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 Electronic Visit Verification (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 Electronic Visit Verification and its requirements.

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

New York State Programs impacted by Electronic Visit Verification 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.

Electronic Visit Verification (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 Downtown 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.