What is Electronic Visit Verification (EVV)?

Electronic Visit Verification (EVV) electronically captures point of service information for certain home and community based services.  The 21^st Century Cures Act (Section 12006(a)(1)(A)), passed by Congress in December 2016, requires states to implement EVV for *personal care services (PCS) by January 1, 2020 and home health care services (HHCS) by January 1, 2023.

*Effective July 30, 2018 – personal care services implementation date changed.  H.R. 6042 changed the implementation date for personal care services from January 1, 2019 to January 1, 2020.

Click here to veiw H.R. 6042

The EVV system must electronically verify:

• †  Type of service performed
• †  Individual receiving the services
• †  Date of service
• †  Location of service delivery at the beginning and ending of service
  
• †  Individual providing the service
• †  Time the service begins and ends

Goals for EVV 

• Timely service delivery
• Administrative burden reduction
• Accommodate the lifestyles of members and their families
• Accommodate service provider business decisions and preserve existing investments
• Cost savings – prevention of fraud, waste and abuse

EVV System Model Design 

MQD and Arizona Health Care Cost Containment System (AHCCCS) are partnering to procure a single EVV vendor to implement and operate one statewide EVV system for Hawaii and for Arizona.  MQD has partnered with AHCCCS for nearly twenty years on several projects, including the management of the Hawaii Prepaid Medical Management Information System (HPMMIS).  Collaborating with AHCCCS maximally leverages funding and staffing resources which will lead to an optimal and cost efficient EVV implementation.

Click here for more information about the system model objectives; the open vendor model; and services which are subject to EVV.

EVV Timeline – tentative timeline is subject to change (updated August 22, 2018)

• September 2018 – Release request for proposal (RFP).
• For more RFP information, check the “Procurements” section on the AHCCCS EVV webpage:      https://www.azahcccs.gov/AHCCCS/Initiatives/EVV/
• January 2019 – Vendor selection
• April 2019 – Award contract
• October 2019 – Implement EVV for both personal care services and home health care services

• Med-QUEST Electronic Visit Verification (EVV) - Update #1 to QUEST Integration Health Plans and Department of Health DDD
  
• Request for Proposal (Proposal due date: November 23, 2018)
  
• QI-1814 Electronic Visit Verification Memorandum (added October 26, 2018)  

• EVV System Model Design (updated October 4, 2018)
  
• EVV Implementation Timeline (updated August 22, 2018)
  
• EVV information sheet - June 18, 2018
• Information session SlidesFebruary – March 2018
• Information session Schedule - February – March 2018
• EVV Information Session Feedback - February – March 2018
• EVV Provider Survey Feedback - February – March 2018
• For more RFP information, check the “Procurements” section on the AHCCCS EVV webpage:  https://www.azahcccs.gov/AHCCCS/Initiatives/EVV/
• 21^st Century Cures Act (Section 12006(a)(1)(A)
• H.R. 6042
• Medicaid.gov's EVV webpage (added  December 10, 2018)