Electronic Visit Verification (EVV) is a federal requirement for Medicaid-funded personal care and home health services. The Executive Office of Health and Human Services (EOHHS) administers the Massachusetts Medicaid program known as MassHealth and is seeking to provide an EVV system that complies with federal Medicaid requirements, minimizes any burden on users, and does not disrupt the provision of services. EOHHS will soon be implementing EVV in programs that provide certain home and community-based services.
Section 12006 of the 21st Century Cures Act requires that all 50 States implement EVV in Medicaid programs for personal care services by January 1, 2020, and for home health care services by January 1, 2023, for in-home visits.
In Massachusetts, EVV impacts programs overseen by MassHealth, the Executive Office of Elder Affairs, the Department of Developmental Services, and the Massachusetts Rehabilitation Commission. EVV will promote quality outcomes for members by ensuring appropriate service delivery, reducing the administrative burden of paper timesheets and decreasing billing errors, and unauthorized spending.
For traditional service provider agencies, EOHHS is employing an approach to compliance with EVV requirements that offers choice. Traditional service provider agencies can either:
- Use the MyTimesheet EVV application that is being designed, developed, and implemented by the state’s contractor, Optum
- Use an EVV system of their own that meets Data Aggregator requirements
Consumer self-direction programs will comply with EVV requirements by utilizing the MyTimesheet EVV application.
Data Aggregator Technical Specifications and User Guide
This document is intended for provider organizations that contract with ASAPs, provide personal care services and have their own EVV systems. This document is not applicable for providers that plan to use the State-Sponsored MyTimesheet EVV system, providers who do not contract with ASAPs or consumer-directed programs.
This document includes instructions on how to use the EVV Data Aggregator and provides data specifications for the EVV file that provider organizations will send from their EVV systems. This document is available as a resource for providers to understand the required data elements of the EVV file. PDF | Word
Data Aggregator Application Programming Interface (API) User Guide
This document is intended for provider organizations that contract with ASAPs; provide personal care, homemaker or companion services; have their own EVV systems; and intend to upload their EVV files via the API file upload method. This document is not applicable to providers that plan to use the State-Sponsored MyTimesheet EVV system, providers who do not contract with ASAPs, providers with their own EVV systems who intend to use the manual file upload process, or consumer-directed programs.
This document is intended to supplement the Data Aggregator Technical Specifications and User Guide document and includes instructions on how to send data to the MA EVV Data Aggregator via API. Providers using their own EVV system should review the Data Aggregator Technical Specifications and User Guide document before reviewing this API User Guide. PDF | Word
The Massachusetts Data Aggregator will not be available for general testing and production purposes until after successful completion of a pilot. EOHHS will inform providers when they may begin testing and sending EVV data to the Data Aggregator.
Stakeholder Engagement – Traditional Service Provider Agencies
EOHHS strongly encourages feedback and input from stakeholders that will be impacted by EVV implementation. This section will continue to be updated with notices, meeting information, and documents related to traditional service provider agencies stakeholder engagement.
Stakeholder Engagement – Consumer Self-Direction Programs
EOHHS strongly encourages feedback and input from stakeholders that will be impacted by EVV implementation. This section will continue to be updated with notices, meeting information, and documents related to consumer self-direction programs stakeholder engagement.
Frequently Asked Questions
This section will continue to be updated with frequently asked questions related to EVV.
This section will continue to be updated with documents related to EVV implementation.
For questions related to EVV implementation in the Commonwealth of Massachusetts, please contact EVVfeedback@State.MA.US.