NY Medicaid Electronic Visit Verification Program (EVV)

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Program Information

The 21st Century Cures Act, is a federal law, passed by Congress in December 2016, that in part requires all state Medicaid programs to implement an EVV system for personal care services (PCS) and home health care services (HHCS). All states must implement an EVV system to avoid a reduction in federal Medicaid funding. States must require EVV use for all Medicaid–funded PCS by January 1, 2020, and HHCS by January 1, 2023, or demonstrate a "good–faith" effort to implement EVV.

For more information on the federal law and requirements for EVV, also visit:
Medicaid.gov

EVV is a system that may include multiple point–of–care verification technologies, such as telephonic, mobile, and web–based verification inputs. The system electronically verifies the occurrence of home–or community–based service visits, identifying the time that service provision begins and ends to ensure accurate claims disbursement and safeguarding that beneficiaries who are authorized to receive services get the expected care. EVV is used to:

  • Verify visits on a real–time basis, including date, location, type of service, individual(s) providing and receiving services, and duration of service(s)
  • Validate hours of work for home health employees
  • Eliminate billing data entry mistakes
  • Reduce costs related to paper billing and payroll
  • Help combat fraud, waste, and abuse

New York State Medicaid is sharing the following information so that individuals and their families can learn more about EVV and its requirements.

New York State Medicaid is sharing the following information so providers and agencies can learn more about EVV requirements.

New York State Programs impacted by EVV include:

  • Personal Care Services Program (PCSP)
  • Consumer Directed Personal Assistance Program (CDPAP)
  • Certified Home Health Aide (CHHA)
  • Community Habilitation and Skills Acquisition Maintenance and Enhancement

There are multiple EVV designs that can meet the requirements of the 21st Century CURES Act. New York State can select the model that best fits the needs of service recipients, providers and the State. New York State will be engaging stakeholders to discuss EVV designs and approaches and has released an EVV Provider Survey to understand current EVV utilization.

EVV Stakeholder Convening Report

During the three–month period from May 30 to July 18, 2019, NYSDOH held a series of web–based sessions and in–person Listening Sessions throughout the State to receive input from Medicaid beneficiaries, family caregivers, providers, advocates, and other stakeholders on the State´s implementation of EVV for Medicaid-funded personal care and home health care services. A summary of the feedback received at those sessions and responses to a survey of personal care and home care providers was collected in an EVV Stakeholder Convening Report, available here.

EVV Good Faith Effort (GFE) Extension Request

The federal 21st Century Cures Act, which mandates EVV compliance in all states, includes a provision that allows for the delay of implementation for up to one year if a state has encountered unavoidable delays, as demonstrated in a good faith effort (GFE).

On October 30, 2019, the Department submitted a request for a one–year GFE extension from the Centers for Medicare and Medicaid Services (CMS), which can be found here. The EVV website will be updated in the future to reflect CMS´s determination.

EVV Request for Information

The State is issuing a Request for Information (RFI) to solicit information from vendors regarding EVV solutions to assist the State in beginning to identify EVV solutions that address and reflect, to the maximum extent possible, input received from stakeholders and meet the EVV requirements.

The RFI can be found here.

EVV Event Calendar

Schedule of EVV Regional Listening Sessions
Date Region Location Time
5/30/2019 Albany/Capital District Empire State Plaza, Meeting Room 5  1pm – 4pm
6/5/2019 Rochester RIT Inn Conference Center 9am – 12pm
6/17/2019 Long Island Long Island Marriott 1pm – 4pm
6/18/2019 New York City Academy of Medicine 1pm – 4pm
6/24/2019 NA Online Webinar 9am – 12pm
6/27/2019 Lake Placid High Peaks Resort 1pm – 4pm
7/9/2019* New York City New York Marriott East Side 1pm – 4pm
7/11/2019 NA Online Webinar 6pm – 9pm
7/17/2019 Buffalo Buffalo Marriott Harbor Center 1pm – 4pm
7/18/2019 Syracuse Marriott Syracuse Downtown 1pm – 4pm

* Please note: the location of our 7/9 NYC session has changed.