Electronic Visit Verification (EVV) is a federal requirement for states to roll out in January 2024.
Section 12006(a) of the 21st Century Cures Act requires that states implement EVV for all Medicaid personal care services (PCS) and home health services (HHCS) that require an in-home visit by a provider.
Assisted Living Facilities or Residential Care Facilities may opt out of EVV for personal care services. The opt out option is available only if the EVV provider attestation is completed timely as per directions on the attestation form. Denials will be issued if the attestation forms are not completed and received as directed.
EVV Codes
Code
Modifier
Description
S5125
None and U3
Agency Consumer Directed Attendant Care
S5130
None
Homemaker
S5131
None
Homemaker, Per Diem
S9122
None
Home Health Aide, when billed without a revenue code (waiver, non-waiver)
S9123
None
Nursing Care, RN (waiver, non-waiver)
S9124
None
Nursing Care, LPN (waiver, non-waiver)
T1002
None
Nursing Care, RN, IMMT, Home
T1003
None
Nursing Care, LPN, IMMT, Home
T1004
None and U3
Home Health Aide, IMMT, Home
T1019
None and U3
Individual Consumer Directed Attendant Care
T1021
None
Home Health Aide, Home
T1030
None
Nursing Care, RN, Home
T1031
None
Nursing Care, LPN, Home
G0299
None
RN Direct Care, Home Health or Hospice Setting
G0300
None
LPN Direct Care, Home Health Setting or Hospice Setting
**Due to our HHS system alignment, we do not have access to the 2022 EVV recordings. Please reach out to EVV@hhs.iowa.gov if you have any questions regarding EVV.**
To view Informational Letters (ILs) about EVV, please visit the Informational Letters webpage. Relevant ILs about EVV are listed below for your search convenience.
Assisted Living and Residential Care Facility providers and caregivers are exempted from EVV. However, they are encouraged to fill out the provider attestation form.
