Electronic Verification CTA
Georgia Electronic Visit Verification (EVV)
In December 2016, Congress enacted the 21st Century Cures Act which 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, to avoid a reduction in federal Medicaid funding. The Act contributes to Georgia Medicaid’s mission of providing access to affordable, quality health care services for Medicaid members.
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 timesheets 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
- Time the service begins and ends
Medicaid-funded Personal Support Services (PSS)/Community Living Supports (CLS) (CPT Codes T1019, T2025, and S9122) for the following waiver programs will be subject to EVV Program requirements:
- Service Options Using Resources in a Community Environment (SOURCE)
- Community Care Services Program (CCSP)
- New Options Waiver (NOW)
- Comprehensive Supports Waiver Program (COMP)
- Independent Care Waiver Program (ICWP)
- Georgia Pediatric Program (GAPP)
See table below for procedure code modifiers:
Electronic Visit Verification (EVV) Home and Community-Based Services (HCBS) Applicable Codes
| Service | Code | Modifier 1 | Modifier 2 | Modifier 3 | Modifier 4 |
|---|---|---|---|---|---|
| Personal Support Service | T1019 | ||||
| Extended Personal Support | T1019 | TF | |||
| Consumer Directed PSS | T1019 | UC |
| Service | Code | Modifier 1 | Modifier 2 | Modifier 3 | Modifier 4 |
|---|---|---|---|---|---|
| Personal Support Level 1 | T2025 | U5 | TF | ||
| Personal Support Level II | T2025 | U5 | TG | ||
| Personal Support Consumer Directed | T2025 | U5 | UC | ||
| TBI Personal Support Level 1 | T2025 | U5 | U1 | TF | |
| TBI Personal Support Level II | T2025 | U5 | U1 | TG |
| Service | Code | Modifier 1 | Modifier 2 | Modifier 3 | Modifier 4 |
|---|---|---|---|---|---|
| CLS - 1 MEMBER | T2025 | U4 | |||
| CLS - 1 MEMBER | T2025 | U5 | |||
| CLS - 2 MEMBER | T2025 | U4 | UN | ||
| CLS - 2 MEMBER | T2025 | U5 | UN | ||
| CLS - 3 MEMBER | T2025 | U4 | UP | ||
| CLS - 3 MEMBER | T2025 | U5 | UP |
| Service | Code | Modifier 1 | Modifier 2 | Modifier 3 | Modifier 4 |
|---|---|---|---|---|---|
| CLS - 1 MEMBER - SELF DIRECTED | T2025 | U4 | UC | ||
| CLS - 1 MEMBER - SELF DIRECTED | T2025 | U5 | UC | ||
| CLS - 2 MEMBER - SELF DIRECTED | T2025 | U4 | UN | UC | |
| CLS - 2 MEMBER - SELF DIRECTED | T2025 | U5 | UN | UC | |
| CLS - 3 MEMBER - SELF DIRECTED | T2025 | U5 | UP | UC | |
| CLS - 3 MEMBER - SELF DIRECTED | T2025 | U4 | UP | UC |
| Service | Code | Modifier 1 | Modifier 2 | Modifier 3 | Modifier 4 |
|---|---|---|---|---|---|
| CLS - 1 MEMBER - CO-EMPLOYER | T2025 | U4 | UA | ||
| CLS - 1 MEMBER - CO-EMPLOYER | T2025 | U5 | UA | ||
| CLS - 2 MEMBER - CO-EMPLOYER | T2025 | U4 | UN | UA | |
| CLS - 2 MEMBER - CO-EMPLOYER | T2025 | U5 | UN | UA | |
| CLS - 3 MEMBER - CO-EMPLOYER | T2025 | U5 | UP | UA | |
| CLS - 3 MEMBER - CO-EMPLOYER | T2025 | U4 | UP | UA |
| Service | Code | Modifier 1 | Modifier 2 | Modifier 3 | Modifier 4 |
|---|---|---|---|---|---|
| Skilled Nursing | S9122 |
| Service | Code | Modifier 1 | Units Billed |
|---|---|---|---|
| Speech Therapy | 92507 | 1 unit per day | |
| Physical Therapy | 97161 | 1 unit per day | |
| Physical Therapy | 97162 | 1 unit per day | |
| Physical Therapy | 97163 | 1 unit per day | |
| Physical Therapy | 97164 | 1 unit per day | |
| Occupational Therapy | 97165 | 1 unit per day | |
| Occupational Therapy | 97166 | 1 unit per day | |
| Occupational Therapy | 97167 | 1 unit per day | |
| Occupational Therapy | 97168 | 1 unit per day | |
| Physical Therapy | G0151 | 15 min | |
| Physical Therapy | G0151 | 59 | 15 min |
| Occupational Therapy | G0152 | 15 min | |
| Occupational Therapy | G0152 | 59 | 15 min |
| Home Health Aide | S9122 | 1 hour | |
| Skilled Nursing | S9123 | 1 hour | |
| Skilled Nursing | S9124 | 1 hour |
NEW Customer Support Resources!
The Georgia EVV Program has updated its customer support resources. The new EVV Customer Support number is (833) 483-5587. The current EVV customer support number will no longer be available after January 16th, 2026. All EVV support calls will be redirected to the new Customer Support number. The website link for the Mobile Caregiver+ EVV Provider Portal is https://evv-dashboard.mobilecaregiverplus.com/auth/login.
Again - the new EVV Customer Support number is (833) 483-5587.
Hours of Operation: Monday – Friday: 8 a.m. – 7 p.m. EST
Closed on Saturdays, Sundays, and state holidays.
Be sure to visit our new Netsmart Support Portal — NetsmartCONNECT — for 24/7 support, ticket submissions, FAQs, and training materials: https://www.ntst.com/support/client-support
Self-Serve and LIVE Training
Netsmart offers self-serve training resources and live training sessions every week on the following topics:
- Mobile Caregiver+ Application
- Mobile Caregiver+ Provider Portal
- Mobile Caregiver+ Provider Portal – Claims Console
Please visit www.MobileCaregiverplus.com/Training to access the training content and register for a live session with one of Netsmart’s lead trainers. Please note that you must have a Mobile Caregiver+ login to register. Additional training details can be found on the ‘EVV Schedule of Events and Training’ webpage here.
Where can more information be found about Georgia's EVV Implementation?
You can find more details about our EVV implementation along with some printable material to share within the Medicaid community by clicking either of the following links:
Click here for member/member advocacy group information.
Click here for information for service providers.
Click here for DCH's EVV PSS / CLS / Claims Implementation Archive page.
Also, to receive more news and alerts about our efforts towards a successful EVV implementation here in Georgia, you can:
- Check out our Facebook page at https://www.facebook.com/gadept.communityhealth/
- Follow us on Twitter at https://twitter.com/gadch
- Subscribe to our YouTube channel at https://www.youtube.com/user/gacommunityhealth
- Search the hashtags: #GAEVV and #GAMedicaid
- Email us at [email protected] if you have more questions regarding Georgia’s EVV implementation.