CMS-10680. EVV-Compliance-Survey-Instructions

Electronic Visit Verification (EVV) State Compliance Survey
Instructional Guide
Version 1.0
September 5, 2018
EVV systems are mandated by Congress through Section 12006 of the 21st Century Cures Act.
All systems must be implemented by January 1, 2020 for Personal Care Services (PCS) and
January 1, 2023 for Home Health Care Services (HHCS). States can qualify for a good faith effort
exemption, if necessary, which would extend these timeframes by one year. EVV systems are
designed to improve the monitoring of payments and billing, increase safeguards of participant
health information, and promote adequate delivery of services. State users of the Home and
Community Based Services Quality & Fiscal Resources collaboration tool can complete the State
Compliance Survey which is designed to assist States in complying with federal requirements.
To access the EVV State Compliance Survey select the State Compliance Survey link located on
the EVV landing page. The State user is redirected to the State Compliance Survey page, which
displays a dashboard for each survey (PCS and HHCS). If the survey has not been completed for
that State, the status displayed is ‘Incomplete’. The State user can select Start Survey to begin
the survey. State users can opt to leave the survey at any point by selecting Save & Continue
Later. If the survey is not complete the status displayed is ‘Incomplete’. The State user can
continue the survey by selecting Continue Survey. To complete the survey select Submit. Upon
successful submission the status displayed is ‘Complete’. The State user can return to the
survey and edit responses by selecting Update Current Response. Changes are not reflected
until the State user selects Submit.
PRA Disclosure Statement: According to the Paperwork Reduction Act of 1995, no persons are
required to respond to a collection of information unless it displays a valid OMB control
number. The valid OMB control number for this information collection is 0938-TBD (Expires:
TBD). The time required to complete the information collection is estimated to average 100-120
minutes, including the time to review instructions, search existing data resources, gather the
data needed, and complete and review the information collection. If you have comments
concerning the accuracy of the time estimate(s) or suggestions for improving this form, please
write to: CMS, 7500 Security Boulevard, Attn: PRA Reports Clearance Officer, Mail Stop C4-2605, Baltimore, Maryland 21244-1850.