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Vermont Medicaid Electronic Visit Verification (EVV) for Personal Care Services (DVHA EVV Program, implementing 21st Century Cures Act, 42 U.S.C. 1396b(l))

Vermontsub-regulatoryDepartment of Vermont Health Access (DVHA)

What this rule requires your agency to do

  • 1The agency must apply EVV to covered Medicaid programs including Children's Personal Care, Choices for Care (including Flexible Choices & Moderate Needs Group), the Attendant Services Program, the Traumatic Brain Injury Program, and Home Health Services. (DVHA EVV FAQ)(Vermont Medicaid Electronic Visit Verification (EVV) for Personal Care Services (DVHA EVV Program, implementing 21st Century Cures Act, 42 U.S.C. 1396b(l)))
  • 2The EVV system must electronically verify the date of the service and the time the service starts and ends. (DVHA EVV FAQ)(Vermont Medicaid Electronic Visit Verification (EVV) for Personal Care Services (DVHA EVV Program, implementing 21st Century Cures Act, 42 U.S.C. 1396b(l)))
  • 3The EVV system must electronically verify the person receiving the service and the person providing the service for each visit. (DVHA EVV FAQ)(Vermont Medicaid Electronic Visit Verification (EVV) for Personal Care Services (DVHA EVV Program, implementing 21st Century Cures Act, 42 U.S.C. 1396b(l)))
  • 4The EVV system must electronically verify the location of the service and the type of service provided. (DVHA EVV FAQ)(Vermont Medicaid Electronic Visit Verification (EVV) for Personal Care Services (DVHA EVV Program, implementing 21st Century Cures Act, 42 U.S.C. 1396b(l)))
  • 5The provider must use Electronic Visit Verification to record in-home personal care services, because beginning July 2022 Medicaid program funds cannot be used to pay for services if EVV is not used. (DVHA EVV program page)(Vermont Medicaid Electronic Visit Verification (EVV) for Personal Care Services (DVHA EVV Program, implementing 21st Century Cures Act, 42 U.S.C. 1396b(l)))
  • 6The provider/caregiver must record the visit using an approved method, such as a smartphone app or a landline telephone, capturing the time they arrive and leave the home and the type of care provided. (DVHA What is EVV page)(Vermont Medicaid Electronic Visit Verification (EVV) for Personal Care Services (DVHA EVV Program, implementing 21st Century Cures Act, 42 U.S.C. 1396b(l)))

Applies to: personal care services; home care; home health; Medicaid HCBS in-home services

Vermont Medicaid, administered by DVHA in partnership with DAIL and VDH, requires Electronic Visit Verification for in-home personal care and home health services to comply with the federal 21st Century Cures Act. EVV electronically captures six data elements for each visit, and beginning July 2022 Medicaid funds cannot pay for covered in-home services not recorded through EVV.

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