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March 20, 2026 · EVVidence Team

What is Electronic Visit Verification (EVV)?

The Federal EVV Mandate

The 21st Century Cures Act requires all states to implement Electronic Visit Verification (EVV) for Medicaid-funded personal care and home health services. EVV captures six data points for every home care visit:

  • 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

Why EVV Matters for Small Agencies

For large agencies, EVV compliance often means expensive enterprise software with long implementation timelines. For small agencies with 5-50 caregivers, the options have historically been limited: use the state-provided system (if one exists), adopt a mid-market solution at $295-500/month, or piece together spreadsheets and paper logs that don't meet compliance requirements.

EVVidence was built specifically for small home care agencies. GPS-verified check-in and check-out captures all six federal data elements automatically. Caregivers use their phones -- no special hardware, no training sessions, no IT department required.

What Compliance Looks Like in Practice

A compliant visit in EVVidence looks like this: a caregiver arrives at the patient's home, opens the app, and taps "Check In." GPS verifies they're at the correct service address. They complete their care tasks (documented via a checklist tied to the care plan). When finished, they tap "Check Out." GPS verifies location again. The entire visit is timestamped, geo-verified, and audit-ready.

If GPS is unavailable -- the caregiver's phone has a weak signal, or location permissions are restricted -- EVVidence doesn't block the visit. Instead, it records a manual attestation and flags the visit for administrative review. Care always comes first.

Beyond Compliance: The Revenue Cycle

EVV data isn't just about compliance -- it's the foundation of your Medicaid billing. EVVidence connects the dots from visit verification to state aggregator submission to claims filing to payment. One platform, one workflow: capture, comply, collect.

Ready to see EVVidence in action?