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EVV Compliance for Home Care and the Cures Act

EVV compliance for home care

As a home care agency leader, you must always be aware of federal and state laws or guidelines that regulate your industry. Sometimes, this can seem like a difficult job, especially when federal laws or state guidance comes with pages and pages of instructions or guidance. While you may not need to know the specifics of each law, you must know the basics in order to ensure your agency does not miss out on reimbursement. 

When it comes to EVV compliance for home care and the Cures Act, here’s everything you need to know to make good decisions for your agency.

What is the Cures Act?

To better understand EVV compliance for home care, it is important to put it into context. The EVV requirements and deadlines were put into place in 2016 when the 21st Century Cures Act was signed into federal law. 

The Cures Act required state agencies to use EVV, or electronic visit verification, for personal care services and home health care services that were covered by Medicaid. While originally the first phase of EVV was supposed to begin in 2019, it was delayed to have personal care services documented via EVV starting January 1, 2020. Home health care services will be documented via EVV beginning January 1, 2023.

What is EVV?

EVV, or Electronic Visit Verification, is a way for caregivers or home health staff to document services while in the home in a more accurate way using technology. EVV requires that staff document:

  • Date of service
  • Start time of service
  • End time of service
  • Type of service performed
  • Location of service
  • Information about the service provider, including an electronic signature

What services need to be documented via EVV? Activities of Daily Living (ADLs), Instrumental Activities of Daily Living (IADLs), and home health skills. 

Why Are We Using EVV?

EVV compliance for home care is mandatory and it can affect your Medicaid reimbursement rates. However, it can also have additional benefits that you may not realize. For example, the EVV requirement can be just the nudge your agency needs to finally jump on the electronic medical record bandwagon. More than just a trend, using technology for medical record documentation allows for real-time updates to care plans and allows office staff to see developing health trends across the agency as well as receive more accurate documentation.

Proper use of EVV can also ensure better patient care, fewer documentation mistakes, and even less fraudulent activity. Your office staff will also be able to use technology to calculate reimbursable hours more efficiently and eliminate the need for chasing down caregivers to get their timecards or service logs.

Your agency may not yet be investigating EVV compliance for home care, but you will eventually need to have a plan to keep up with this evolving industry. Begin by finding a platform that gives your caregivers the opportunity to document services electronically, and you will quickly see the other benefits that come with the approach.



Article written by Haley Burress.

Hi, my name is Wendell Scott and I help Home Care Agencies who are experiencing high caregiver turnover rates, have trouble coordinating client care and feel frustrated with their team to easily increase efficiency and scale their Home Care business.

I’d like to share with you my free Caregiver Recruitment Engine framework. In it, are the tools to help you develop a system to easily attract & hire caregivers (aka a repeatable system for recruiting quality staff), so you can organize your process, reliably recruit staff and efficiently scale your home care team.

The end result: 

Hire caregivers.

Faster than ever. 



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