• This page, EVV for Provider Organizations That Contract with SCO or One Care Plans , is   offered by
  • MassHealth

EVV for Provider Organizations That Contract with SCO or One Care Plans

Find information about MassHealth’s use of Electronic Visit Verification (EVV) for individuals supported by provider organizations that contract directly with Senior Care Options (SCO) or One Care Plans in Massachusetts.

Table of Contents

General Information

Provider organizations that contract directly with Senior Care Options (SCO) or One Care Plans and deliver personal care, homemaking, and companion services must comply with EVV requirements. Providers must use EVV for these Medicaid-covered services no matter who the payer is. This includes home health reimbursed through MassHealth fee-for-service and Aging Services Access Points contracts, as well as through health plans such as SCO and One Care plans. This page is about EVV implementation for providers contracted with SCO or One Care plans. Other provider organizations delivering personal care services may have EVV requirements; you can find them on the main EVV web page.

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 holds 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 either

  • 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).

Upcoming Stakeholder Engagement Opportunities

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 SCO or One Care Plans

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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