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Code of Maine Rules 10-144 Ch. 101, MaineCare Benefits Manual, Ch. II, Section 12.08 (Policies and Procedures) - Electronic Visit Verification

MaineregulationMaine Department of Health and Human Services (DHHS), Office of MaineCare Services

What this rule requires your agency to do

  • 1The provider must comply with the Maine DHHS Electronic Visit Verification (EVV) system standards and requirements for Personal Care Services, effective January 1, 2020. (C.M.R. 10-144-101-II-12.08)(Code of Maine Rules 10-144 Ch. 101, MaineCare Benefits Manual, Ch. II, Section 12.08 (Policies and Procedures) - Electronic Visit Verification)
  • 2The provider must electronically verify the individual receiving the service and the date of the service. (C.M.R. 10-144-101-II-12.08)(Code of Maine Rules 10-144 Ch. 101, MaineCare Benefits Manual, Ch. II, Section 12.08 (Policies and Procedures) - Electronic Visit Verification)
  • 3The provider must electronically verify the location of the service and the time the service begins and ends. (C.M.R. 10-144-101-II-12.08)(Code of Maine Rules 10-144 Ch. 101, MaineCare Benefits Manual, Ch. II, Section 12.08 (Policies and Procedures) - Electronic Visit Verification)
  • 4If the provider procures and uses its own EVV system, the provider must ensure that data from the provider-owned system can be accepted and integrated with the Maine DHHS EVV system and is otherwise compatible. (C.M.R. 10-144-101-II-12.08)(Code of Maine Rules 10-144 Ch. 101, MaineCare Benefits Manual, Ch. II, Section 12.08 (Policies and Procedures) - Electronic Visit Verification)
  • 5The provider must electronically verify the type of service performed for each visit. (C.M.R. 10-144-101-II-12.08)(Code of Maine Rules 10-144 Ch. 101, MaineCare Benefits Manual, Ch. II, Section 12.08 (Policies and Procedures) - Electronic Visit Verification)

Applies to: personal care services / home-based care (HCBS)

Under the MaineCare Benefits Manual, every provider of Personal Care Services must, effective January 1, 2020, use the Maine DHHS Electronic Visit Verification (EVV) system to electronically capture the six federally required data elements for each in-home visit. Maine operates an open-model EVV platform, so providers may use their own compatible system provided its data can integrate with the Maine DHHS EVV system. The requirement implements Section 12006 of the 21st Century Cures Act.

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