Electronic Visit Verification (EVV)

For more info, contact us at [email protected].

Electronic visit verification (EVV) is a computer-based system that confirms service visit occurrences and records the exact times when services start and end using smart devices. The main goals of an EVV system are to ensure that individuals receive the services authorized in their care plans, reduce instances of improper billing and payment, protect against fraud, and enhance program oversight. In Louisiana, the EVV system is integrated into the Louisiana Service Reporting System (LaSRS), which is managed by the state’s data and prior authorization contractor, Statistical Resources, Inc. (SRI).

 

H.R. 34, also known as the 21st Century Cures Act, was signed into law on December 13, 2016. This legislation requires all states to implement an electronic visit verification (EVV) system for Medicaid-funded personal care services by January 1, 2020 and by January 1, 2023 for Home Health Care Services (HHCS). If states do not comply, there will be a reduction in the federal medical assistance percentage for these services. (Note: CMS granted most states, including Louisiana, extensions to implement PCS by 1/1/21 and HHCS by 1/1/24; both of these timelines were met.) Section 12006 specifically mandates the implementation of an EVV system for personal care services and home health care services under Medicaid, particularly for services provided through Home and Community-Based Services (HCBS). More information can be found here.

The term "electronic visit verification system" refers to a system used for personal care services or home health care services. This system electronically verifies each visit related to these services by confirming the following details:

  • the type of service performed;
  • the individual receiving the service;
  • the date of the service;
  • the location of service delivery;
  • the individual providing the service; and
  • the time the service begins and ends.

 EVV Policy and Procedures

Memos

 

Technical Requirements
Technical Requirements for Third-Party EVV

 

Additional Resources

Benefits of Using the State's EVV System for Providers

  • Use of the LaSRS system is free to providers
  • Workers who have smart phones will be able to use their own phones
  • Minimal data use for providers using LaSRS (average use of 1% of 1GB per month)
  • Rounding utilizing 7/8 minute rule for EVV services
  • GPS verification of services meets Federal Cures Act requirements
  • Automatically checks for Medicaid Excluded individuals who cannot be hired
  • Real time access to workers, participants, and their services
  • Eliminates need for most manual data entry
  • Reduces lag time for reports
  • Accessible from any location and any smart device with internet connection and web browser
  • Workers able to view past services
  • Streamlines check in/out process for direct service workers – allows clock-ins to span midnight and day and night hours without requiring the worker to re-clock in/out
  • Reduces errors and overlaps, minimizing staff time for corrections
  • More accurate data than manual time sheets
  • Prior authorization and client data uploaded throughout the work day as paper CPOCs and revisions are processed at SRI
  • Allows agency management the ability to assign workers to specific participants
  • Additional data available online to provider agencies including Support Coordination data and participant’s assigned Support Coordinator at that agency
  • Access to all LDH memos and agency alerts through the LaSRS dashboard feature
  • Does not require agency to maintain backups for LaSRS services and data
  • Does not require agency to send information files in order for their services to be processed
  • Allows for manual data entry and edits when necessary
  • LaSRS offers a feature that allows electronic access to recent Remittance Advices
  • Data is exportable from LaSRS to common file formats including Excel and Notepad

Surgeon General Ralph L. Abraham, M.D.

Secretary Bruce D. Greenstein

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