EVV AHCCCS Logo

Electronic Visit Verification (EVV) Website

Pursuant to Section 1903 of the Social Security Act (42 U.S.C. 1396b), also known as the 21st Century Cures Act, in order to prevent a reduction in the Federal Medical Assistance Percentage (FMAP), AHCCCS is mandated to implement Electronic Visit Verification (EVV) for non-skilled in-home services (attendant care, personal care, homemaker, habilitation, respite) by January 1, 2020 and for in-home skilled nursing services (home health) by January 1, 2023.

The EVV system, must at a minimum, electronically verify the:

  • Type of service performed
  • Individual receiving the service
  • Date of the service
  • Location of service delivery
  • Individual providing the service
  • Time the service begins and ends
What Stays the Same What Will Change
Members have choice of provider Paper timesheet will be eliminated
Availability of services EVV devices will be used to verify service delivery
Members have choice of individual direct care worker How member/representative signature is collected
How services are provided Verification will be required by member/representative at the end of every visit/shift
Where services are provided

Originally, AHCCCS was required to start EVV by January 1, 2020. The timeline is in the federal regulation and is the timeline for AHCCCS to comply without incurring penalties. AHCCCS sets the compliance timeline for providers. On November 27, 2019 AHCCCS submitted a request and justification to the Centers for Medicare and Medicaid Services (CMS) to extend the timeline for compliance. A copy of the request can be found here:

On December 5, 2019, CMS approved AHCCCS’ request to extend the timeline for compliance through December 31, 2020. A copy of the approval letter can be found here:

The following is a general outline of the EVV compliance timeline requiring all providers to start using EVV beginning January 1, 2021.
EVV Timeline
*Sandata EVV Provider Training and device information are specific to those providers using the Sandata EVV system.

AHCCCS will be providing a series of FAQs to help provide information on EVV including new information or updates on the timeline, outreach, training and basics on how the system will function. If you have a question that you would like to see in a future FAQ installment, please email it to evv@azahcccs.gov.

AHCCCS intends to offer a Differential Adjusted Payment (DAP) opportunity for providers who will be subject to EVV. Providers who submit the appropriate attestation may receive an increased percentage to their current rate for services subject to EVV during the period of 10/01/2020-09/30/2021.

Completed attestations must be received by May 29, 2020 to be considered for the DAP. Please send your completed attestation to BOTH evv@azahcccs.gov and FFSRates@azahcccs.gov.

Please note – Funding for DAP rate increases is subject to the appropriation of State funds and State budget constraints. Federal funding for DAP rate increases is contingent upon federal approval. All decisions or considerations included in this notice are therefore subject to the availability of funds and federal approval.

As of January 1, 2021 and in response to a federal mandate known as the 21st Century Cures Act, the AHCCCS program will begin using an Electronic Visit Verification (EVV) system for selected home and community-based services. The legislation outlines key data points that must be collected and electronically verified, but states create their own systems and decide how to gather and report data, as well as whether to include additional compliance rules.

AHCCCS is using EVV to help ensure, track and monitor timely service delivery and access to care for members. This means AHCCCS wants to use EVV to make sure members get the service that they need when they need them. AHCCCS’ contracted vendor, Sandata Technologies LLC, will deliver the EVV system and associated devices, as well as provide system orientation and training to providers.

Many agency providers will use the EVV system provided by Sandata. However, some agency providers may choose to use an alternate EVV system, which is permissible if they meet the business requirements and alternate data collection specifications found in the following documents:

AHCCCS is planning to host a webinar to answer any questions providers have on the requirements and technical specifications for alternate EVV systems. Please sign up for the AHCCCS Constant Contact email list to receive all EVV notices from AHCCCS under the “Stay Informed” tab. Please send questions that you would like AHCCCS and Sandata to discuss during the webinar to evv@azahcccs.gov.

  • We are using EVV to make sure that you get the services that you need when you need them. These services may be provided by different provider agencies, including:
    • Attendant Care, Personal Care, and Homemaker
    • Companion Care
    • Habilitation
    • Home Health
    • Respite
    • Skills Training and Development
  • We are configuring the system to fit all types of lifestyles including whether or not you mostly stay at home or you are out in the community when you get your services.
  • We are designing the system to support how you manage your care including scheduling your services and monitoring your service hours.
  • You will have the option to choose which device is used to verify that you have received a service.
  • Your provider agency has the choice to use AHCCCS’ EVV System or use an alternate EVV system approved by AHCCCS.

AHCCCS understands the need to have timeline details available to all stakeholders regarding what to expect and when to expect it. The following provides a general timeframe to help stakeholders plan for the type of information and when it can be expected.


EVV Timeline
*Sandata EVV Provider Training and device information are specific to those providers using the Sandata EVV system.

Stay Informed

Subscribe to the HCBS email notification list to receive updates on the EVV initiative, including outreach and traning information. Click this button to subscribe:

Updated May 18, 2020

What is YOUR Plan for EVV?

To support providers in making an informed decision about an EVV system, AHCCCS hosted a provider agency webinar (demonstration) of the Sandata system. Providers are able to see the flow of the Sandata system from authorization to billing along with a high level description of forthcoming Arizona-specific configuration to track and monitor timely service delivery and access to care for members.

The provider webinar was held on November 7th, 2019 and was recorded:

Providers and Services Subject to EVV

AHCCCS is using EVV to help ensure, track and monitor timely service delivery and access to care for members. We are also using EVV to help reduce provider administrative burden associated with scheduling and hard copy timesheet processing. Below are the provide types, services and places of services subject to EVV:


EVV Timeline

Open-Vendor Model

  • We are employing the system as an Open Vendor Model with one statewide EVV contractor. AHCCCS has chosen Sandata Technologies as the statewide contractor.
  • Providers and Managed Care Organizations (MCOs) will be able to continue to use existing EVV systems or choose an alternate EVV vendor. If a provider is interested in using an alternate EVV vendor, please refer to the tab entitled “Alternate EVV System Requirements and Technical Specifications.”

Funding for EVV

AHCCCS will provide funding for the development and initial implementation of the statewide EVV system and additional funding options are currently being explored to compensate for ongoing vendor maintenance costs (e.g. devices and transaction fees) of the statewide EVV vendor for Medicaid members receiving services subject to EVV. Funding considerations include financial constraints, administrative and programmatic costs and provider assurances of cost neutrality.

Timeline

AHCCCS understands the need to have timeline details available to all stakeholders regarding what to expect and when to expect it. The following provides a general timeframe to help stakeholders plan for the type of information and when it can be expected.


EVV Timeline
*Sandata EVV Provider Training and device information are specific to those providers using the Sandata EVV system.

Additional information can be found in the EVV System Model Design document.

Updated May 18, 2020

AHCCCS has created a Constant Contact email notification list to communicate updates on recent developments for initiatives such as the EVV initiative. AHCCCS encourages anyone (members, families, advocates, service providers, etc.) interested in the EVV initiative, such as outreach and training information, to sign up to receive communication directly from AHCCCS. To subscribe, click on the sign up button below:



AHCCCS recognizes the importance of sharing timely information about the EVV initiative, and our goal is to post material and communicate developments on an ongoing basis. In an effort to keep the public informed about the EVV design and implementation process, AHCCCS has posted extensive information on its website. This information includes updates along with information that has not been finalized and is subject to change. In the near future, AHCCCS intends to issue formal guidance regarding EVV. To sign up to receive these communications, click on the Stay Informed tab. Providers are encouraged to evaluate all relevant information, including the formal guidance, before making business decisions regarding the EVV initiative.