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EVV is now required for all mandated services - See EVV Program Manual for details
Electronic Visit Verification (EVV) is a technology used to verify that home or community based service visits occur. The purpose of EVV is to ensure that services are delivered to people needing those services and that providers only bill for services rendered. EVV typically verifies visit information through a mobile application on a smart phone or tablet, a toll-free telephone number, or a web-based portal.
Section 12006 of the 21st Century Cures Act requires all state Medicaid agencies implement an EVV solution for Personal Care and Home Health services. States that do not implement EVV will incur a reduction of Federal funding. The Department has expanded the scope of EVV in Colorado to other services similar in nature and service delivery. A full list of EVV required services is below.
As of August 3, 2020, EVV is now required for all mandated services. See EVV Program Manual for details. Beginning on January 1, 2021, EVV will be required for claims processing. Claims without corresponding and complete EVV will deny during claims processing. To determine which services require EVV, please review your agency's billing Remittance Advice and look for EOB code 3054.
Type of Service
Date of the
Time the Service
Begins and Ends
Colorado is implementing a hybrid model EVV program. This means that a provider agency may choose to use the State EVV Solution or utilize a Provider Choice Solution. The State EVV Solution is free to use, however provider agencies will be responsible for costs associated with Provider Choice Solutions. The Department has subcontracted with Sandata Technologies for the State EVV Solution. The State EVV Solution utilizes three technologies: a mobile application, toll-free telephone number, and a provider web portal. Provider Choice Solutions will often use the same EVV technologies, however other methods of verification may be used. Provider agencies who choose to utilize a Provider Choice Solution must ensure that their system is configured to Colorado EVV rules and requirements.
View a list of vendors that have already interfaced with Sandata (in Colorado and in other states). Choosing a Provider Choice Solution that has already interfaced with Sandata may reduce overall interface time. Please refer to the Provider Choice Solution page for information on interfacing your preferred vendor.
The list below is an overview of types of service that requires EVV. View complete list of EVV Required Service Types in the EVV Program Manual on the Resources page.
Service provided by a live-in caregiver may be exempt from EVV. For more information refer to Operational Memo Number: HCPF OM 20-51.
View more EVV FAQs