Electronic Visit Verification (EVV)

NOTICE: Apply for an EVV infrastructure project grant for your organization! See IL 2384-MC-FFS ARPA for application requirements. Examples of projects include, but are not limited to:

  • New or upgraded technology to allow for compliance with EVV
  • Purchasing or updating internal IT systems
  • Modifying current software or hardware
  • Training costs related to implementing technology

Overview

Electronic Visit Verification (EVV) is a federal requirement for states to implement. In December 2016, the 21st Century Cures Act was signed into law. This law requires EVV for personal care and home health services.

The Department is using a Managed Care implementation model for EVV. All Managed Care Organizations (MCOs) are using the same EVV vendor, CareBridge.

EVV is used to monitor the delivery and utilization of personal care and home health services in non-traditional settings and will provide verification of the visit with location information and a time stamp. EVV is used to ensure quality and program integrity (PI).

In addition to the PI characteristics associated with EVV, the Department also considers this to be a valuable mechanism to ensure that members are receiving the care they need that is outlined in their service plan. This system will help provide real time alerts when a provider is late or misses a medically necessary service included in a member’s service plan.

More information on EVV for Home Health Care Services is coming soon! Home Health EVV service code requirements can be found in Informational Letter No. 2338-MC on the Informational Letters webpage.

  • EVV is optional for all personal care services provided by Assisted Living Facility (ALF) and Residential Care Facility (RCF) shift workers. ALF and RCF providers must complete an attestation identifying their exemption status with the Department by September 1, 2022, and annually thereafter. Read Informational Letter 2361-MC for more details.

  • On-demand EVV training and materials is available on CareBridge's website, www.carebridgehealth.com/trainingiaevv.

Check back for regular updates.

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