures Act has outlined several EVV models states can choose from:

• Open vendor: State selects an EVV vendor and data aggregator. Providers can use state-sponsored vendors free of charge or work with another EVV vendor at their own expense. Usually, alternative EVV solutions have to be able to integrate with the state’s data aggregator.
• State-mandated external vendor: Providers must use a state-sponsored, state-funded vendor.
• State-mandated in-house system: States build and manage their own EVV system that all providers must use.
• Provider choice: Providers select vendors and cover the costs. Some states that chose this model will raise reimbursement rates to help offset the cost to agencies.
• Managed Care Organization (MCO) choice: MCOs select the vendor and cover the costs, often with state support.

What do IDD and rehabilitation agencies need to know to ensure they are EVV compliant? That varies depending on your state. To better understand what your state requires and how you can be in compliance, we’ve curated a list with a link to each state’s guidelines.

Colorado Connecticut

Idaho Illinois Indiana Iowa  

Kansas Kentucky  

Louisiana  

Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri  

Nebraska Nevada New Jersey New Mexico New York North Carolina North Dakota  

Ohio Oklahoma Oregon  

Pennsylvania  

Rhode Island

South Carolina South Dakota  

Tennessee Texas  

Vermont Virginia

Washington Washington, D.C. West Virginia Wisconsin Wyoming

With 2022 looming and no mention of an extension by The Centers for Medicare and Medicaid Services, it’s vital for agencies to understand how they can become EVV compliant before the new year. Utilizing information from Vertex Case Manager, EVV Advocate’s expanded functionality enables it to record all services, helping simplify the work agencies do while having access to accurate information. Additionally, GPS coordinates can pinpoint when an agency caregiver arrives at and leaves a location. Meet state and federal requirements while collecting critical service documentation.

Learn more about how Vertex Systems’ EVV Manager  can help your agency ensure it’s compliant with state law by clicking the link above.

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Identification verification documents

You must provide identification verification documents with your Paid Family and Medical Leave application. Please submit one stand-alone document OR two alternate documents from the list below. Do not send originals. Download the identification documents list PDF.

Stand-alone documents (one of these)

• Valid United States government (federal or state) issued form of identification (i.e., passport, passport card, ID card, enhanced; or standard driver’s license, B1/B2 Visa Border Crossing Card, etc.)
• I-327 U.S. Permit to Re-Enter Travel Document
• I-551 Permanent Resident Card
• I-571 U.S. Refugee Travel Document
• I-766 Employment Authorization
• Valid foreign government issued form of identification (i.e. passport, consular ID card, national identification card or “cedula” with signature and photo, etc.)
• Valid enrollment ID card from a federally recognized Indian tribe (must include your signature and photo)
• Valid U.S. Bureau of Indian Affairs issued ID card (must include your signature and photo)

Alternate documents (two of these)

• Expired United States government (federal or state) issued form of identification (i.e. passport, passport card, ID card, enhanced or standard driver’s license, B1/B2 Visa Border Crossing Card, etc.)
• Expired foreign government issued form of identification (i.e. passport, consular ID card, national identification card or “cedula” with signature and photo, etc.)
• Adoption papers
• Certified U.S. or foreign birth certificate
• Certified birth registration card (must include your name, date of birth, place of birth, file date, and issue date)
• Valid concealed weapons permit issued by a state or county agency
• Consular Report of Birth Abroad
• Ward of the Court decree/Order of Dependency
• Clearance letter or driving record from a state DMV
• Certified divorce decree
• Certified marriage license/certificate
• Professional license (nurse, physician, engineer, etc.)
• School transcript or record
• Valid student identification card issued by a nationally accredited college or university
• Transportation Worker Identification Credential (TWIC)
• Vehicle registration or title (a quick title isn’t acceptable)
• Home utility bill (gas, electric, water, garbage, sewer, landline phone, TV, internet, ISTA)
• DSHS benefits letter (medical, food, etc.)
• Proof of home ownership (mortgage documents, property tax documents, deed, title, etc.)
• Business mail from a state, federal, tribal, county, or city government entity
• Individual Tax Identification Number (ITIN) letter from Internal Revenue Service (IRS)
• Home owners or renter’s insurance policy
• Auto insurance policy or bill
• Pay check or pay stub with the employer’s name and phone number or address
• W-2 form from an employer, or form 1099
• Moorage document (bill, contract, etc.)

