NY Medicaid Electronic Visit Verification (EVV)

Document Repository

CMS Guidance

NYS Guidance

  • EVV Program Guidelines and Requirements - (Web) - (PDF)
  • EVV Applicable Billing Codes - (Web) - (PDF)
  • Interface Control Document (ICD) - (PDF)
  • Technical User Guide - (PDF)
  • EVV Fact Sheet for Medicaid Beneficiaries and Families - Web - (PDF)

Supplemental NYS-Issued Documents

  • DOH EVV Attestation Form Instructions - (PDF)
  • DOH EVV Model Update Letter to CMS - (Web) - (PDF)
  • Summary of Responses and Path for Implementing EVV - (PDF)
  • EVV Considerations for Selecting an EVV System - (Web) - (PDF)
  • Good Faith Effort Extension Request - (PDF)
  • CMS GFE Extension Approval - (Web) - (PDF)
  • EVV Stakeholder Convening Report - (PDF)
  • Request for Information (RFI) For EVV Solutions - (Web) - (PDF)