EVV: A beneficial tool to a mandatory requirement

Understanding EVV and Its Legislative Background

EVV is a system that electronically verifies the occurrence of home care visits by capturing specific data points:

• 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

The 21st Century Cures Act, enacted in 2016, requires all states to implement EVV for PCS by January 1, 2020, and for HHCS by January 1, 2023. However, many states, including New York, have extended these deadlines to ensure comprehensive compliance.  Some states like NY took it a step further, requiring home care agencies to achieve a 90% EVV compliance rate by January 1, 2025. Agencies failing to meet this threshold may face penalties, including potential reductions in Medicaid reimbursements.

Challenges in EVV Adoption

Implementing EVV presents several challenges for home care agencies:

• Technological Integration: Many agencies operate with fragmented systems, making the integration of EVV solutions complex.
• Caregiver Training: Ensuring that caregivers are proficient in using EVV tools is crucial. Lack of proper training can lead to errors and non-compliance.
• Language Barriers: Diverse caregiver populations may face challenges if EVV systems are not multilingual.
• Resistance to Change: Both administrative staff and caregivers may be resistant to adopting new technologies, preferring traditional methods.

Strategies for Successful EVV Implementation

To overcome these challenges, agencies can adopt the following strategies:

1. Invest in User-Friendly Technology:

   • Choose EVV solutions that are intuitive and require minimal training.
   • Ensure compatibility with existing systems to streamline operations.

2. Comprehensive Training Programs:

   • Develop training modules that are accessible in multiple languages.
   • Offer hands-on training sessions to build caregiver confidence in using EVV tools.

3. Leverage Single Sign-On (SSO) Solutions:

   • Implement SSO to simplify the login process, reducing barriers to technology adoption.

4. Continuous Monitoring and Support:

   • Establish a support system to assist caregivers with technical issues.
   • Regularly monitor EVV data to identify and address compliance gaps promptly.

The Role of Training in EVV Compliance

Training is pivotal in ensuring EVV compliance. Agencies should focus on:

• Initial Onboarding: Introduce EVV procedures during the onboarding process to set clear expectations.
• Ongoing Education: Regularly update training materials to reflect any changes in EVV regulations or technology updates.
• Feedback Mechanisms: Create channels for caregivers to provide feedback on EVV processes, allowing for continuous improvement.

Achieving EVV compliance is not merely about adhering to regulations but also about enhancing the quality of care provided to clients. By investing in the right technology and comprehensive training programs, home care agencies can meet compliance requirements and improve operational efficiency.

For agencies seeking to enhance their EVV compliance strategies, partnering with experienced providers like Nevvon can offer tailored solutions to meet these evolving needs.