• This page, EVV for Provider Organizations That Contract with MCOs and ACOs, is   offered by
  • MassHealth

EVV for Provider Organizations That Contract with MCOs and ACOs

Find information about MassHealth’s use of EVV for people supported by providers under contract with managed care organizations (MCOs) and accountable care organizations (ACOs) in Massachusetts.

Table of Contents

General Information

Provider organizations that contract with managed care organizations (MCOs) and accountable care organizations (ACOs), and deliver home health to people supported by MassHealth or the State Home Care Program, must comply with EVV requirements.

View the full list of services that require EVV, by service code, on this table. PDF | Word

Options for EVV Compliance

The EOHHS EVV Solution is an open model. That means providers can use their own EVV system and send their EVV-related data to the EVV data aggregator (the database that maintains EVV information), or they can use the state’s EVV system. EOHHS refers to providers’ own EVV systems as Alt-EVV systems.

All visits, whether verified in the state’s EVV system or a provider’s, will be sent to the EVV data aggregator. If a provider chooses to use an Alt-EVV system, they will still be required to provide all six elements of the Centers for Medicare & Medicaid Services (CMS) EVV requirements:

  1. Members who receive services
  2. Provider employees who provide services
  3. Specific services provided
  4. Service locations
  5. Service dates
  6. Beginning and end times of service

Sandata’s EVV system lets providers view, monitor, schedule, and edit EVV visits. However, it does not have billing or payroll functions.

Providers may fulfill EVV requirements by

  • purchasing their own EVV system and sending data daily to EOHHS’s data aggregator; or
  • using the state EVV system from Sandata Technologies (available as of September 30, 2024).

Providers can choose to use their own EVV systems. MassHealth refers to these as Alternate-EVV systems or Alt-EVV systems.   

Upcoming Stakeholder Engagement Opportunities

Stay tuned: we’ll continue to update this page with related information and opportunities to learn about EVV, ask questions, and provide feedback as we roll out EVV.

Overview Materials for Stakeholders

  • EVV Overview Forum (May 2024): PDF | Word

Sandata Technologies Resources

For general information on Sandata Technologies, visit Sandata EVV Services | CMS Compliance Software - Sandata.

For Massachusetts-specific Sandata materials and support, visit Sandata Technologies (zendesk.com).

Contact   for EVV for Provider Organizations That Contract with MCOs and ACOs

Online

For questions related to EVV implementation in Massachusetts, please contact Email EVV Implementation at EVVfeedback@mass.gov
For technical help with Sandata, please use the Submit a Request link at Sandata On-Demand or call Sandata’s customer support line at (833) 511-0164. (There may be higher call volume while the system is introduced.) Submit a Request 
Last updated: September 27, 2024

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