The LiveCare EVV Module: Transforming the EVV Mandate From a Burden Into a Business Advantage for Providers
Article Abstract
Beginning October 1, 2025, DODD payment claims that do not match to an EVV record are being denied. OnSeen’s EVV Module is DODD-certified, fully operational, and is successfully submitting thousands of EVV records on behalf of providers.
The fully integrated LiveCare EVV and Billing solution:
- Accelerates the provider’s end-to-end billing and payment cycle
- Increases the provider’s successful billing ratio
In short, LiveCare ensures providers are paid more and faster.
Entire Article
Electronic Visit Verification, or EVV, is a requirement under the 21st Century Cures Act, a federal law passed in December of 2016. The law requires states to implement an electronic system to verify certain home and community-based services were delivered to continue receiving federal financial support toward the costs of those services.
EVV requires I/DD providers who deliver certain personal care and home health services to electronically report the following six items to ensure individuals are receiving the care they need:
- Type of service provided
- Individual receiving service
- Date service provided
- Location where service provided
- DSP providing the service
- Time service begins and ends
The following services are subject to EVV requirements:
- Homemaker/Personal Care (HPC)
- Participant-Directed HPC
- Waiver Nursing
- Nursing Consultation
- Nursing Assessment
- Residential Respite
The Ohio Department of Medicaid (ODM) is in the process of phasing in electronic claims validation requirements through seven distinct phases. The Phase 5 claims adjudication requirements include services billed to DODD, such as IO, Level 1, and Self Waiver programs.
Beginning October 1, 2025, DODD waiver service claims that require electronic verification must have a matching EVV visit record upon submission. Claims that do not match to an EVV record are being denied.
The EVV and related billing processes are complicated and administratively burdensome in the absence of an automated system, particularly for small and mid-sized I/DD providers that often lack the requisite technology and expertise. The good news is that there are technology companies, including OnSeen, that can help navigate the process.
To participate in the ODM EVV program and submit EVV records in Ohio on behalf of I/DD providers, a technology company must successfully complete the DODD-established certification process. OnSeen completed the required development and testing of its LiveCare EVV Module last year and is fully certified by DODD. OnSeen’s EVV Module is fully operational and is successfully submitting thousands of EVV records to Sandata on behalf of providers.
LiveCare, through the seamless integration of its EVV Module with its other LiveCare Operations Modules (such as the HPC Scheduling Module and Billing Module), fully automates the EVV and associated billing processes. In doing so, the LiveCare EVV and Billing Solution delivers many benefits to providers, including:
- Increased efficiency
- Reduced administrative costs
- Improved care quality
The LiveCare EVV and Billing Modules work seamlessly together to replace:
- Inefficient verification data tracking
- Duplicate data entry into visit verification and billing systems
- Disconnected verification, billing, and reconciliation processes
The result is a seamless, automated, and streamlined process for:
- Capturing required data (individual, time, location, service, etc.)
- Verifying the visit
- Billing for the services provided during the visit
- Reconciling each transaction
Through LiveCare’s tightly integrated, highly efficient, and real-time visit verification and billing process, the LiveCare EVV and Billing Solution:
- Increases staff accountability
- Reduces the possibility of staff fraud
- Streamlines billing and payroll processes
- Ensures strict compliance with CMS regulations
And perhaps most beneficially for providers, the LiveCare EVV and Billing Solution:
- Accelerates the end-to-end billing and payment cycle
- Increases the provider’s successful billing submission-to-payment ratio
In short, LiveCare ensures providers are paid more and faster.
For more information on the LiveCare EVV, Billing, or other Operations Modules, please click this Contact Us link.