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
March 26, 2025
Operational Memo OM 25-008 announces the revised operational processes and timelines for EVV exemptions for live-in caregivers (LICs) and reasonable modifications under the Americans with Disabilities Act (ADA) for EVV exemptions. The memo is intended to provide information for billing providers and agencies that deliver and perform billing for EVV-required services, as well as guidance for caregivers and Health First Colorado (Colorado’s Medicaid Program) Medicaid members.
The memo provides details about the revised billing provider responsibilities when declaring an EVV exemption for live-in caregivers including extenuating circumstances and reasonable modifications under the ADA. It also outlines the revised operational processes and methods for applying for EVV exemptions and billing for services with EVV exemptions.
The updated operational methods include the utilization of the Gainwell Provider Web Portal and the revised EVV Attestation of Exemption Form (EVV Exemption Form), which can be found on the EVV Newsletters and Resources page.
We invite you to provide any user experience feedback about this form.
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.