About State and Federal Government EVV Mandates
Electronic visit verification (EVV) is widely used by agencies and government entities. Agencies use it for compliance and quality assurance, to verify employee’s locations, complete documentation, verify hours of work for payroll and billing, and streamline payroll and billing.
Electronic visit verification is viewed by State and Federal governments as a way to help cut down on fraud and ensure that people receive the documented care they need. EVV is mandated in certain programs to help verify that services billed for home healthcare are for actual visits made. The Affordable Care Act included provisions for the cut down of fraud and over-payments, requiring states to stop Medicaid payments to providers when there is credible evidence of fraud. Some states implemented an office of inspector general to oversee Medicaid fraud investigations, with many moving towards a system of verifying home healthcare visits in order to help reduce fraud.
Several states have introduced electronic visit verification with some mandating it. The 21st Century Cures Act enacted by Congress and signed into law by President Obama contains provisions for expanding the use of EVV to all states. The law requires EVV compliant time and attendance systems to be implemented in HCBS programs over the next few years. Different states have taken different approaches to implementing EVV. Please visit the States page to see if your state has an EVV mandate.
Agency Workforce Management EVV Solutions
Agency Workforce Management offers two main technologies used for EVV; Telephone Timekeeping with Caller-ID verification and Web Clock with GPS verification. Both technologies are generally acceptable to Medicaid auditors in preference to paper timesheets, as long as the technology is compliant with Medicaid regulations for electronic documentation.
Agency Workforce Management’s EVV solution also includes these important features:
- Warns employees if client’s monthly budget is nearly used
- Stops employees clocking-in if client’s monthly budget is used
All providers want to help the vulnerable individuals they serve, but providers have to operate within the authorization for the plan of care for each individual and service. Agency Workforce Management automatically alerts you by text or email if an individual’s monthly budget is exceeded.