Navigating the Transition to Electronic Visit Verification (EVV)
February 21, 2024
State-by-state EVV information: Provided by WellSky
The 21st Century Cures Act mandates that by January 1, 2023, states implement electronic visit verification (EVV) for all home health agencies serving Medicaid patients that require an in-home visit by a provider. Many states have been granted a Good Faith Exemption that extends that date to January 1, 2024; however, several states were required to follow the initial compliance date.
WellSky is committed to helping ensure EVV readiness for our clients.
- WellSky Visit Verification for Home Health (formerly known as KVV) has new EVV-compliant components that are being rolled out on a state-by-state basis. These EVV-compliant components will support you if you intend to pursue certification with your state.
- WellSky Visit Verification for Home Health was successfully launched in January of 2023 to a number of states using Sandata as the aggregator, and we are broadening our reach to ALL open states (see below state-by-state listing for information on your state) for full integration by the January 1, 2024 deadline extension.
- If the WellSky Home Health Integration Status for your state is listed below as “Available Now,” please reach out to your client success or sales representative to request more information about WellSky Visit Verification for Home Health and to request that the EVV-compliant components be enabled for your agency.
- Please note that states that follow a closed model do not allow third-party integrations; you will need to work directly with your state on the EVV solution that is required for following the mandate.
Please reach out to hhh-sales@wellsky.com for any additional questions related to state eligibility or to get more information on the EVV implementation process.
Bolded states are available now.
Open States, as of 11/1/2024 | AK, AL, AR, AZ, CA, CO, DE, FL, GA, HI, IA, KS, ID, IL, IN, KY, LA, MA, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NV, NY, OH, PA, RI, SD, TN, UT, VT, VA, WA, WV, WI, WY |
Closed States, as of 1/1/2024 | CT, MD, NM, OK, OR, SC, TX* |
*Texas is using a semi-closed model for EVV. Please scroll down for more information on how WellSky is addressing EVV requirements in Texas.
Last Update: 1/1/2024
State-by-State Status
Alabama
Aggregator: HHAeXchange
WellSky Home Health Integration Status: Available Now
State Medicaid website: Here
Alaska
Aggregator: Therap
WellSky Home Health Integration Status: Researching
State Medicaid website: Here
Arizona
Aggregator: Sandata
WellSky Home Health Integration Status: Available now
State Medicaid website: Here
Arkansas
Aggregators: Authenticare, CareBridge (Summit Community Care only), HHAeXchange
WellSky Home Health Integration Status: Coming Soon – Deadline Delayed
State Medicaid website: Here
California
Aggregator: Sandata
WellSky Home Health Integration Status: Available now
State Medicaid website: Here
Colorado
Aggregator: Sandata
WellSky Home Health Integration Status: Available now
State Medicaid website: Here
Connecticut
EVV Model: Closed
Aggregator: Sandata
Connecticut is using a “closed” EVV model, which requires you to work directly with your state’s aggregator. If the state moves to an “open” model, we are prepared to work with you to determine next steps. If you have any questions or information related to changes in your state’s EVV model, please email hhh-sales@wellsky.com.
State Medicaid website: Here
Delaware
Aggregator: Sandata
WellSky Home Health Integration Status: Available Now
State Medicaid website: Here
Florida
Aggregators: Tellus, HHAeXchange
WellSky Home Health Integration Status: Available Now
State Medicaid website: Here
Georgia
Aggregator: Tellus
WellSky Home Health Integration Status: Available Now
State Medicaid website: Here
Hawaii
Aggregator: Sandata, HHAeXchange
WellSky Home Health Integration Status: Available Now (Sandata Only); Coming Soon (HHAeXchange)
State Medicaid website: Here
Idaho
Aggregator: Sandata
WellSky Home Health Integration Status: Available Now
State Medicaid website: Here
Illinois
Aggregator: HHAeXchange
WellSky Home Health Integration Status: Coming Soon- Deadline Delayed
State Medicaid website: Here
Indiana
Aggregator: Sandata
WellSky Home Health Integration Status: Available Now
State Medicaid website: Here
Iowa
Aggregator: CareBridge
WellSky Home Health Integration Status: Available Now
State Medicaid website: Here
Kansas
EVV Model: Provider Choice
Aggregators: Authenticare
WellSky Home Health Integration Status: Coming Soon – Deadline Delayed
State Medicaid website: Here
Kentucky
Aggregator: Tellus
WellSky Home Health Integration Status: Available Now
State Medicaid website: Here
Louisiana
Aggregator: LaSRS
WellSky Home Health Integration Status: Researching
State Medicaid website: Here
Maine
Aggregator: Sandata
WellSky Home Health Integration Status: Available Now
State Medicaid website: Here
Maryland
EVV Model: Closed
Aggregator: State System
Maryland is using a “closed” EVV model, which requires you to work directly with your state’s aggregator. If the state moves to an “open” model, we are prepared to work with you to determine next steps. If you have any questions or information related to changes in your state’s EVV model, please email hhh-sales@wellsky.com.
State Medicaid website: Here
Massachusetts
Aggregator: Optum
WellSky Home Health Integration Status: Researching
State Medicaid website: Here
Michigan
Aggregator: HHAeXchange
WellSky Home Health Integration Status: Coming Soon
State Medicaid website: Here
Minnesota
Aggregator: HHAeXchange
WellSky Home Health Integration Status: Available Now
State Medicaid website: Here
Mississippi
Model: Closed
Aggregator: HHAeXchange
Mississippi is using a “closed” EVV model, which requires you to work directly with your state’s aggregator. If the state moves to an “open” model, we are prepared to work with you to determine next steps. If you have any questions or information related to changes in your state’s EVV model, please email hhh-sales@wellsky.com.
