Find & Ask › West Virginia › this rule

West Virginia Electronic Visit Verification (EVV) Requirements — Bureau for Medical Services (implementing 21st Century Cures Act, 42 U.S.C. § 1396b(l))

West Virginiasub-regulatoryWest Virginia Department of Human Services, Bureau for Medical Services (Medicaid)

What this rule requires your agency to do

  • 1The provider must have EVV in place for Personal Care Services no later than January 1, 2021, and for Home Health Care Services no later than January 1, 2023. (WV BMS EVV Implementation Deadlines)(West Virginia Electronic Visit Verification (EVV) Requirements — Bureau for Medical Services (implementing 21st Century Cures Act, 42 U.S.C. § 1396b(l)))
  • 2A provider electing a provider-owned EVV system must provide evidence that their system complies with the requirements of the Act, DHHR, and the state data aggregator, and must bear any associated costs. (WV BMS EVV Open/Hybrid Model — Provider Owned Solution)(West Virginia Electronic Visit Verification (EVV) Requirements — Bureau for Medical Services (implementing 21st Century Cures Act, 42 U.S.C. § 1396b(l)))
  • 3The provider must either use the state-procured EVV system at no cost or, if using a provider-owned solution, bear the burden and cost of procurement. (WV BMS EVV Open/Hybrid Model)(West Virginia Electronic Visit Verification (EVV) Requirements — Bureau for Medical Services (implementing 21st Century Cures Act, 42 U.S.C. § 1396b(l)))
  • 4The provider must use an electronic visit verification (EVV) system that electronically verifies service visits occur and documents the precise time each service visit begins and ends. (WV BMS EVV Program (21st Century Cures Act § 12006))(West Virginia Electronic Visit Verification (EVV) Requirements — Bureau for Medical Services (implementing 21st Century Cures Act, 42 U.S.C. § 1396b(l)))
  • 5The provider must ensure EVV is used for covered in-home services including Activities of Daily Living (ADL), Instrumental Activities of Daily Living (IADL), home health skills, and Personal Care Services (PCS). (WV BMS EVV Program)(West Virginia Electronic Visit Verification (EVV) Requirements — Bureau for Medical Services (implementing 21st Century Cures Act, 42 U.S.C. § 1396b(l)))

Applies to: personal care services, home health, and HCBS waiver in-home services (ADL, IADL, home health skills)

West Virginia Medicaid, through the Bureau for Medical Services, implements the 21st Century Cures Act EVV mandate for in-home personal care and home health services. WV uses an Open/Hybrid model: providers may use the state-procured EVV system at no cost or deploy their own compliant system. EVV must electronically verify that service visits occur and document the precise start and end time of each visit. EVV became required for Personal Care Services effective January 1, 2021 and for Home Health Care Services effective January 1, 2023.

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