Georgia Electronic Visit Verification

What is Electronic Visit Verification (EVV) ?

Electronic Visit Verification (EVV) is a technology that automates the gathering of service information by capturing time, attendance and care plan information entered by a home care worker at the point of care. EVV gives providers, care coordinators, and DCH access to service delivery information in real time to ensure there are no gaps in care throughout the entire course of the service plan. The technology helps to reduce the occurrence of fraud in home care delivery by removing the elements most closely associated with improper record keeping including paper time sheets and manual billing.

At a minimum, EVV electronically verifies the:

  • Type of service performed;
  • Individual receiving the service;
  • Individual providing the service;
  • Date the service was provided;
  • Location of service delivery; and
  • Time the service begins and ends.

Why is Georgia implementing EVV?

In December 2016, the 114th US Congress enacted the 21st Century Cures Act. Section 12006 of the Act requires states to implement Electronic Visit Verification (EVV) for Medicaid-financed personal care services and home health care services by January 1, 2020 and January 1, 2023, respectively.

The 21st Century Cures Act requires states to implement EVV to avoid an escalating reduction in their federal Medicaid funding, which could have a negative impact on the provider community. Under the Act and with CMS approval, EVV systems operated by the state or a contractor on behalf of the State qualifies for enhanced Federal Medical Assistance Percentage (FMAP) matching funds (90% for implementation, 75% for ongoing costs).

Georgia is committed to adhering to the federal 21st Century Cures Act mandate. It contributes to Georgia Medicaid’s mission of providing access to affordable, quality health care services for Medicaid members. EVV will help to reduce billing errors and improve claims payment accuracy as well as reduce Medicaid fraud, waste and abuse by verifying services were rendered.

Learn more about EVV by watching this short video!

Where can more information be found about Georgia's EVV Implementation?

Click here for member/member advocacy group information. Also, click here for information for service providers. Here you will find more specific details about our EVV implementation along with some printable material to share within the Medicaid community.

Also, to receive more news and alerts about our efforts towards a successful EVV implementation here in Georgia, you can:

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