Electronic Visit Verification - Phase 3

Last update: October 1, 2020

In the Fall of 2020, the Ohio Department of Medicaid will start implementation of Phase 3 of the Electronic Visit Verification (EVV) system.

EVV is an electronic-based system that verifies when a care provider visits occur and documents the precise time services begin and end. It helps ensure that patients receive their medically necessary services and comply with the 21st Century Cures Act.

Phase 3 includes all Self-Direction, Home Based Therapy Services and any remaining Cures Act requirements. Participant Directed Aide Services include MyCare Ohio, ODA, DODD and Ohio Home Care Waiver (once implemented). Participant directed services promotes personal choice by letting the participant make decisions based upon program guidelines to hire, train and supervise the people who deliver their services. Home Health Therapies include Physical Therapy, Occupational Therapy and Speech Therapy.

In the  fall of 2020, provider training will begin, and providers may start using EVV upon completion of training. On Jan. 1, 2021, Phase 3 providers are required to use EVV. Edits will post to claims, and claims will not be denied until a date to be determined.

Benefits of the EVV System Include:

  • Promotes quality outcomes for the Individuals who are seeking quality care
  • Reduces billing errors and improves payment accuracy
  • Provides  a single statewide solution for all payers (DODD, ODA and Managed Care Organizations)

More information on training can be found at https://medicaid.ohio.gov/INITIATIVES/Electronic-Visit-Verification. If you have any questions about EVV, contact the ODM EVV Unit at EVV@medicaid.ohio .gov. ODM continues to host informational webinars, and care providers can sign up at https://medicaid.ohio.gov/Portals/0/Initiatives/EVV/Webinar-Tab.pdf.