Starting Oct. 1, 2023, the North Carolina Department of Health and Human Services (NCDHHS) will implement a hard launch of the Electronic Visit Verification (EVV) system for Home Health Care Services (HHCS) rendered under both the Standard Plans and NC Medicaid Direct.

EVV will verify:

  • Date of service
  • Beneficiary receiving services
  • Location of service
  • Individual providing service
  • Type of service rendered
  • Time the service begins and ends

Services covered through the State Plan and the 3-A Home Health Clinical Coverage Policy that will be subject to the EVV requirement:

  • Home health aide
  • Physical therapy
  • Speech therapy
  • Occupational therapy
  • Skilled nursing visits

On this date:

  • All home health providers are expected to be fully compliant with EVV requirements
  • EVV data must be validated prior to claims adjudication, and
  • Claims without the required EVV criteria will be denied.

For all question, contact: [email protected]