EVV (Electronic Visit Verification)
A technology system that electronically verifies caregiver presence, time, and location at a client's home at the start and end of each visit. Federally mandated for Medicaid and VA home care services.
Also known as: EVV · electronic visit verification · check-in/check-out · visit verification · time and location verification · EVV clock-in
Electronic Visit Verification (EVV) captures the date, time, location, caregiver identity, and client identity for each home care visit via mobile app, telephony, or GPS. This data serves as proof of service delivery for billing and compliance purposes.
EVV is mandated by federal law for Medicaid personal care and home health services. VA home care programs also require EVV. States implement EVV requirements differently, with variations in technology options, exception handling, and GPS requirements.
Non-compliant EVV data — missing check-ins, location mismatches, or manual overrides without justification — can result in claim denials and audit risk.
In home care, this means…
Required for every Medicaid and VA visit. Captured via caregiver mobile app at shift start and end. Exceptions (location mismatch, manual entry) require documented justification.
Related terms
Visit →
The executed instance of a shift — the actual delivery of care including clock-in, task performance, documentation, and clock-out. The visit is the billing unit in home care.
Shift →
A single scheduled work assignment: a specific date, time, client, caregiver, duration, and task list. The shift is the fundamental unit of service delivery and billing in home care.
EVV Mandate →
The federal requirement that all Medicaid personal care and home health services use Electronic Visit Verification (EVV) to document service delivery. States implement the mandate at their own pace within federal guidelines.
Compliance →
Adherence to applicable laws, regulations, payer requirements, and agency policies. In home care, compliance spans licensing, caregiver certification, EVV, billing accuracy, documentation standards, and mandatory reporting obligations.
Claim →
An electronic billing document submitted to a government or insurance payer requesting reimbursement for services rendered. Claims include authorization codes, service codes, units delivered, dates of service, and provider information.