Find & Ask › Rhode Island › this rule

Rhode Island EOHHS Electronic Visit Verification (EVV) Compliance Requirements (21st Century Cures Act §12006(a))

Rhode Islandsub-regulatoryRhode Island Executive Office of Health and Human Services (EOHHS)

What this rule requires your agency to do

  • 1The provider must implement and use an Electronic Visit Verification (EVV) system for Medicaid-reimbursed personal care, homemaker, and home health in-home services, as mandated by the 21st Century Cures Act §12006(a). (21st Century Cures Act §12006(a); RI EOHHS EVV Compliance Guidance (Dec. 2023))(Rhode Island EOHHS Electronic Visit Verification (EVV) Compliance Requirements (21st Century Cures Act §12006(a)))
  • 2The provider must keep hard copy (paper) documentation of any manual corrections/edits to EVV visit records for auditing purposes. (RI EOHHS EVV Compliance Guidance (Dec. 2023))(Rhode Island EOHHS Electronic Visit Verification (EVV) Compliance Requirements (21st Century Cures Act §12006(a)))
  • 3The provider must have caregivers obtain member verification of the service provided, the time of service, and either a verbal or written signature for each visit. (RI EOHHS EVV Program (eohhs.ri.gov))(Rhode Island EOHHS Electronic Visit Verification (EVV) Compliance Requirements (21st Century Cures Act §12006(a)))
  • 4The provider (agency) must achieve at least eighty-five percent (85%) auto visit verification rate in its EVV system. (RI EOHHS EVV Compliance Guidance (Dec. 2023))(Rhode Island EOHHS Electronic Visit Verification (EVV) Compliance Requirements (21st Century Cures Act §12006(a)))
  • 5The provider must end care in its EVV system for members who are no longer receiving services. (RI EOHHS EVV Compliance Guidance (Dec. 2023))(Rhode Island EOHHS Electronic Visit Verification (EVV) Compliance Requirements (21st Century Cures Act §12006(a)))
  • 6The provider must not verify visits occurring greater than five hundred (500) feet from the member's home without documented justification. (RI EOHHS EVV Compliance Guidance (Dec. 2023))(Rhode Island EOHHS Electronic Visit Verification (EVV) Compliance Requirements (21st Century Cures Act §12006(a)))
  • 7The provider must use an EVV vendor/system capable of capturing GPS coordinates for both the member and the visit. (RI EOHHS EVV Compliance Guidance (Dec. 2023))(Rhode Island EOHHS Electronic Visit Verification (EVV) Compliance Requirements (21st Century Cures Act §12006(a)))

Applies to: personal care, home care, home health (HCBS)

Rhode Island EOHHS, implementing the federal 21st Century Cures Act §12006(a) EVV mandate, requires home care and personal care providers to use an EVV system that electronically verifies each Medicaid-reimbursed in-home visit. EOHHS compliance guidance sets an 85% auto-verification threshold, GPS capture for member and visit, a 500-foot geofence tolerance, retention of hard-copy documentation of manual corrections, and end-of-care status updates in the EVV system. Personal care and homemaker services have been subject to EVV since Jan. 1, 2021; home health care services since Jan. 1, 2024.

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