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Frequently asked questions

Our rider verification process involves cross-checking your account information (such as your name and/or phone number) provided during signup against third-party databases. If we can’t validate that information, you can choose to upload your government-issued identification, such as a driver's license, a passport, a national identity card, or other documentation.

This isn’t a guarantee of someone’s identity or good behavior, but it does help us build trust and accountability among users on our platform.

This new verified rider badge builds off of our current verification processes, helps deter fraudulent behavior, and adds another layer of trust, safety, and peace of mind for drivers and all Uber platform users.

Uploading an ID to receive a verified badge is optional.

If you aren’t verified as an Uber rider through your already-provided account details and do not want to provide an ID, you won’t receive the verified rider badge.

However, If you set up a new rider account using an anonymous form of payment (such as Venmo, prepaid debit card, and/or gift card) or we determine that additional verification is needed, you may be required to upload an ID or driver’s license from any state or a passport from any country for verification before you take a trip. We first launched this process in Chicago in 2021 and have expanded it across the US.

At this time, there’s no alternative way to get a verified badge. As we expand, we may consider providing additional ways for users to verify their accounts.

We believe this verification process can help promote safer and more comfortable interactions, help build trust, and help make the platform safer.

Because drivers will see a rider’s verified badge when choosing to accept a trip, not being verified may lead to longer ETAs and pickup times. Riders and drivers can still cancel a trip, in accordance with our Community Guidelines.

Changes to your rider account, such as a new phone number, new email address, or a change to your name, could result in losing a verified badge. You can always re-verify your account by uploading an ID.

If you’re ordering a trip for a friend or loved one, you can order it as a guest ride and input information about the person who’s actually taking the trip. If you have a verified rider badge and you order a trip for a friend or family member, your guest rider will not be considered verified, and we will not show a verified badge.

You’ll receive email and in-app communications from us letting you know about this new verified rider badge. The badge will be in the Account section of your Uber app.

This rider verification pilot is currently live in Atlanta, GA; Baltimore, MD; Charlotte, NC; Chicago, IL; Detroit, MI; Fargo, ND; Lancaster, PA; Miami, FL; Nashville, TN; New Orleans, LA; Peoria, IL; Philadelphia, PA; Phoenix, AZ; Portland, OR; and St. Louis, MO, in the US, with plans to expand to more cities in the coming months.

We’ll compare a rider’s name and phone number from their Uber account against trusted data sources. If we’re unable to verify a rider’s identity by doing that, they’ll have the option to verify their identity by providing an ID document.

We’ll complete a verification of your ID using trusted sources and check that no other account is associated with that document.

All personal data is safeguarded when stored and transmitted, including by using secure encryption.

Yes. Before accepting the trip, drivers will see a verified rider badge if you have a verified account and requested the ride for yourself. Drivers will continue to see the verified badge while on the way to pick you up.

All other trip and rider details currently visible to drivers remain the same: they’ll be able to see only your first name and verified rider badge along with your pickup and dropoff details. You can find out more about what drivers see about riders in Uber’s Privacy Center.

No, drivers will not be able to set a filter to see only verified rider requests. Drivers have previously been able to accept or deny any trip, and they will continue to be able to do so. However, drivers might be more inclined to accept trips from verified riders.

In accordance with our law enforcement guidelines , Uber will disclose account information to US law enforcement where required by legal process in accordance with the Electronic Communications Privacy Act (ECPA) and other legal authorities, or in an emergency situation as outlined in our guidelines.

We delete ID document data after one year and/or upon your request to delete your Uber account, except where longer retention is required for legal reasons. You cannot separately request for your ID document data to be deleted, though we may consider adding this functionality in the future.

If we detect fraud or you’ve been associated with a safety incident, we may retain your ID document data as long as necessary by applicable law and in a manner consistent with our Privacy Notice.

More about safety at Uber

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Millions of rides are requested daily. Every rider has access to safety features built into the app. And every ride has a Support team if you need them.

Our rider verification system is designed to improve trust and accountability on the Uber platform, but the verification badge does not represent a warranty or guarantee of someone’s identity, safety, or fitness to ride.

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