Electronic Visit Verification

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 members and that providers only bill for services rendered.

In Colorado, EVV has been mandatory since August 3, 2020 

If you provide services that require EVV and have not yet enrolled, you MUST complete enrollment immediately to avoid potential denied claims! 

Select either the State Solution or Provider Choice Systems to get Readiness Checklists and additional information. 

What's New with EVV

Sandata Client ID - Resolved March 29, 2021

  • Some Electronic Visit Verification (EVV) claims are posting Explanation of Benefits (EOB) 3054 - "EVV record required and not found." on the remittance advice despite the EVV record indicating a verified visit on file for the date of service. Visits impacted included Sandata Client ID (Sandata Assigned) with less than 6 digits. While these claims are posting EOB 3054, claims payment is not impacted and reprocessing is not needed. No action is required from providers at this time.
  • Visits in March that were impacted, by having a client ID less than 6 digits, can be identified by looking at the Client ID # in the Sandata Portal. Visits are no longer impacted as of March 29, 2021, and this is resolved for claims submitted on or after March 29, 2021.

Changes made to all visit information must be fully logged, and the log information must be transmitted as part of the visit record. Visits with adjusted times and no change information will be rejected. Any visit with adjusted times implies that a manual update must have been made to the visit and must be accompanied by change information. Communication from Sandata on these specific rejections will be sent out in the near future. See the generic specification for more information on adjusted times and change log transmission.

Live-in Caregiver Walk-Through Guide - Released April 5, 2021

A document that walks through information about live-in caregivers, including how to apply for the exemption and how to bill properly.