Electronic Visit Verification New Provider Overview

If you’re new to Electronic Visit Verification (EVV), please review this page to better understand EVV and how to get started utilizing it for your agency and members. Below you will find a summary of the essential information that you will need to know to successfully implement EVV. If you do not find the answer you’re looking for, we encourage you to explore the EVV web page or contact the EVV Inbox (evv@state.co.us).

What is EVV?

Electronic Visit Verification (EVV) is a technology used to verify that home or community based service visits occur. The purpose of EVV is to ensure that services are delivered to people needing those services and that providers only bill for services rendered. EVV typically verifies visit information through a mobile application on a smartphone or tablet, a toll-free telephone number, or a web-based portal.

EVV is required for all mandated services - See EVV Program Manual for details

What types of services require EVV for Colorado?

The list below is an overview of types of service that requires EVV. View complete list and billing codes in the Colorado EVV Types of Service Billing Conditions and Code Inclusions of the EVV Program Manual.

  • Behavioral Therapies (provided in home or community)
  • Consumer Directed Attendant Support Services (CDASS)
  • Home Health (RN, LPN, CNA, PT, OT, SLP)
  • Homemaker
  • Hospice
  • Independent Living Skills Training (ILST)
  • In-Home Support Services (IHSS)
  • Life Skills Training
  • Occupational Therapy (provided in the home)
  • Pediatric Behavioral Health
  • Pediatric Personal Care
  • Personal Care
  • Physical Therapy (provided in the home)
  • Private Duty Nursing
  • Respite (provided in the home or community)
  • Speech Therapy (provided in the home)
  • Youth Day

Service provided by a live-in caregiver may be exempt from EVV. For more information refer to Operational Memo Number: HCPF OM 20-51.

I Need to Perform EVV, What Do I Do Next?
  1. Select an EVV Solution

    First, you will need to select an EVV Solution that your agency will be using to record EVV. The state of Colorado has adopted an open model that allows providers to select either:
     
  2. Complete Training
     
    • Once you select an EVV Solution, you’ll then need to complete the appropriate training. If you have selected the State EVV Solution, you will need to register and complete the State Solution Provider Training.
       
    • If you have selected a Provider Choice System, then you will need to register and complete the Provider Choice System Training.
       
  3. Receive Credentials

    Once you complete training, you will be able to register in eTrac and receive your credentials.

    Please make sure that your service email address in the Gainwell Provider Portal is up to date because credentials will be sent to the email address on file.
     
  4. Record EVV

    Once your EVV solution has interfaced with Sandata, caregivers will be able to begin recording EVV. Full instructions for the State EVV Solution and Provider Choice System can be found on the EVV Solutions Page , including readiness checklists, supplemental training, and specific information on each respective EVV Solution.
     

EVV Best Practices

The Department has developed a Best Practices for Recording and Billing with Electronic Visit Verification (EVV) document which outlines various practices that providers are recommended to review and adopt to help with collecting EVV, before and after submitting claims, and other helpful tips to positively impact your EVV practices and procedures.