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Electronic Visit Verification (EVV)

What is EVV?

EVV uses technology to make sure that members and participants receive the services they need. Workers check in at the beginning and check out at the end of each visit, using a smart phone or tablet, small digital device, or landline telephone. The EVV system captures six key pieces of information:

  • Who receives the service
  • Who provides the service
  • What service is provided
  • Where the service is provided
  • The date of service
  • The time the service begins and ends

Here is the list of personal care and home health care services that require workers to capture EVV information in Wisconsin.

EVV is secure and compliant with the Health Insurance Portability and Accountability Act (HIPAA).

   Administrative Training for Providers and Independent Nurses New to EVV

Complete Sandata's self-paced videos to start EVV! See the Training webpage for more information.

What programs are required to use an EVV system?

  • Personal care and supportive home care services (PCS)
    • Medicaid and BadgerCare Plus fee-for-service (ForwardHealth card)
    • BadgerCare Plus and Medicaid SSI HMOs
    • Family Care and Family Care Partnership
    • IRIS (Include, Respect, I Self-Direct)
  • Home health care services (HHCS)*
    • Medicaid and BadgerCare Plus fee-for-service (ForwardHealth card)
    • BadgerCare Plus and Medicaid SSI HMOs
    • Family Care and Family Care Partnership
      * The IRIS (Include, Respect, I Self-Direct) program does not require EVV for HHCS because IRIS is not a payer for these services.

Getting started with EVV

Watch a video

Learn how EVV works during a visit.

Read the step-by-step guide

If you’re a provider agency or independent nurse preparing to use an EVV system, review the New to EVV? guide, P-03078. It's available in English, Hmong, and Spanish. You can opt for either the DHS-provided EVV system, Sandata, or an alternate EVV system. There is also a Providers and Independent Nurses webpage with additional information for you on the left side of the screen.

If you’re a member, IRIS participant, payer, or worker needing training, choose an option from the menu on the left side of the screen to find EVV information just for you.

DHS will work to:

  • Maintain services provided, including community integration.
  • Support provider selection.
  • Keep an individual’s choice of a worker.
  • Ensure needed care is delivered.
  • Ensure data is secure and compliant with HIPAA.

  • December 2016
    21st Century Cures Act signed into law.
  • August 2017
    Personal care and supportive home care services advisory meetings began.
  • July 2020
    EVV policy for required personal care and supportive home care services is published.
    Wisconsin EVV Customer Care launched.
  • August 2020
    Provider training began.
  • November 2, 2020
    EVV for personal care and supportive home care services is required with the start of soft launch.
  • May 1, 2023
    EVV hard launch for personal care and supportive home care services began.

  • December 2016
    21st Century Cures Act signed into law.
  • May 2022
    Home health care services and nurse supervisor advisory meetings began.
  • November 21, 2023
    EVV policy for required personal care service code 99509 [Home visit for assistance with activities of daily living and personal care (per visit)] is published.
  • January 1, 2024
    EVV for personal care service code 99509 [Home visit for assistance with activities of daily living and personal care (per visit)] is required with the start of soft launch.
  • October 1, 2024
    EVV hard launch for personal care service code 99509 [Home visit for assistance with activities of daily living and personal care (per visit)] began.

  • December 2016
    21st Century Cures Act signed into law.
  • May 2022
    Home health care services and nurse supervisor advisory meetings began.
  • November 21, 2023
    EVV policy for required home health care services is published.
  • January 1, 2024
    EVV for home health care services is required with the start of soft launch.
  • October 1, 2024
    EVV hard launch for home health care services began.

The 21st Century Cures Act is a federal law that was passed in 2016. It requires each state, including Wisconsin, to collect visit information using an electronic visit verification (EVV) system. The law helps make sure that members and participants receive the services they need. If the Wisconsin Department of Health Services (DHS) doesn’t follow this law, Wisconsin will lose money for Medicaid services.

The chart below lists outages meeting the DHS outage policy criteria. 

To review the outage policy criteria and instructions on how to ensure claims are paid during an outage, fee-for-service, Family Care, and Family Care Partnership providers should refer to the Power Outage and Electronic Visit Verification System Outage Policy topic (#22860) of the Online Handbook. BadgerCare Plus and SSI Medicaid HMO providers should follow the guidance given to fee-for-service providers in this topic. IRIS providers should reference IRIS EVV Policy, P-03053.

Date(s) of OutageSandata Systems ImpactedWho Does Not Need to Capture EVV During the Timeframe Listed
Friday, July 21, 2023 – Sunday, July 23, 2023Sandata visit capture methods (SMC app, TVV, FVV), Sandata aggregator, Sandata EVV provider portalAll providers regardless of the system being used

This list does not include regional power outages, temporary Sandata outages (less than 24 hours), individual provider outages, or alternate EVV vendor outages. Providers can reach out to their local utility company or consult a publicly available database for documentation of these power outages. Providers using alternate EVV should contact their alternate EVV system vendor for proof of outages.

Contact Wisconsin EVV Customer Care with questions at 833-931-2035 Monday–Friday 7 a.m.–6 p.m. CT or at vdxc.contactevv@wisconsin.gov.

Glossary

 
Last revised December 23, 2024