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Kentucky Medicaid Electronic Visit Verification (EVV) - Cabinet for Health and Family Services, Department for Medicaid Services (implementing 21st Century Cures Act, Section 12006; 42 U.S.C. 1396b(l))
Kentuckysub-regulatoryKentucky Cabinet for Health and Family Services, Department for Medicaid Services (DMS), Division of Community Alternatives
What this rule requires your agency to do
- 1The provider must electronically capture the type of service provided. (KY DMS EVV)(Kentucky Medicaid Electronic Visit Verification (EVV) - Cabinet for Health and Family Services, Department for Medicaid Services (implementing 21st Century Cures Act, Section 12006; 42 U.S.C. 1396b(l)))
- 2The provider must use Kentucky's state-sponsored EVV system (Therap, at no cost) or a compliant third-party vendor system that integrates with the Therap Aggregator. (KY DMS EVV)(Kentucky Medicaid Electronic Visit Verification (EVV) - Cabinet for Health and Family Services, Department for Medicaid Services (implementing 21st Century Cures Act, Section 12006; 42 U.S.C. 1396b(l)))
- 3The provider must electronically capture the location of service delivery for each visit. (KY DMS EVV; 42 U.S.C. 1396b(l)(5)(B))(Kentucky Medicaid Electronic Visit Verification (EVV) - Cabinet for Health and Family Services, Department for Medicaid Services (implementing 21st Century Cures Act, Section 12006; 42 U.S.C. 1396b(l)))
- 4The provider must electronically capture the date of service for each EVV-covered personal care or home health visit. (KY DMS EVV; 42 U.S.C. 1396b(l)(5)(A))(Kentucky Medicaid Electronic Visit Verification (EVV) - Cabinet for Health and Family Services, Department for Medicaid Services (implementing 21st Century Cures Act, Section 12006; 42 U.S.C. 1396b(l)))
- 5The provider administrator must audit EVV system user access at least every 90 days. (KY DMS EVV)(Kentucky Medicaid Electronic Visit Verification (EVV) - Cabinet for Health and Family Services, Department for Medicaid Services (implementing 21st Century Cures Act, Section 12006; 42 U.S.C. 1396b(l)))
- 6The provider must electronically capture the identity of the individual providing the service and the individual receiving the service. (KY DMS EVV; 42 U.S.C. 1396b(l)(5)(C),(D))(Kentucky Medicaid Electronic Visit Verification (EVV) - Cabinet for Health and Family Services, Department for Medicaid Services (implementing 21st Century Cures Act, Section 12006; 42 U.S.C. 1396b(l)))
- 7The provider must electronically capture the start and end times of the service. (KY DMS EVV; 42 U.S.C. 1396b(l)(5)(F))(Kentucky Medicaid Electronic Visit Verification (EVV) - Cabinet for Health and Family Services, Department for Medicaid Services (implementing 21st Century Cures Act, Section 12006; 42 U.S.C. 1396b(l)))
Applies to: personal care services and home health / HCBS services delivered in home or community settings
Kentucky requires Electronic Visit Verification (EVV) for Medicaid Personal Care Services and Home Health Care Services (and specified HCBS waivers), capturing six federally mandated data elements per the 21st Century Cures Act. The state offers a free state-sponsored EVV system (Therap) or providers may use a compliant third-party vendor that integrates with the Therap Aggregator.
Regulatory information, not legal advice — always confirm against the cited official source. Verification reduces error; it does not certify compliance.