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What is Vermont Doing to Implement an EVV System?

Vermont Medicaid partnered with Sandata Technologies to provide the State-sponsored EVV solution. In partnership with Gainwell Technologies, the VT Medicaid system works with Sandata Technologies to capture the EVV data.

Phase I: Personal Care Services

  • EVV System in place January 1, 2021
  • Adoption
    • Consumer Direct Services: 48% (May 2022)
    • Home Health Agency Services: 85%
  • Recoupment of paid claims:
    • Home Health – March 2022
  • EVV is a timesheet requirement for approval and payment:
    • Consumer Direct – July 2022
  • Communications

Phase II: Home Health Services

  • Must use EVV by January 1, 2023
  • Home Health Services include:
    • Skilled Nursing Services
    • Physical Therapy
    • Occupational Therapy
    • Speech Therapy
    • Home Health Aid Services
  • EVV is not required for all services that a Home Health Agency may deliver.
    • High-Tech Nursing Services
    • Children’s Palliative Care Services
    • Hospice Care
  • EVV mandate only applies to the part-time or intermittent care that falls under 1905(a) coverage category of home health services.
  • EVV is not required for durable medical equipment and supplies.
  • Home Health Agencies (HHA) can use the Vermont EVV system or an alternative EVV system connecting to VT’s EVV system.
    • HHAs use alternate EVV systems for personal care
    • Most HHAs are not using EVV for professional services.
    • HHAs may need funding for system development.

Learn More - Third Party/Alternate EVV (AltEVV)