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Electronic Visit Verification (EVV) for Personal Care Services (PCS) — PA DHS Guidance
Pennsylvaniasub_regulatoryPA Department of Human Services
What this rule requires your agency to do
- 1PCS claims submitted without a matching EVV visit will be denied, so providers must capture an EVV visit for each personal care services visit billed.(Electronic Visit Verification (EVV) for Personal Care Services (PCS) — PA DHS Guidance)
- 2Providers must use an approved EVV solution (DHS Sandata system, a certified alternate/third-party EVV vendor, or the applicable MCO system) to capture and submit visit data.(Electronic Visit Verification (EVV) for Personal Care Services (PCS) — PA DHS Guidance)
- 3CHC-participating providers serving MCO-enrolled participants must either use the MCO's EVV system (HHAeXchange) or work with each contracted MCO to ensure their internal EVV system can send information to HHAeXchange.(Electronic Visit Verification (EVV) for Personal Care Services (PCS) — PA DHS Guidance)
- 4For participant-directed programs in OLTL waivers, providers must use the vendor fiscal agent Public Partnerships, LLC (PPL) and its Time4Care EVV system to satisfy EVV requirements.(Electronic Visit Verification (EVV) for Personal Care Services (PCS) — PA DHS Guidance)
Applies to: cross-cutting
PA DHS guidance requiring Electronic Visit Verification for personal care services, identifying approved EVV vendors by program and warning that PCS claims without a matching EVV visit will be denied.
Regulatory information, not legal advice — always confirm against the cited official source. Verification reduces error; it does not certify compliance.