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Electronic Visit Verification (EVV) for NC Medicaid-Funded Personal Care Services and Home Health Services (21st Century Cures Act, Section 12006)

North Carolinasub-regulatoryNorth Carolina Department of Health and Human Services, Division of Health Benefits (NC Medicaid)

What this rule requires your agency to do

  • 1The provider must comply with EVV requirements by the applicable compliance date for its service type (PCS/CAP/C/CAP/DA by January 1, 2021; Home Health Services by April 1, 2023; Tailored Plans by July 1, 2024). (NC Medicaid EVV guidance)(Electronic Visit Verification (EVV) for NC Medicaid-Funded Personal Care Services and Home Health Services (21st Century Cures Act, Section 12006))
  • 2The provider must limit manual entries to 15% or less, using manual entry only when the caregiver is unable to use EVV. (NC Medicaid EVV guidance)(Electronic Visit Verification (EVV) for NC Medicaid-Funded Personal Care Services and Home Health Services (21st Century Cures Act, Section 12006))
  • 3The provider must capture visit data electronically (via the EVV device/app) at least 85% of the time. (NC Medicaid EVV guidance)(Electronic Visit Verification (EVV) for NC Medicaid-Funded Personal Care Services and Home Health Services (21st Century Cures Act, Section 12006))
  • 4The provider must submit EVV visit data to the designated data aggregator (Sandata, CareBridge, or HHAeXchange, depending on plan type). (NC Medicaid EVV guidance)(Electronic Visit Verification (EVV) for NC Medicaid-Funded Personal Care Services and Home Health Services (21st Century Cures Act, Section 12006))
  • 5The provider must use an electronic visit verification (EVV) system to record NC Medicaid-funded personal care services and home health services delivered. (21st Century Cures Act Sec. 12006; NC Medicaid EVV guidance)(Electronic Visit Verification (EVV) for NC Medicaid-Funded Personal Care Services and Home Health Services (21st Century Cures Act, Section 12006))
  • 6The provider must electronically capture, for each visit, the type of service performed, the beneficiary receiving the service, the date of service, the service location, the person providing the service, and the service start and end times. (42 U.S.C. 1396b(l)(5); NC Medicaid EVV guidance)(Electronic Visit Verification (EVV) for NC Medicaid-Funded Personal Care Services and Home Health Services (21st Century Cures Act, Section 12006))

Applies to: personal care services and home health services

The 21st Century Cures Act (Sec. 12006) requires NC Medicaid PCS and home health providers to use an EVV system capturing six visit data elements, with at least 85% electronic capture, manual entries limited to 15%, and submission to a designated aggregator by staggered compliance dates.

Regulatory information, not legal advice — always confirm against the cited official source. Verification reduces error; it does not certify compliance.