Electronic Visit Verification
EVV is a system that includes multiple point-of-care verification technologies, such as telephonic, mobile, and web-based verification inputs. The system electronically verifies the occurrence of home or community based service visits, identifying the precise time that service provision begins and ends to ensure accurate claims disbursement.
EVV is required for all personal care services (PCS) and home health services (HHS) under Medicaid.* Providers must select their own EVV service vendor and submit EVV records to accompany each PCS or HHS claim within three months of submitting the claim. All systems must be compliant with the Cures Act requirements, including the:
- Type of service performed
- Individual receiving the service
- Date of the service
- Location of service delivery
- Individual providing the service
- Time the service begins and ends
- Date of creation of the electronic record
Providers may choose the EVV system that best meets their needs. Providers are not required to use a specific software or vendor, as long as the system meets federal requirements.
Guidance from Centers for Medicare and Medicaid Services (CMS):
An individual providing care that lives with the individual receiving services does not need to log an "In-home Visit" for services
Medical Equipment drop-offs do not need to be logged as "In-Home visits."
*Providers who do not have EVV data will be subject to recoupment/penalties.
| Service Code | HHS | PC | Description |
|---|---|---|---|
| G0151 | Y | N | Services Of Physical Therapist In Home Setting |
| G0153 | Y | N | Services Of Speech In Home Setting |
| G0238 | Y | N | Therapeutic Procedure For Respiratory Function |
| G0270 | Y | N | In-Home Feeding Therapy |
| G0299 | Y | N | Home Health Service/Hospice Of Registered Nurse (RN) |
| G0300 | Y | N | Home Health Service/Hospice Of Licensed Practical Nurse (LPN) |
| S5108 | N | Y | Consumer Prep Services |
| S5115 | N | Y | Caregiver Training |
| S5120 | N | Y | Chore Services |
| S5125 | N | Y | Personal Assistant Services |
| S5126 | N | Y | Personal Assistance / Attendant Care Services |
| S5130 | N | Y | Homemaker Services |
| S5135 | N | Y | Companion Services |
| S5150 | N | Y | Respite Care Services |
| S5151 | N | Y | Respite Care Services |
| S9122 | Y | N | Home Health Aide/ Certified Nursing Assistant |
| S9123 | Y | N | Nursing Care |
| S9124 | Y | N | Nursing Care |
| S9128 | Y | N | At-Home Therapy |
| S9129 | Y | N | At-Home Therapy |
| S9131 | Y | N | At-Home Therapy |
| T1000 | Y | N | Private Duty/Independent Nursing Services |
| T1002 | Y | N | RN/LPN/LVN (Licensed Vocational Nurse) Services |
| T1003 | Y | N | RN/LPN/LVN Services |
| T1005 | Y | Y | Respite Care Services |
| T1019 | Y | Y | Personal Care Services |
| T1020 | Y | Y | Personal Care Services, Per Diem |
| T1021 | Y | N | Home Health Aide/ Certified Nursing Assistant |
| T1022 | Y | N | Contracted Home Health Agency Nursing Services |
| T1027 | Y | N | Family Training And Counseling For Child Development |
| T1502 | Y | N | Administration Of Oral, Intramuscular And/Or Subcutaneous Medication |
| T2017 | N | Y | Supported Living / Habilitation Services |
| Service Code | HHS | PC | Description |
|---|---|---|---|
| AC1 | N | Y | Attendant Care Level 1 - Family Managed SAS (Self-Administered Services) |
| AC2 | N | Y | Attendant Care Level 2- Family Managed SAS |
| AC3 | N | Y | Attendant Care Level 2 By Parent/Guardian SAS |
| AC4 | N | Y | Attendant Care By Spouse Level 2- SAS |
| ACA | N | Y | Provider Based Attendant Care (1:1 In A Person's Home Or In The Community) |
| ACH | N | Y | Provider Based Attendant Care By Spouse |
| ACP | N | Y | Provider Based Attendant Care By Parent/Guardian |
| CH1 | N | Y | Chore Services - SAS |
| CHA | N | Y | Chore Services - Provider |
| CM2 | N | Y | Caregiver Comp (Compensation) - Spouse (SAS) |
| CM3 | N | Y | Caregiver Comp - Parent/Guardian (SAS) |
| CMP | N | Y | Caregiver Comp - Parnt/Guardian (Provider) |
| CMS | N | Y | Caregiver Comp - Spouse (Provider) |
| CO1 | N | Y | Companion Services - SAS |
| COM | N | Y | Companion Services - Provider |
| HS1 | N | Y | Homemaker Supports - SAS |
| HSQ | N | Y | Homemaker Services Provider |
| LP1 | Y | N | Peer Support Services - SAS |
| LPS | Y | N | Peer Support Services, Individual-Per 15 Min |
| PA1 | N | Y | Personal Assistance SAS |
| PA2 | N | Y | Personal Assistance By A Spouse - SAS |
| PA3 | N | Y | Personal Assistance By Parent/Guardian - SAS |
| PAC | N | Y | Personal Assistance - Provider |
| PAC | N | Y | Personal Assistance - Provider (8-24 Hours) |
| RL1 | N | Y | Routine Respite - Family Managed SAS |
| RL6 | N | Y | Routine Respite with Room And Board (Rm/Bd) |
| RP1 | N | Y | Self-Directed Basic Respite Care - SAS |
| RP2 | N | Y | Provider Basic Respite Care |
| RP3 | N | Y | Provider Intensive Daily Respite Care |
| RP7 | N | Y | Self-Directed Basic without Rm/Bd Daily Respite Care Group- SAS |
| SL1 | N | Y | Supported Living - SAS |
| SL2 | N | Y | Supported Living By A Spouse - SAS |
| SL3 | N | Y | Supported Living By Parent/Guardian - SAS |
| SLH | N | Y | Supported Living Hourly - Provider |
| SLN | N | Y | Supported Living, Natural Supports - Provider |
| TFB | Y | N | Family And Individual Training And Preparation - Provider |
CSV File Upload Training Video
The EVV technical specifications are temporarily not available on the website. To request the current technical specifications, send an email to [email protected]
Protected Health Information (PHI) and Personally Identifiable Information (PII) must be sent securely to comply with the Health Insurance Portability and Accountability Act (HIPAA). Help protect sensitive information by sending data containing PHI/PII securely to Utah Medicaid.
To send data securely to Utah Medicaid, use the state of Utah secure email [Virtru Secure Share Inbox (https://utah.secure.virtru.com/secure-share/sharing/[email protected])]
Contact Information
For questions, feedback, and inquiries regarding Electronic Visit Verification
email: [email protected]