The Ohio Department of Medicaid (ODM) is implementing Electronic Visit Verification (EVV) for some home and community-based services in response to federal requirements set forth in the 21st Century Cures Act (Cures Act). EVV is an electronic system that verifies key information about the services provided. In accordance with the Cures Act, the system implemented by ODM will record the date of the service, the time the service started and ended, the individual receiving the service, the person providing the service and the location of the service. Both agencies and non-agency providers are impacted by EVV.
Please watch our Welcome to EVV video for a brief introduction to EVV.
For specific information related to the Phases of EVV project, please see the Phases Tab below.
EVV Contact Information
EVV Stakeholder Information
Electronic Visit Verification (EVV) is used by caregivers for selected home and community based services. Individuals receiving those services may receive an EVV device from Sandata Technologies that caregivers will use. The devices only capture information at the start and end of a visit.
Information for Case Managers
As a provider for ODM, we want to ensure that you have the most up to date information available to you. The provider tab is designed to give you access to information and resources developed specifically for you.
What does EVV mean for agency and non-agency providers?
ODM issues newsletters for providers currently using EVV. Newsletters contain program updates and helpful tips.
An alternate EVV system is an EVV system that is not the ODM-provided EVV system through Sandata Technologies. Only agency providers are eligible to use an alternate EVV system. To be an approved alternate EVV system, an agency provider must go through the Alternate EVV Certification process, and the alternate EVV system must meet ODM's Business Requirements and Technical Specifications for an alternate EVV system.
When selecting a vendor for an alternate data collection module, providers should explore the system functionality thoroughly to ensure that it meets the agency’s business needs. In addition, it is important to plan for sufficient time to complete the certification process.
Each Medicaid Provider ID using an alternate EVV system must complete the certification process. Effective October 17, 2019, all Alternative EVV vendors are required to demonstrate their System meets all of the ODM requirements. The Alternative EVV System Checklist details the information an Alternative EVV System is required to provide. To schedule an Alternative EVV System demonstration, please fill out the ALT EVV Demo Request and email it to EVV@medicaid.ohio.gov. If the certification process was completed prior to October 17, 2019, providers must submit a completed Request to Schedule Demonstration no later than November 15, 2019.
*All Phase 1 alternate EVV certification documents have been archived. If you feel you need access to these documents please forward your request to the EVV mailbox at EVV@medicaid.ohio.gov.
Phase 3 will include self-directed services and other services necessary to meet the requirements of the Cures Act. Mandatory data collection is tentatively scheduled for late spring or early summer in 2020.
Phase 2 includes nursing, aide and home care attendant services provided through PASSPORT, IO waiver nursing and homemaker personal care (including services provided on behalf of individuals) provided through DODD waivers and nursing, aide and home care attendant services reimbursed through Medicaid managed care plans. In addition, group visits are being rolled into EVV across all phase 1 and phase 2 services. Mandatory data collection for phase 2 services will begin on August 5, 2019 and claims edits are expected to deny claims several months later. Self-directed services and services reimbursed through a daily billing rate are excluded from Phase 2.
Phase 1 was limited to state plan home health nursing and aide services, private duty nursing, RN assessment, and Ohio Home Care Waiver nursing, aide and home care attendant services.
ODM began collecting EVV data on January 8, 2018. All phase 1 visits were required to be documented using EVV for dates of service on and after July 8, 2018. Edits matching claims data to visit data using the units of service delivered and billed were implemented for dates of service on and after August 15, 2018.