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Electronic Visit Verification (EVV) Website

Pursuant to Section 1903 of the Social Security Act (42 U.S.C. 1396b), also known as the 21st Century Cures Act, in order to prevent a reduction in the Federal Medical Assistance Percentage (FMAP), AHCCCS is mandated to implement Electronic Visit Verification (EVV) for non-skilled in-home services (attendant care, personal care, homemaker, habilitation, respite) by January 1, 2020 and for in-home skilled nursing services (home health) by January 1, 2023.

The EVV system, must at a minimum, electronically verify the:

  • Type of service performed
  • Individual receiving the service
  • Date of the service
  • Location of service delivery
  • Individual providing the service
  • Time the service begins and ends
What Stays the Same What Will Change
Members have choice of provider Paper timesheet will be eliminated
Availability of services EVV devices will be used to verify service delivery
Members have choice of individual direct care worker How member/representative signature is collected
How services are provided Verification will be required by member/representative at the end of every visit/shift
Where services are provided

AHCCCS is required to start EVV by January 1, 2020. The timeline is in the federal regulation and is the timeline for AHCCCS to comply without incurring penalties. AHCCCS sets the compliance timeline for providers. On November 27, 2019 AHCCCS submitted a request and justification to the Centers for Medicare and Medicaid Services (CMS) to extend the timeline for compliance through June 2020.

On December 5, 2019, CMS approved AHCCCS’ request to extend the timeline for compliance. A copy of the approval letter can be found here:

AHCCCS will be providing a series of FAQs to help provide information on EVV including new information or updates on the timeline, outreach, training and basics on how the system will function. If you have a question that you would like to see in a future FAQ installment, please email it to evv@azahcccs.gov.

  • We are using EVV to make sure that you get the services that you need when you need them. These services may be provided by different provider agencies, including:
    • Attendant Care, Personal Care, and Homemaker
    • Companion Care
    • Habilitation
    • Home Health
    • Respite
    • Skills Training and Development
  • We are configuring the system to fit all types of lifestyles including whether or not you mostly stay at home or you are out in the community when you get your services.
  • We are designing the system to support how you manage your care including scheduling your services and monitoring your service hours.
  • You will have the option to choose which device is used to verify that you have received a service.
  • Your provider agency has the choice to use AHCCCS’ EVV System or use an alternate EVV system approved by AHCCCS.

AHCCCS understands the need to have timeline details available to all stakeholders regarding what to expect and when to expect it. In the interim, the following provides a general timeframe to help stakeholders plan for the type of information and when it can be expected. When AHCCCS has more details on the extended timeline, this chart will be updated.

Timeline Description What you can expect?
5-6 months before go live Outreach Members will receive general information about how EVV will work including information from providers about whether or not they are planning to use the AHCCCS EVV system or another system.
3-4 months before go live Devices Members will receive information about each device or visit verification method and what to consider when choosing an EVV device or method.
2-3 months before go live Training Members will receive information on EVV training options, including one-on-one training from a provider agency and online training materials.
1-2 months before go live Go Live Members will receive information about who to contact with questions about the EVV system, devices, the online portal to manage your DCWs schedule, and what to do if your caregiver misses an appointment.

Stay Informed

Subscribe to the HCBS email notification list to receive updates on the EVV initiative, including outreach and traning information. Click this button to subscribe:

Updated December 6, 2019

What is YOUR Plan for EVV?

To support providers in making an informed decision about an EVV system, AHCCCS hosted a provider agency webinar (demonstration) of the Sandata system. Providers are able to see the flow of the Sandata system from authorization to billing along with a high level description of forthcoming Arizona-specific configuration to track and monitor timely service delivery and access to care for members.

