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Electronic Visit Verification (EVV) Frequently Asked Questions

New Yorksub_regulatoryNYS Department of Health, Office of Health Insurance Programs· effective 2022-10-28

What this rule requires your agency to do

  • 1The EVV system must capture the type of service performed, the individual receiving the service, the date of service, the location of service delivery, the individual providing the service, and the time the service begins and ends.(Electronic Visit Verification (EVV) Frequently Asked Questions)
  • 2Providers and fiscal intermediaries providing Medicaid-funded PCS must employ an EVV system meeting the 21st Century Cures Act (PCS effective 1/1/2021; HHCS by 1/1/2023); providers and FIs cannot opt out of using EVV.(Electronic Visit Verification (EVV) Frequently Asked Questions)
  • 3If a provider or FI chooses to use GPS to capture EVV data, the provider/FI is responsible for maintaining and storing the GPS data points for audit verification.(Electronic Visit Verification (EVV) Frequently Asked Questions)
  • 4All EVV-applicable services must have complete EVV data to be considered a verified visit; EVV data must be collected and verified prior to claim submission.(Electronic Visit Verification (EVV) Frequently Asked Questions)
  • 5Providers and FIs must self-fund and implement their EVV system (Choice Model); they must ensure any existing system meets federal and NYS requirements and can submit data to eMedNY.(Electronic Visit Verification (EVV) Frequently Asked Questions)

Applies to: cross-cutting

DOH FAQ on New York's Choice-Model EVV program covering which services/programs are subject to EVV, compliant technologies, data capture requirements, and compliance/audit consequences.

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