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 EVV Solution or Provider Choice Systems to get Readiness Checklists and additional information.
What's New with EVV
February 1, 2022
As of February 1, 2022, all claims requiring the use of EVV will encounter a pre-payment review. Claims without necessary EVV records will deny.
Up until February 1, 2022, claims that were missing EVV or have incomplete EVV records showed in the provider’s Remittance Advice as EOB 3054 “EVV Record Not Found” and the claim paid. After February 1, 2022, claims missing or having incomplete EVV records will show in the provider’s Remittance Advice as EOB 3054 “EVV Record Required and Not Found” and the claim will deny. More details can be found in Operational Memo 21-075 Electronic Visit Verification Claim Edit Timeline.