Site icon Alora Health

EVV Delay

Medicare Advantage Plans

CMS Offers Delay of EVV Implementation for up to One Year


Following a lengthy period of uncertainty amidst numerous requests for clarifications and official rules, CMS (The Centers for Medicare & Medicaid Services) has finally issued regulatory guidance on a provision which will allow states to postpone implementation of mandated EVV (Electronic Visit Verification) for a period of up to one year.

For perspective, The 21st Century Cures Act initially mandated that all states were to implement and approved Electronic Visit Verification solutions for all to be utilized in all Medicaid personal care services by January first 2019. The law now has been amended with a written provision which allows states to delay that implementation EVV for up to one year, so long as they have demonstrated that a reasonable effort at compliance has been made, and that in their efforts to comply, the burden of the implementation was inhibited by delays that have proven difficult or impossible to overcome.

Request free information on Home Health software with EVV

In contrast, if a state fails to meet the implementation deadline and cannot adequately demonstrate that good faith effort was made in doing so, any state found guilty of such, could be subjected to FMAP (Federal Medical Assistance Percentage) reductions. Additionally, any providers operating within states that do not expect to meet the deadline, can contact their respective state officials to request a delay in the order as another path to dodging the possible FMAP sanctions.

The outline for what is considered a “Good faith exemption” to the mandated EVV requirements contained within the 21st Century Cures act has also been laid out. Here are some helpful  guidelines:

  1. All requests for exemptions to the mandate based on implementation hardship or other difficulties should be submitted in writing for review between the first of July 2018, and November 30th
  2. The request should include:

While the good faith exemption is intended to provide relief, set aside undo burden, and allow states a chance to successfully comply with the mandate, note that the Cures Act provision DOES NOT provide CMS with the authority to further delay the FMAP reductions for any more than one year.

For more information on this topic or on Home Health Software technology, email us at

The Alora Home Health Blog

Read the Alora blog to learn more about Home Care Software, finding EVV software vendors,  recent news,  as well as other issues that pertain to Homecare in the U.S and beyond. For more information on our blog, or for questions or feedback, please send us an email to

Exit mobile version