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Fla. Admin. Code Ann. R. 59G-4.132 - Home Health Electronic Visit Verification Program

FloridaregulationFlorida Agency for Health Care Administration (AHCA)

What this rule requires your agency to do

  • 1The direct service provider must verify delivery of the service using the vendor's EVV system at the beginning and end of each home health service encounter. (Fla. Admin. Code Ann. R. 59G-4.132)(Fla. Admin. Code Ann. R. 59G-4.132)
  • 2The provider must comply with section 409.9132, F.S., and document the home health service encounter for each recipient served, verifying delivery through AHCA's designated vendor's Electronic Visit Verification system. (Fla. Admin. Code Ann. R. 59G-4.132)(Fla. Admin. Code Ann. R. 59G-4.132)
  • 3The provider must submit claims through AHCA's designated vendor's system to the Florida Medicaid fiscal agent for services rendered and verified. (Fla. Admin. Code Ann. R. 59G-4.132)(Fla. Admin. Code Ann. R. 59G-4.132)
  • 4The provider must maintain compliance with the EVV program, as failure to do so may result in denial or non-payment of claims, sanctions, fines, and suspension or termination from the Florida Medicaid program. (Fla. Admin. Code Ann. R. 59G-4.132)(Fla. Admin. Code Ann. R. 59G-4.132)

Applies to: home health services, private duty nursing, and personal care services

Florida rule requiring Medicaid home health providers (including personal care services) to use the AHCA-designated vendor's Electronic Visit Verification system to document and verify each service encounter and to submit claims through that system.

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