What Every Provider Should Know About State EVV Mandates

Your quick guide to staying compliant—and in control—with Electronic Visit Verification.

If your agency provides Medicaid-funded home or community-based services, you’ve likely heard of EVV—Electronic Visit Verification.

EVV is now required nationwide for personal care services and, in many states, for home health and other programs as well. While it was designed to ensure accountability and prevent fraud, the rollout hasn’t always been simple. With state-by-state rules and evolving expectations, it can be hard to keep up.

Whether your state mandate is already in effect or on the horizon, here’s what every provider should know—and how to navigate EVV without disrupting care.

1. EVV Is Federally Mandated—But State-Controlled

The 21st Century Cures Act requires EVV for Medicaid-funded personal care and home health services. However, each state determines how to implement it, including:

• What EVV data is required

• Which vendors are approved

• Whether agencies can use their own system or must use a state-selected one

In short, no two states do it exactly the same way—so local compliance matters.

2. The Core EVV Data Requirements Are the Same Everywhere

To meet the federal EVV mandate, your system must accurately capture and report these six data points:

1. Type of service

2. Individual receiving the service

3. Date of service

4. Location of service

5. Individual providing the service

6. Time the service begins and ends

If any of these are missing or incomplete, your visits may not be accepted for billing.

3. Many States Require Integration with a Data Aggregator

Most states have partnered with a vendor—like Sandata, Tellus, or others—to collect and manage EVV data. Even if your agency uses its own internal platform, you may still be required to integrate with the state aggregator. If you don’t, your visit data could be rejected, which delays claims and disrupts cash flow.

4. EVV Compliance Impacts Reimbursement

Submitting incomplete, late, or non-compliant visit data can lead to:

• Denied claims

• Delayed reimbursements

• Potential audit risk

The more accurately and consistently you submit, the fewer financial or operational setbacks you’ll experience.

5. A Good EVV System Should Make Life Easier—Not Harder

The right system should support your staff, not slow them down. Look for an EVV solution that:

• Works offline or in low-connectivity areas

• Seamlessly connects with your scheduling and billing platforms

• Offers GPS- or time-based verification

• Is mobile-friendly and simple for field staff to use

Don’t Just Comply—Simplify

EVV may be non-negotiable, but how you handle it is up to you. With integrated tools and a partner who understands Medicaid requirements, EVV can become a smooth, automated part of your daily workflow.

At Statewise, we help home and community-based providers stay compliant and efficient—without adding complexity. Because technology should support care, not complicate it.