Evv home care: EVV as it lands on a personal-care agency. EVV (electronic visit verification) is the one piece of agency software US law actually requires, so this page starts from the statute rather than a vendor list: what must be captured at every Medicaid-funded visit, which dates the mandate took effect, how state models decide your real options, and where visits fail in practice.
Aggregators, and why your state's model decides your shortlist
In closed-model states your EVV system is chosen for you and the only question is how your scheduling and records feed it. In open-model states you pick a vendor that submits to the state aggregator, which makes certification against your state the first filter: a national vendor list means nothing if the integration to your aggregator is new.
EVV is capture; the plan is still the plan
Medicare's conditions of participation require each plan of care to be reviewed and revised no less frequently than once every 60 days from the start of care (42 CFR 484.60). EVV proves a visit happened; it says nothing about whether the visit matched the plan. Agencies that treat EVV as their record end up with perfectly verified visits against stale plans, which is exactly what a surveyor reads for.
What EVV costs an agency in practice
The visible cost is the subscription; the real costs are training a workforce that turns over quickly, the minutes per visit of failed capture and correction, and reconciliation between the EVV record, the roster and the claim. Weigh vendors on those three, and weigh your own workload with the free worksheets on this site before any demo.
The mandate, dated and cited
Section 12006(a) of the 21st Century Cures Act required states to mandate EVV for all Medicaid-funded personal care services by January 1, 2020 and for home health services by January 1, 2023 (Medicaid.gov). States chose their own models (state-run systems, state-chosen vendors, or open models where the agency picks) so the first question is never which app, it is which model your state runs and what it certifies.
Questions people ask about evv home care
Which dates did the mandate take effect?
January 1, 2020 for Medicaid personal care services and January 1, 2023 for home health services, under section 12006(a) of the 21st Century Cures Act (Medicaid.gov).
Does Handovra capture EVV?
No. EVV capture belongs to your state-certified system. Handovra keeps the paperwork around the visits: the care plan the visit serves, the policies the carer works under and the audit trail the agency files.
Is GPS tracking of carers required?
The statute requires the location of service delivery, not continuous tracking. States and vendors implement that differently; check your state's EVV policy for what it certifies before believing any vendor's summary of it.