Electronic Visit Verification (EVV) tracks and monitors timely service delivery and access to care for members. EVV applies to all providers of these services, including paid family direct care workers. EVV is a federal requirement and is a mandatory program.
The New York services impacted are:
1905(a)(7) State Plan Home Health Services
Home health services authorized under a waiver of the plan
1915(c) Home and Community-Based Services waivers
Childrens´ Waiver
Nursing Home Transition and Diversion (NHTD)
Traumatic Brain Injury (TBI)
Office for People with Developmental Disabilities (OPWDD) Comprehensive
1115 Demonstration
CDPA
PCAI & II
Below is the list of applicable PCS billing codes for Fee-for-Service (FFS) and Managed Care (MC) Medicaid that are subject to EVV requirements. If you service any of the following billing codes, you are required to participate in EVV and send EVV data to the New York State EVV Data Aggregator. More detailed information can be found on the Providers and FIs page.
Important Websites
Provider Best Practices
Identify team member(s) responsible for EVV visit maintenance
Log in to your aggregator portal daily
View EVV visits and aggregation status in the aggregator portal
Triage EVV errors with your state and/or aggregator as a first point of contact
Review DCI EVV Aggregation reports that are emailed to you daily
Perform visit maintenance in DCI to correct visit errors
Review all six required aggregation requirements
Type of service performed
Individual receiving the service
Date of the service
Location of the service
Individual providing the service
Time the service begins and ends
If the error in DCI can not be resolved independently, submit a help desk ticket (Zendesk) for DCI
If you have not already started, please begin these activities. Please be advised the aggregator portal is the source of truth for whether a visit is accepted or rejected.
State Specific Aggregation Topics
EVV Locations
EVV locations are a required aggregation element for NY. In DCI, clients (members) can have multiple EVV Locations created for their profile and available for employees to select at time of clock in and clock out via the mobile app or web portal. View the EVV Locations article in the DCI help center for information on how to create and manage in DCI. Allowable EVV Locations (service locations) for NY are Home or Community
Common EVV Aggregation Failure Results
| Failure Reason | Aggregator Field | DCI Field | Reasons why aggregation is failing | Steps to Update/Correct |
|---|---|---|---|---|
| 4004:Member ID is invalid | Member ID | Medicaid ID or Member Number | The Medicaid number for the client is incorrect |
|