HCBS EVV Compliance FAQ — Implementation of Electronic Visit Verification Minimum Compliance Standards, Frequently Asked Questions

What this rule requires your agency to do

• 1Direct service professionals must clock in and out according to the time outlined in the participant's plan of care; the EVV system must not be used to track non-service time (Billing, Authorizations & Manual Entries).(HCBS EVV Compliance FAQ — Implementation of Electronic Visit Verification Minimum Compliance Standards, Frequently Asked Questions)
• 2Case managers must monitor provider EVV compliance — for both traditional and participant-directed services — per the CCW and DD Service Indexes, and report significant noncompliance to the Division (Case Management Roles & Responsibilities).(HCBS EVV Compliance FAQ — Implementation of Electronic Visit Verification Minimum Compliance Standards, Frequently Asked Questions)
• 3Beginning July 1, 2026, providers of EVV-qualifying waiver visits must meet the 70% Minimum Compliance Standard, gradually increasing to 85% by January 1, 2027 (Program Implementation & Timelines).(HCBS EVV Compliance FAQ — Implementation of Electronic Visit Verification Minimum Compliance Standards, Frequently Asked Questions)
• 4A provider using a third-party EVV solution must use a system compliant with federal and state standards that integrates with the CareBridge EVV aggregator, and the vendor must initiate integration by completing a CareBridge EVV Vendor Intake Form (Technical Issues & App Functionality).(HCBS EVV Compliance FAQ — Implementation of Electronic Visit Verification Minimum Compliance Standards, Frequently Asked Questions)
• 5Manual entries and manually edited visits (including manually changed service locations) are deemed noncompliant visits for purposes of the EVV compliance calculation (Billing, Authorizations & Manual Entries; Location, GPS & Travel).(HCBS EVV Compliance FAQ — Implementation of Electronic Visit Verification Minimum Compliance Standards, Frequently Asked Questions)
• 6Participant-directed individuals with a paper timesheet EVV exemption must submit documentation demonstrating a continued justifiable need annually to the FMS (ACES$) for Agency review and determination (Billing, Authorizations & Manual Entries).(HCBS EVV Compliance FAQ — Implementation of Electronic Visit Verification Minimum Compliance Standards, Frequently Asked Questions)