{"ref":"PA-HC-BUS-02","title":"Electronic Visit Verification","category":"Business","summary":"Requires every Medical Assistance-funded personal assistance visit to be recorded in a Department of Human Services-accepted electronic visit verification system that captures the six federal data items, explains how direct care workers check in and out, how missed or incorrect entries are corrected and documented, and how EVV data is matched to claims.","inShort":["Check in when you arrive and check out before you leave, every visit, using the approved app or phone.","Never check in or out for someone else, and never share your login.","If you could not check in or out, call the office the same day and fill in the visit correction form.","Visits that are not verified cannot be billed."],"primaryCitation":"42 U.S.C. §1396b(l)","citations":["55 Pa. Code §52.15(a)(2)","55 Pa. Code §52.15(b)","55 Pa. Code §52.43(h)","55 Pa. Code §52.43(k)","55 Pa. Code §1101.51(e)","55 Pa. Code §1101.75(a)"],"federalCitations":["42 U.S.C. §1396b(l)"],"surveyorAsks":["Which EVV system do you use for fee-for-service participants and for Community HealthChoices members?","Show me how a worker checks in and out, and how you correct a missed check-out."],"forms":[{"ref":"PA-HC-BUS-02-A","title":"EVV Visit Correction Record"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (42 U.S.C. §1396b(l))","5. What Direct Care Workers Do","6. Visit Maintenance and Review","7. Claims and Records","8. Responsibilities","9. Records and Compliance Monitoring","10. Staff Training","11. References","12. Related Policies and Forms","13. Approval","14. Revision History"],"version":"1.0","sample":false,"pack":"pa-hca","state":"Pennsylvania","service":"Home care","guides":[{"path":"/guides/home-care-agency-policies/","h1":"What policies does a home care agency need?"}],"agency":{"name":"Sample Agency","legalName":"Sample Agency, LLC","logo":null}}