Electronic Visit Verification (EVV) for Medicaid In-Home Services

The 21st Century Cures Act, enacted last year, requires states to implement "electronic visit verification" (EVV) for Medicaid personal care services (PCS) and home health service (HHCS) provided in a beneficiary's home in order to ensure that the services are actually delivered. For details, see this page from Medicaid.gov. On May 16, the Center for Medicaid and CHIP Services (CMCS) issued an Informational Bulletin to states to provide guidance on how to implement an EVV system.
 
Some provider and patient groups have expressed concern that the agency's interpretation of PCS and HHCS may be too broad, and that its patient privacy and civil-rights protections may be too weak. See Worries Abound Over Medicaid Mandate That Caregivers Check In (Disability Scoop, 5/18/18). In order to provide more time to implement the EVV requirement, Senators Lisa Murkowski (R-AK) and Sherrod Brown (D-OH) introduced a bipartisan bill to delay for one year the date by which states must implement an EVV system for PCS. See Senator Murkowski's press release. Companion legislation was introduced in the House by Representatives James Langevin (D-RI) and Don Young (R-AK).

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