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.
The EVV team has worked to put together a list of frequently asked questions about EVV for providers.
These meetings and trainings are listed for Iowa Medicaid stakeholders and providers. To sign up for an upcoming EVV stakeholder session, click here !
If you have a question about EVV, submit a form.
EVV Codes
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.
| 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 |
| G0158 | None | OT Assistant, Home Health Setting or Hospice Setting |
| G0159 | None | PT, Home Health Setting |
| G0160 | None | OT, Home Health Setting |
| G2168 | None | PT Assistant, Home Health Setting |
| G2169 | None | OT Assistant, Home Health Setting |
| G0151 | None | PT, Home Health Setting or Hospice |
| G0152 | None | OT, Home Health Setting or Hospice |
| G0153 | None | SLP or ST, Home Health Setting or Hospice |
| G0156 | None | Home Health Aide, Home Health or Hospice Setting |
| G0161 | None | SLP, Home Health Setting |