Electronic Visit Verification Phase II
Electronic Visit Verification (EVV) is a telephone and computer-based solution that electronically verifies in-home service visits occur. EVV solutions 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 (SSA) (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. On October 22, 2019, CMS approved the State's Good Faith Effort (GFE) request for PCS, and will not apply Federal Medical Assistance Percentage (FMAP) reductions in calendar year 2020. California's GFE approval letter from CMS is available on the
EVV CMS GFE Webpage.
PCS was implemented on January 1, 2022 and providers of Medi-Cal home and community based personal care services must be registered, trained, and using either the CalEVV system or an alternate EVV system. HHCS is anticipated to be implemented by January 1, 2023. Stakeholder meetings will continue and will provide the opportunity to discuss the State's approach to EVV, the steps providers will need to take, and the EVV training that will be offered.
EVV Policy
Provider Self-Registration Portal
Provider Agencies of PCS are required to register in the Provider Self-Registration portal for the January 1, 2022, implementation. Providers who only provide HHCS are not required to register in the portal at this time. Please refer to the quick reference guide to help complete the portal if needed.
Resources/Training
CalEVV System Training – The external link below now enables you to access recorded training sessions hosted by Sandata Technologies on 19 various topics. Each recording is less than 20 minutes, includes transcripts and can be accessed at any time by new staff or as a refresher to current staff.
CalEVV Training Videos
Videos include:
-
CalEVV Introduction
-
Sandata on Demand & Bulk Upload
-
System Overview: Initial Login Process
-
System Overview: Navigating CalEVV
-
Data Entry: Clients
-
Data Entry: Employees
-
Visit Capture: Mobile App Initial Login
-
Visit Capture: Creating Visits with the Mobile App
-
Visit Capture: Telephonic Visit Verification
-
Visit Maintenance: Visit Maintenance Introduction
-
Visit Maintenance: Visit Details Tab
-
Visit Maintenance: Exceptions
-
Visit Maintenance: Manual Entry
-
Group Visit Agency: Group Visit Introduction and Search
-
Group Visit Agency: Visit Maintenance for Group Visits
-
Group Visit Agency: Manually Entering a Group Visit in the CalEVV Portal
-
Group Visit Caregivers: Creating Group Visits with the Mobile App
-
Group Visit Caregivers: Joining a Group Visit with the Mobile App
-
Group Visit Caregivers: Group Visits using TVV
Alternate EVV Specifications
Stakeholder Engagement
The State will continue to engage with stakeholders throughout procurement and implementation efforts, and will share information with stakeholders about upcoming implementation milestones, training, and launch dates.
Future stakeholder meetings will continue to discuss the State's approach to EVV as well as the steps that providers will need to take to implement EVV and the EVV training that will be provided. All of the EVV training materials, policy, and technical requirements will be posted to this webpage in the future. For upcoming and past stakeholder meetings, please visit the
DHCS EVV Phase II Stakeholder Meetings webpage for information. Please send a request to
EVV@dhcs.ca.gov to be added to the EVV Phase II stakeholder distribution list.
EVV Implementation
EVV will impact all PCS and HHCS provided under the Medi-Cal State Plan and various Medicaid Home and Community-Based Service waiver programs. These services are provided in California through programs managed by the Department of Health Care Services (DHCS), the California Department of Social Services (CDSS), the Department of Developmental Services (DDS), the California Department of Public Health (CDPH), and the California Department of Aging (CDA).
Note: Hospice and Behavioral Health Treatment (BHT) are not subject to EVV requirements.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 Information & Payrolling Systems (CMIPS II) and Electronic Time Sheet System (ETS). Further information about Phase I is available on the
CDSS EVV website.
Phase II: This Phase is focused on identifying a solution to implement EVV for non-CMIPS and agency PCS, and self-directed and agency HHCS. This includes programs at DHCS, DDS, CDPH, CDSS, and CDA as listed below:
- DDS 1915(c) Home and Community-Based Waivers, including the Self-Determination Program
- DDS 1915(i) State Plan Home and Community-Based Services
- DHCS 1915(c) Home and Community-Based Alternative Waiver
- DHCS Home Health Care Services
- CDA/DHCS Multipurpose Senior Services Program (MSSP) 1915(c) and 1115 Waiver
- CDPH/DHCS 1915(c) AIDS Medi-Cal Waiver
Phase II implementation of EVV requires the State to deploy an EVV solution for PCS and HHCS providers not included in Phase I. This includes PCS through provider agencies, individual providers, and some providers of self-directed services, and all HHCS. EVV Phase II will follow the "Open Vendor" EVV approach that will allow providers to choose between the State's EVV solution or an alternate EVV solution that meets state and federal EVV requirements. The State is working towards selecting a vendor and procuring an EVV solution.
Note: There are two models for the provision of PCS and HHCS, the Self Directed/Individual Provider Model and the Agency Provider Model.
The Self Directed Model, also known as the Individual Provider 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
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.
For technical assistance please call or email your Customer Support team at 1-855-943-6070 or
CACustomerCare@sandata.com
For Alternate EVV assistance please call or email your Customer Support team at 1-855-943-6069 or
CAAltEVV@sandata.com
