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Hawaii Med-QUEST Electronic Visit Verification (EVV) Requirements (21st Century Cures Act, Section 12006), Med-QUEST Division Provider Guidance

Hawaiisub-regulatoryHawaii Department of Human Services, Med-QUEST Division· effective 2020-12-30

What this rule requires your agency to do

  • 1The provider must electronically capture the date of the service and the time the service begins and ends. (Cures Act 12006; Hawaii Med-QUEST EVV FAQs (six data elements))(Hawaii Med-QUEST Electronic Visit Verification (EVV) Requirements (21st Century Cures Act, Section 12006), Med-QUEST Division Provider Guidance)
  • 2The provider must electronically verify the individual receiving the service and the individual providing the service for each visit. (Cures Act 12006; Hawaii Med-QUEST EVV FAQs (six data elements))(Hawaii Med-QUEST Electronic Visit Verification (EVV) Requirements (21st Century Cures Act, Section 12006), Med-QUEST Division Provider Guidance)
  • 3The provider must submit claims for EVV-impacted services through the EVV system, because claims submitted outside the EVV system will be denied. (Hawaii Med-QUEST EVV FAQs (enforcement))(Hawaii Med-QUEST Electronic Visit Verification (EVV) Requirements (21st Century Cures Act, Section 12006), Med-QUEST Division Provider Guidance)
  • 4The provider must electronically capture the location of service delivery at both the beginning and end of the visit. (Cures Act 12006; Hawaii Med-QUEST EVV FAQs (six data elements))(Hawaii Med-QUEST Electronic Visit Verification (EVV) Requirements (21st Century Cures Act, Section 12006), Med-QUEST Division Provider Guidance)
  • 5The provider must use an EVV system to electronically capture the type of service performed for each visit. (Cures Act 12006; Hawaii Med-QUEST EVV FAQs (six data elements))(Hawaii Med-QUEST Electronic Visit Verification (EVV) Requirements (21st Century Cures Act, Section 12006), Med-QUEST Division Provider Guidance)
  • 6The provider must keep visit edits, including manually entered visits, to a minimum of 15% of visits. (Hawaii Med-QUEST Memo QI-2223 (EVV Manual Editing and Entry of Visits))(Hawaii Med-QUEST Electronic Visit Verification (EVV) Requirements (21st Century Cures Act, Section 12006), Med-QUEST Division Provider Guidance)
  • 7The provider must comply with statewide mandatory EVV use effective December 30, 2020 for impacted personal care and home/community-based services. (Hawaii Med-QUEST EVV Requirements (mandatory use date))(Hawaii Med-QUEST Electronic Visit Verification (EVV) Requirements (21st Century Cures Act, Section 12006), Med-QUEST Division Provider Guidance)

Applies to: Personal care services, home health, and home/community-based services provided in the home

Hawaii Med-QUEST requires providers of Medicaid personal care and home/community-based services to use an Electronic Visit Verification (EVV) system capturing the six data elements mandated by the 21st Century Cures Act. Statewide mandatory use began December 30, 2020, with claim denials for non-compliance beginning October 1, 2021, and a 15% cap on manual visit edits.

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