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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.

In Utah EVV is required for all Personal Care Services and Home Health Care Services under Medicaid effective July 1, 2019*. Providers must select their own EVV service vendor and have records available for review upon request. All systems must be compliant with the Cures Act requirements include:

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
the time the service begins and ends
the date of creation of the electronic record

*While a July 1, 2019 compliance date has been set, recoupment/penalties for not having EVV

Important Websites

Utah Department of Health and Human Services

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

Aggregation in UT is handled through a CSV upload.
DCI will aid in the format and preparation of the CSV file and the client will own uploading and troubleshooting errors.

Common EVV Aggregation Failure Results

Failure Reason	CSV Field	DCI Field	Reasons why aggregation is failing	Steps to Update/Correct
Member ID	Member ID	Medicaid ID or Member number	If the member ID field is empty If non-numeric value If under minimum length If over maximum length	Login to DCI Click Home on the main menu Click Clients on the sub menu Search for the client and select the client name in the table by clicking anywhere in the row. Verify the Medicaid ID or the Member number on the client profile page There should be only numbers and the value should be 9-10 digits
Service Code	Service Code	HCPCS Code	If the member ID field is empty If there are invalid characters If under minimum length If over maximum length	Login to DCI Click Settings on the main menu Click Funding Sources on the sub menu Search for the Funding Source applicable to the visit. select the Funding Source name in the table by clicking anywhere in the row. Scroll down to the list of Service Codes select the Service Code in the table by clicking anywhere in the row. Verify the HCPCS on the Service Code page Ensure there is a HCPCS populated and that it has the correct value.