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 Electronic Visit Verification (EVV) Phase II

Electronic visit verification (EVV) is a telephone and computer-based system that electronically verifies service visits occur. EVV systems must verify: Type of service performed; Individual receiving the service; Date of the service; Location of service delivery; Individual providing the services; and Time the service begins and ends. 
 
Pursuant to Subsection l of Section 1903 of the Social Security Act (42 U.S.C. 1396b), all states must implement EVV for Medicaid-funded personal care services (PCS) by January 2020 and home health care services (HHCS) by January 2023. EVV will impact all PCS and HHCS provided by under the Medi-Cal state plan and various Medicaid Home and Community-Based Service programs. These services are provided in California through programs managed by the Department of Health Care Services and several other state departments.

Stakeholder Engagement

Please visit the DHCS EVV Phase II Stakeholder Meetings webpage for information on upcoming meetings. 
 
The Centers for Medicare & Medicaid Services (CMS) will be hosting a national conference call on Wednesday, November 7, 2018 from 1:00-3:00pm (Eastern Time) to solicit stakeholder feedback on EVV implementation. To participate in the call, please follow the instructions provided below by CMS. 
EVV Open Door Forum Participation Instructions:
Participant Dial-In Number: 1-800-837-1935
Conference ID: 3397917
 
*Please note – In an effort to reach as many stakeholders as possible, a transcript and audio recording will be posted to the Podcast and Transcripts website for downloading. There will also be two business days of the Encore presentation for those who were unable to join the call.

EVV Implementation

California is implementing EVV in two phases:
 
Phase I: This Phase is for the In-Home Supportive Services (IHSS) program and Waiver Personal Care Services program, focused on EVV implementation for programs that currently use the Case Management Payrolling & Information Systems (CMIPS II) and Electronic Time Sheet System (ETS). Further information about Phase I is available on the California Department of Social Services (CDSS) website.
 
Phase II: This Phase is focused on identifying either an existing system(s) or a new system to implement EVV for non-CMIPS and agency personal care services, and self-directed and agency home health services. 
 
Note: There are two models for the provision of PCS and HHCS, the Self Directed/Individual Provider Model and the Agency Provider.
 
The Self Directed Model, also known as the Individual Provider Model, supports the provision of PCS by an individual provider. The Self-Directed Model supports the provision of PCS by an individual provider. This model gives the recipient, or their authorized representative, the autonomy to hire or fire a provider of their choosing as well as to instruct them on how to facilitate their PCS needs.
 
The Agency Provider Model supports the facilitation of PCS and/or HHCS by an authorized agency who is responsible for hiring, firing, and training personnel to facilitate services on behalf of an eligible Medi-Cal beneficiary. Agency Providers are employed by commercial agencies who manage their work, process payroll, and issue their paychecks. These agencies can either have contracts with counties or enroll through DHCS as a Medi-Cal provider.

Resources 

 
The following documents are available on the Medicaid.gov EVV Guidance Documents webpage:

Contact Us

Please direct your comments, questions, or suggestions regarding the EVV Phase II, or to be added to the EVV Phase II stakeholder process interested parties e-mail list, to EVV@dhcs.ca.gov.
Last modified on: 10/9/2018 11:22 AM