Electronic Visit Verification (EVV)

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 (223.3 KB) .pdf about EVV for providers.

Iowa EVV

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. 

EVV Codes
CodeModifierDescription
S5125None and U3Agency Consumer Directed Attendant Care
S5130NoneHomemaker
S5131NoneHomemaker, Per Diem
S9122NoneHome Health Aide, when billed without a revenue code (waiver, non-waiver)
S9123NoneNursing Care, RN (waiver, non-waiver)
S9124NoneNursing Care, LPN (waiver, non-waiver)
T1002NoneNursing Care, RN, IMMT, Home
T1003NoneNursing Care, LPN, IMMT, Home
T1004None and U3Home Health Aide, IMMT, Home
T1019None and U3Individual Consumer Directed Attendant Care 
T1021NoneHome Health Aide, Home
T1030NoneNursing Care, RN, Home
T1031NoneNursing Care, LPN, Home
G0299NoneRN Direct Care, Home Health or Hospice Setting
G0300NoneLPN Direct Care, Home Health Setting or Hospice Setting
G0159NonePT, Home Health Setting
G0160NoneOT, Home Health Setting
G0151NonePT, Home Health Setting or Hospice
G0152NoneOT, Home Health Setting or Hospice
G0153NoneSLP or ST, Home Health Setting or Hospice
G0156NoneHome Health Aide, Home Health or Hospice Setting
G0161NoneSLP, Home Health Setting

Prior EVV Stakeholder Meeting Recordings & Materials

**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.**

EVV Resource Library