Electronic Visit Verification
If the Agency provides personal care or other services that NC Medicaid requires to be verified electronically, requires every visit to be recorded in an EVV system that captures the six data elements federal law requires, requires beneficiaries to be told about EVV in writing and staff to be trained at hire and at least every year, and sets how exceptions and manual edits are handled before any claim is billed.
About this policy
- Policy number
- NC-HC-BUS-02
- Version
- 1.0
- Main rule
- NC Medicaid Clinical Coverage Policy 3L, §7.4
- Library
- North Carolina home care · 50 policies
- Category
- Business
- Sections
- 18
In short
- For Medicaid visits, check in when you arrive and check out when you leave, using the visit verification system.
- Never check in or out for someone else, and never record a visit that did not happen.
- If you cannot check in or out, call the office before you leave the client's home.
- Keep your log-in private and lock your phone when you are not using it.
- You are trained on the system when you start and every year.
What's inside
18 sections. The full text comes with the One-time Policy Pack.
- Terms of Reference
- 1. Purpose
- 2. Scope
- 3. Definitions
- 4. Policy Statement (NC Medicaid Clinical Coverage Policy 3L, §7.4)
- 5. Which System for Which Beneficiary
- 6. Telling Beneficiaries About EVV
- 7. Recording a Visit
- 8. Exceptions and Manual Edits
- 9. Claims
- 10. Protecting EVV Data
- 11. Responsibilities
- 12. Records and Compliance Monitoring
- 13. Staff Training
- 14. References
- 15. Related Policies and Forms
- 16. Approval
- 17. Revision History
An inspector may ask
- Which EVV system do you use for each NC Medicaid plan your clients are in?
- Show me where this beneficiary's file documents that they were told about EVV.
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