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!
What's New with EVV
October 16, 2024
Pediatric Behavioral Therapy Providers who are currently Provider Type 25 and re-enrolling as Provider Type 83 may be required to re-attest for Electronic Visit Verification (EVV) when a new Health First Colorado Provider Program ID (Medicaid Provider ID) is created.
If this is you, then to set up your new EVV Sandata Account (STX) go to the Provider Enrollment & Update Forms section on the Provider Forms page and get the Electronic Visit Verification (EVV) Attestation Form. Follow the instructions contained in the form.
If you need assistance with EVV contact us using the EVV Inbox Submission Form
For more information regarding Pediatric Behavioral Therapies, visit the Pediatric Behavioral Therapies Billing Manual webpage.
October 16, 2024
HCPF has identified potential improper billing of Electronic Visit Verification (EVV)-required services with Place of Service (POS) 99, indicating an EVV Live-in Caregiver (LIC) exemption when a live-in caregiver does not exist.
As a reminder, utilizing POS 99 for Live-in Caregiver-exempted services requires completed LIC documentation on file.
For more information regarding the proper use of the POS 99, refer to the Operational Memo OM 20-051 - EVV Live-In Caregiver Exemption or contact the EVV Team using the EVV Inbox Submission Form or email EVV@state.co.us with any questions.
October 16, 2024
Announcing the Electronic Visit Verification (EVV) Exemption process for Live-in Caregivers is changing. In spring 2025, the soft launch of the new request and approval process via the Provider Web Portal will begin. Visit the EVV Stakeholder Workgroup webpage for recent updates.
There’s more to come! Get updates when you subscribe to the EVV Newsletters and don’t forget to attend the quarterly EVV General Stakeholder Meetings.