The EVV Phase II Project sponsors are Department of Health Care Services (DHCS), the Department of Developmental Services (DDS), the California Department of Public Health (CDPH), the California Department of Aging (CDA), and the California Department of Social Services (CDSS). OSI serves as the project administrator and manager.
The Electronic Visit Verification (EVV) Phase II project is a multi-departmental effort to implement electronic visit verifications for all Medicaid personal care services (PCS) and home health care services (HHCS) that require an in-home visit by a provider. EVV is a telephone and computer-based solution that electronically verifies when in-home service visits occur. EVV is a telephone and computer-based solution that electronically verifies in-home service visits occur.
EVV solutions must verify: Type of service performed; Individual receiving the service; Date of the service; Location of service delivery; Individual providing the services; and Time the service begins and ends.
Pursuant to Subsection (l) of Section 1903 of the Social Security Act (SSA) (42 U.S.C. 1396b), all states must implement EVV for Medicaid-funded personal care services (PCS) by January 2020 and home health care services (HHCS) by January 2023. On October 22, 2019, CMS approved the State's Good Faith Effort (GFE) request for PCS, and will not apply Federal Medical Assistance Percentage (FMAP) reductions in calendar year 2020. California's GFE approval letter from CMS is available on the EVV CMS GFE Webpage.
The implementation of EVV for PCS is anticipated by January 1, 2022 and for HHCS by January 1, 2023. Stakeholder meetings will continue and will provide the opportunity to discuss the State's approach to EVV, the steps providers will need to take, and the EVV training that will be offered.
Request For Proposal
The State has posted the EVV Phase II RFP on the Cal eProcure website. Please Note: When clicking the Cal eProcure website link for the first time, you may be navigated to the login page and not directly to the EVV Phase II RFP. This is a known bug on the State procurement website. Simply click the link again to navigate to the EVV Phase II RFP webpage directly.Once on the Caleprocure website please click on the View Event Package, and download the last zip file RFP 33962 EVV Phase II Formal Release to view the RFP Formal Release documents. Also, the RFP can be accessed by navigating to the bid event search page and entering 0000018021 into the Event ID field or “EVV” in the Event Name field and then click the “RFP 33962-EVV Phase II” link.
EVV will impact all PCS and HHCS provided under the Medi-Cal State Plan and various Medicaid Home and Community-Based Service waiver programs. These services are provided in California through programs managed by the DHCS, DDS, CDPH, CDA and CDSS.
California is implementing EVV in two phases:
Phase I: This Phase is for the In-Home Supportive Services (IHSS) program and Waiver Personal Care Services program, focused on EVV implementation for programs that currently use the Case Management Payrolling & Information Systems (CMIPS II) and Electronic Time Sheet System (ETS). Further information about Phase I is available on the CDSS EVV website.
Phase II: This Phase is focused on identifying a solution to implement EVV for non-CMIPS and agency PCS, and self-directed and agency HHCS. This includes programs at DHCS, DDS, CDPH, CDSS, and CDA as listed below:
Phase II implementation of EVV requires the State to deploy an EVV solution for PCS and HHCS providers not included in Phase I. This includes PCS through provider agencies, individual providers, and some providers of self-directed services, and all HHCS. EVV Phase II will follow the "Open Vendor" EVV approach that will allow providers to choose between the State's EVV solution or an alternate EVV solution that meets state and federal EVV requirements. The State is working towards selecting a vendor and procuring an EVV solution.
Note: There are two models for the provision of PCS and HHCS, the Self Directed/Individual Provider Model and the Agency Provider Model.
The Self Directed Model, also known as the Individual Provider Model, supports the provision of PCS by an individual provider. This model gives the recipient, or their authorized representative, the autonomy to hire or fire a provider of their choosing as well as to instruct them on how to facilitate their PCS needs.
The Agency Provider Model supports the facilitation of PCS and/or HHCS by an authorized agency who is responsible for hiring, firing, and training personnel to facilitate services on behalf of an eligible Medi-Cal beneficiary. Agency Providers are employed by commercial agencies who manage their work, process payroll, and issue their paychecks. These agencies can either have contracts with counties or enroll through DHCS as a Medi-Cal provider.
The State will continue to engage with stakeholders throughout procurement and implementation efforts, and will share information with stakeholders about upcoming implementation milestones, training, and launch dates.
Future stakeholder meetings will continue to discuss the State's approach to EVV as well as the steps that providers will need to take to implement EVV and the EVV training that will be provided. All of the EVV training materials, policy, and technical requirements will be posted to this webpage in the future. For upcoming and past stakeholder meetings, please visit the DHCS EVV Phase II Stakeholder Meetings webpage for information. For EVV Phase II information, please visit the DHCS EVV Phase II Stakeholder Meetings webpage DHCS and DHCS EVV Phase II Stakeholder Meetings webpage DDS websites. If you would like to be added to the stakeholder distribution lists for DHCS and/or DDS EVV Phase II Interested Parties, please send an email to EVV@dhcs.ca.gov and EVV@dds.ca.gov.
Questions or Comments
If you have any questions or comments, please email EVVP2Project@osi.ca.gov