EVV 101
Beginning October 1, Medicaid is rolling out a new requirement for billing under certain DODD service codes: Electronic Visit Verification (EVV). Providers must capture and submit exact service details—time in/out, date, client location—before any claim will be paid. For example, if a caregiver forgets to clock in via the EVV app, that entire visit could be billed as “no show” and payment will be denied.
There are limited exemptions, such as when a family member lives in the same home as the person they support. In those cases, you still must submit the official exemption form and maintain documentation to avoid audit flags.
EVV101 guides providers, agencies, and families through:
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Which DODD service codes require EVV
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How to set up and use your EVV system
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When and how to apply for exemptions
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Common pitfalls—like missed clock-ins—that lead to claim denials
Bottom line: If you’re billing Medicaid for DODD services after October 1, EVV compliance isn’t optional. Missing or incomplete EVV records can mean no payment for services rendered—so get your system set up, train staff, and keep those records clean.
Caregiver Exemption for EVV
Do providers have to participate in EVV if they live with the person receiving services? 1. Providers who live in the same household as the person receiving services can request an EVV exemption using the live-in caregiver online request form. • Providers must upload documentation to confirm the shared address. Examples may include: Utility bills Current state ID or driver’s license W2 Tax return 2. For more information on the live-in caregiver exemption process and requirements, check out the live-in caregiver infographic.
Quality Assurance
Our quality assurance services guarantee the accuracy and reliability of your EVV data. We conduct regular audits and assessments to maintain the integrity of your information and optimize system performance.