News
22-1067 Self-Register and Complete Training on EVV System Before January 1, 2023
Date: 12/12/22
Register early to train using the new electronic visit verification system, aggregator and account set-up
Electronic Visit Verification (EVV) tracks in-home service visits through a federally mandated telephone and computer-based application program. The program was developed to help reduce fraud, waste and abuse.
This new requirement starts January 1, 2023, and is at the direction of the Department of Health Care Services (DHCS) as described in APL 22-014.1
This communication is being sent to you in the event your organization owns a home health agency or is at risk for home health services.
Provider types required to use EVV
Medi-Cal providers who give any of the below listed services in a member’s home must use EVV. This includes visits that begin in the community and end with in-home care or vice versa.
- Home health care services (HHCS).
- Personal care services (PCS) and homemaker services.
- Day habilitation programs services.
- Respite services.
Services excluded from EVV requirements
The following services are not subject to EVV requirements:
- HHCS or PCS that do not require an in-home visit.
- HHCS or PCS provided in congregate residential settings where 24-hour service is available.
- HHCS or PCS rendered by an individual living in the member’s residence does not constitute an “in-home visit.”
- Any services rendered through the Program of All-Inclusive Care for the Elderly.
1 See DHCS All Plan Letter 22-014, dated July 21, 2022.
- HHCS or PCS that are provided to inpatients or residents of a hospital, nursing facility including skilled nursing facility or residence of nursing facility, intermediate care facility for individuals with intellectual disabilities, or an institution for mental diseases.
- Durable medical equipment (DME).
Self-register now
Visit the DHCS website. This link offers information about:
- Provider self-registration portal link, a quick reference guide that details how to fill out the registration form and a step-by-step instructional video.
- A link to provider types and codes.
- Resources and CalEVV training videos which have everything you need to know about using the CalEVV program.
Access required training and account set-up
An email is sent to you within two days that has links to access the required EVV system training after you self-register and receive a CalEVV identifier number.
Complete the required training as soon as possible. Afterward, you will receive another email within two days with information about how to setup your EVV account.
Information required by providers
The EVV program will require providers to capture and transmit the following six mandatory data components for each in-home visit:
- 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.
Support required by the health plan
The Plan will monitor providers to ensure compliance with these requirements with the following established guidelines:
- Monitor providers for compliance with EVV requirements, and alert DHCS of any compliance issues.
- Supply providers with technical assistance and training on EVV compliance.
- Require providers to comply with an approved corrective action plan (CAP).
- Deny payment if the provider is not complying with EVV requirements.
- Arrange for members to receive services from a provider that complies with EVV requirements.
Additional information
If you have questions regarding the information contained in this update, contact California Health & Wellness Plan at 877-658-0305.
This information applies to Hospitals.