The provider webinar was held on November 7th, 2019 and was recorded:

Providers and Services Subject to EVV

AHCCCS is using EVV to help ensure, track and monitor timely service delivery and access to care for members. We are also using EVV to help reduce provider administrative burden associated with scheduling and hard copy timesheet processing. Below are the provide types, services and places of services subject to EVV:

Provider Description Provider Type
Attendant Care Agency PT 40
Behavioral Outpatient Clinic PT 77
Community Service Agency PT A3
Fiscal Intermediary PT FI
Habilitation Provider PT 39
HomeHealth Agency PT 23
Integrated Clinic PT IC
Non-Medicare Certified
HomeHealth Agency
PT 95
Private Nurse PT46
Service HCPCS Service Codes DDD FOCUS Codes
Attendant Care S5125 ATC
Companion Care S5135
Habilitation * T2016 and T2017 HAH, HAI, HID
Home Health Services
(aide, therapy, and part-time/intermittent nursing services)
Nursing
Home Health Aide
Physical Therapy
Occupational Therapy
Respiratory Therapy
Speech Therapy
G0299 and G0300
T1021
G0151 and S9131
G0152 and S9129
S5181
G0153 and S9128
Private Duty Nursing
(continuous nursing services)
S9123 and S9124 HN1, HNR
Homemaker S5130 HSK
Personal Care T1019
Respite S5150 and S5151 RSP, RSD
Skills Training and Development H2014
Place of Service Description POS Code
Home 12
Assisted living Facility 13
Other 99

*Note:
EVV is required for DDD Individually Designed Living Arrangement settings that do not utilize a service matrix to establish total support hours needed for members living in a shared apartment or home and the provider bills hourly Habilitation (HAI).

EVV is not required for DDD Individually Designed Living Arrangement settings that do utilize a service matrix which establishes total support hours needed for members living in a shared apartment or home and the provider bills a daily rate for Habilitation (HID).

Open-Vendor Model

  • We are employing the system as an Open Vendor Model with one statewide EVV contractor. AHCCCS has chosen Sandata Technologies as the statewide contractor.
  • Providers and Managed Care Organizations (MCOs) will be able to continue to use existing EVV systems or choose an alternate EVV vendor.

Funding for EVV

AHCCCS will provide funding for the development and initial implementation of the statewide EVV system and additional funding options are currently being explored to compensate for ongoing vendor maintenance costs (e.g. devices and transaction fees) of the statewide EVV vendor for Medicaid members receiving services subject to EVV. Funding considerations include financial constraints, administrative and programmatic costs and provider assurances of cost neutrality.

Timeline

AHCCCS understands the need to have timeline details available to all stakeholders regarding what to expect and when to expect it. In the interim, the following provides a general timeframe to help stakeholders plan for the type of information and when it can be expected. When AHCCCS has more details on the extended timeline, this chart will be updated.

Timeline Description What you can expect?
Now Survey You will receive general information about EVV, including information to help you make an informed decision about the EVV system you plan to use. If you have not currently completed the EVV provider survey, an MCO will be reaching out to you to complete the survey.
5-6 months before go live Outreach You will receive more detailed information about Sandata’s EVV solution including 3rd party EVV requirements for providers choosing to use an alternate EVV vendor.
2-3 months before go live Training Information on how your agency can get trained on EVV. The program offers three different training options including: independent web-based training, instructor-led web-based training, and instructor-led classroom environment training sessions.
To be determined Go Live Data will begin to be collected via workers through EVV.

Additional information can be found in the EVV System Model Design document.

Updated December 6, 2019

AHCCCS has created a Constant Contact email notification list to communicate updates on recent developments for initiatives such as the EVV initiative. AHCCCS encourages anyone (members, families, advocates, service providers, etc.) interested in the EVV initiative, such as outreach and training information, to sign up to receive communication directly from AHCCCS. To subscribe, click on the sign up button below:



AHCCCS recognizes the importance of sharing timely information about the EVV initiative, and our goal is to post material and communicate developments on an ongoing basis. In an effort to keep the public informed about the EVV design and implementation process, AHCCCS has posted extensive information on its website. This information includes updates along with information that has not been finalized and is subject to change. In the near future, AHCCCS intends to issue formal guidance regarding EVV. To sign up to receive these communications, click on the Stay Informed tab. Providers are encouraged to evaluate all relevant information, including the formal guidance, before making business decisions regarding the EVV initiative.