State Medicaid website: Here
Missouri
Aggregator: Sandata
WellSky Home Health Integration Status: Available Now
State Medicaid website: Here
Montana
Aggregator: Tellus
WellSky Home Health Integration Status: Available Now
State Medicaid website: Here
Nebraska
Aggregator: Tellus
WellSky Home Health Integration Status: Available Now
State Medicaid website: Here
Nevada
EVV Model: Open
Aggregator: Sandata
WellSky Home Health Integration Status: Coming Soon
Medicaid website: Here
New Hampshire
Aggregator: First Data
WellSky Home Health Integration Status: Researching
State Medicaid website: Here
New Jersey
Aggregators: CareBridge (Amerigroup only), HHAeXchange
WellSky Home Health Integration Status: Available Now
State Medicaid website: Here
New Mexico
Aggregator: Authenticare
EVV Model: Closed
New Mexico is using a “closed” EVV model, which requires you to work directly with your state’s aggregator. If the state moves to an “open” model, we are prepared to work with you to determine next steps. If you have any questions or information related to changes in your state’s EVV model, please email hhh-sales@wellsky.com.
State Medicaid website: Here
New York
Aggregators: eMedNY, HHAeXchange (ElderPlan, Senior Whole Health), CareBridge
WellSky Home Health Integration Status: Coming Soon
State Medicaid website: Here
North Carolina
Aggregators: HHAeXchange, Sandata, CareBridge
WellSky Home Health Integration Status: Available Now
State Medicaid website: Here
North Dakota
Aggregator: Therap
WellSky Home Health Integration Status: Researching
State Medicaid website: Here
Ohio
Aggregator: Sandata
WellSky Home Health Integration Status: Available Now
State Medicaid website: Here
Oklahoma
Aggregator: Authenticare
EVV Model: Closed
Oklahoma is using a “closed” EVV model, which requires you to work directly with your state’s aggregator. If the state moves to an “open” model, we are prepared to work with you to determine next steps. If you have any questions or information related to changes in your state’s EVV model, please email hhh-sales@wellsky.com
State Medicaid website: Here
Oregon
Aggregator: eXPRS (State Solution)
EVV Model: Closed
Oregon is using a “closed” EVV model, which requires you to work directly with your state’s aggregator. If the state moves to an “open” model, we are prepared to work with you to determine next steps. If you have any questions or information related to changes in your state’s EVV model, please email hhh-sales@wellsky.com
WellSky Home Health Integration Status: Coming Soon
State Medicaid website: Here
Pennsylvania
Aggregator: HHAeXchange, Tellus, Sandata
WellSky Home Health Integration Status: Available Now
State Medicaid website: Here
Rhode Island
Aggregator: Sandata
WellSky Home Health Integration Status: Available Now
State Medicaid website: Here
South Carolina
Aggregator: Authenticare
EVV Model: Closed
South Carolina is using a “closed” EVV model, which requires you to work directly with your state’s aggregator. If the state moves to an “open” model, we are prepared to work with you to determine next steps. If you have any questions or information related to changes in your state’s EVV model, please email hhh-sales@wellsky.com.
State Medicaid website: Here
South Dakota
Aggregator: Therap
WellSky Home Health Integration Status: Researching
State Medicaid website: Here
Tennessee
Aggregator: Sandata, Carebridge
WellSky Home Health Integration Status: Available Now
State Medicaid website: Here
Texas
Aggregator: HHAeXchange
EVV Model: Semi-Closed
Texas is using a semi-closed model for EVV and has selected a primary EVV provider at the state level. A process exists for requesting an exception to allow the use of an EVV Proprietary System Operator. This requires the completion of a specific onboarding process and operational readiness review. Texas is not currently accepting new applicants for this process, however, we are prepared to engage with them once they are. If you have any questions or information related to changes in your state’s EVV model, please email hhh-sales@wellsky.com.
State Medicaid website: Here
Utah
Aggregator: UEVV
WellSky Home Health Integration Status: Researching
State Medicaid website: Here
Vermont
Aggregator: Sandata
WellSky Home Health Integration Status: Available Now
State Medicaid website: Here
Virginia
Aggregator: Tellus (Anthem only); All other Medicaid payers will include EVV data on the 837i
WellSky Home Health Integration Status: Available Now
State Medicaid website: Here
Washington
Aggregator: Provider One
WellSky Home Health Integration Status: Researching
State Medicaid website: Here
Washington DC
Aggregator: Sandata
WellSky Home Health Integration Status: Available Now
State Medicaid website: Here
West Virginia
Aggregator: HHAeXchange
WellSky Home Health Integration Status: Available Now
State Medicaid website: Here
Wisconsin
Aggregator: Sandata
WellSky Home Health Integration Status: Available Now
State Medicaid website: Here
Wyoming
Aggregator: CareBridge
WellSky Home Health Integration Status: Available Now
State Medicaid website: Here
Virgin Islands
Aggregator: Unknown
WellSky Home Health Integration Status: Researching
State Medicaid website: Here
Puerto Rico
Aggregator: Unknown
WellSky Home Health Integration Status: Researching
Medicaid website: Here
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