Electronic Visit Verification (EVV)

Electronic Visit Verification (EVV)

In December 2016, President Obama signed the 21st Century Cures Act which would establish Electronic Visit Verification (EVV) as part of the National Fraud Prevention Program (NFPP) within the Centers for Medicare and Medicaid Services (CMS). The EVV places authority on providers of personal care services and home health care services providers under Medicaid, including In-Home Supportive Services (IHSS) in California. We believe that this was a last ditch attempt from vendors of EVV software to jam the Cures Act with mandatory electronic visit verification to secure a profit.

California’s IHSS program is the largest and most unique service provider in the country – mandatory EVV does not work for consumers and providers in our State. While we support guarding against fraud, there is little to no evidence of rampant fraud in the IHSS program.

Join the Campaign to Stop EVV

Beginning in January 2018, SEIU Local 2015 will launch a collaborative campaign to prevent the implementation of EVV in our state. Together with consumer advocates, we will work together, raise our voices, and meet with legislators and the Governor to stop the implementation of EVV.

  1. Contact your organizer and sign up to participate in the campaign to stop the implementation of EVV in California.
  2. Tell us your story. How would the implementation of EVV impact your ability to provide quality care to your consumer(s) with the dignity they deserve? To share your story, email mystory@seiu2015.org
  3. Call your state legislator. Raise your voice against the implementation of EVV by sharing your story with your state Assemblymember and Senator.

Frequently Asked Questions (FAQ):

Q: What is Electronic Visit Verification (EVV)?

A: Currently, California does not have an established EVV system. In 2018, there is an opportunity to prevent the implementation of this federal law and protect against placing consumers and providers at risk.

EVV is an electronic system that requires providers of personal care services at home, like IHSS, to confirm in real-time that services were delivered. Providers can verify the services they have provided to consumers through a variety of electronic methods such as a phone call or electronic signature, among others.

Typically, EVV is used to verify 1)­ the date of service, 2) the time service starts and ends, 3) the location of service using caller-ID or global positioning system (GPS), 4) the individual providing service (provider), 5) the type of service, and 6) the individual receiving service (consumer).

Q: Which providers will need to use EVV?

A: Beginning January 1, 2019, all personal care services providers, including IHSS providers, are required to comply with the law. Starting January 1, 2023 home health care services providers under MediCal in California will be required to use EVV.

 Q: How does EVV work?

A: Typically, a caregiver is given an employee Personal Identification Number (PIN). The caregiver uses the recipient’s home phone or cell phone to call the EVV system when they arrive at the recipient’s home. Once the caregiver finishes providing the specified services, the caregiver calls the EVV system from the same phone to report once the services have been provided.

Q: What is the difference between Electronic Timesheets and Electronic Visit Verification (EVV)?

A: The California Department of Social Services (CDSS) allows IHSS providers in California the option to submit their timesheets online through the Electronic Timesheet Website. Use of electronic timesheets is not required and is optional.

The EVV program would require providers to report the type of services that are being provided to consumers, in real-time, by way of electronic devices such as telephone, smartphone, and others. All providers would be required to report using EVV.

Q: What happens if providers fail to report their time using EVV? Are there penalties or repercussions to individual providers?

A: At this time, it is unclear what will be the penalties for providers, if any.

Q: What if providers do not have access to internet and other technology necessary to report using the EVV system?

A: At this time, it is unclear how the state will support providers and consumers who do not have access to internet and other technologies necessary for EVV.

Q: How will the EVV system affect the care I provide for my consumer(s)?

A: Every consumer has a different level of need. It is unclear how EVV will impact the delivery of personal care services for consumers. However, consumer advocates fear that EVV would take away their ability to self-direct how their caregivers provide services. This is a consumer right that is protected by several laws and we will advocate for consumers to continue to be able to self-direct their care.

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