The Future of EVV in Home Care
The home care industry is constantly evolving. New regulations, payer demands, and workforce challenges often shift how agencies operate. One of the most significant changes in recent years has been the nationwide rollout of Electronic Visit Verification (EVV).
Initially introduced under the 21st Century Cures Act, EVV is now a permanent fixture in the compliance landscape for Medicaid-funded care. At first, requirements were phased in gradually, with waivers and grace periods.
Today, enforcement is tightening. Audits are more aggressive, and Medicaid reimbursement is tied directly to accurate visit data.
Agencies that treat EVV as just another back-office task risk falling behind. That’s why proactive providers are embedding EVV Compliance Specialists into their teams.
Why EVV Compliance Matters More Than Ever
EVV is more than a simple clock-in and clock-out tool. It verifies that caregivers:
- Arrived at the correct location
- Delivered the right service
- At the right time
For Medicaid-funded programs, EVV data is the backbone of billing. Missing or inaccurate records lead to denied or delayed claims.
Why States Are Cracking Down
- Federal oversight from CMS is increasing
- State EVV vendor systems (Sandata, AuthentiCare, Tellus, HHAeXchange, etc.) are now fully implemented
- Medicaid audits are focusing directly on EVV data
- Reimbursement is tied to EVV accuracy
In short: EVV is now central to an agency’s financial and operational stability.
The Burden on Existing Home Care Staff
Schedulers and administrators already juggle caregiver callouts, intake, payroll, and family communication. Adding EVV monitoring to their workload often results in:
- Missed EVV errors that only surface during billing
- Delayed corrections, leading to claim denials
- Staff burnout and turnover
Even the most capable office staff can’t realistically keep up with every detail. Agencies need dedicated EVV support—without taking leadership control away from managers and owners.
What an EVV Compliance Specialist Does
An EVV Compliance Specialist is not outsourcing. They are a full-time remote team member working under agency leadership. Their job is to act as a focused set of eyes on compliance while managers remain in charge.
Core Responsibilities
- Daily EVV monitoring for missing or incorrect visit data
- Flagging errors in real time so issues can be corrected quickly
- Reconciling caregiver logs and schedules with EVV systems
- Maintaining state compliance with Sandata, AuthentiCare, Tellus, HHAeXchange, and others
- Preparing for Medicaid audits with clean, organized records
They don’t take over compliance—they support leadership by making sure nothing slips through the cracks.
Beyond EVV: Flexible Administrative Support
Not every agency requires 40 hours a week solely focused on EVV. In those cases, the Compliance Specialist can also assist with other administrative tasks while still prioritizing EVV accuracy.
Examples include:
- HR support: caregiver file maintenance, onboarding follow-ups, reference checks
- Email and calendar management: helping owners and managers stay organized
- Reporting and data entry: pulling system reports or tracking metrics
- General office support: handling small admin tasks that free up local staff
This flexibility means agencies get both EVV coverage and broader admin support—maximizing the value of a single full-time team member.
Real-World Impact: Protecting Revenue and Reducing Stress
Take a mid-sized agency billing Medicaid for 1,500 visits per month. If just 5% of visits contain EVV errors, that’s 75 visits. At an average claim value of $120, that equals $9,000 in potential denials each month.
With an EVV Compliance Specialist in place:
- Errors are caught daily—not weeks later
- Billing stays on schedule
- Cash flow remains steady
- Staff stress is reduced
And when EVV doesn’t require all their time, the specialist contributes value by handling HR, reporting, or admin support.
Why Proactive Home Care Agencies Are Moving Now
Agencies that wait until problems surface often struggle with denials, audits, and revenue delays. Proactive providers see the trends:
- EVV enforcement is tightening nationwide
- Medicaid and MCOs are less forgiving—errors mean denials
- Office staff are already stretched thin
- Focused roles drive better results than scattered effort
By embedding an EVV Compliance Specialist, agencies both future-proof compliance and add flexible back-office support.
How SallySupport Helps Agencies Stay EVV Compliant
At SallySupport, we built the EVV Compliance Specialist role specifically for home care agencies billing Medicaid.
What Makes Our Approach Different
- Full-time, dedicated team member working exclusively for your agency
- Reports directly to your managers and owners
- Experienced with state-approved EVV systems like Sandata, AuthentiCare, Tellus, and HHAeXchange
- Flexible: when EVV doesn’t require full-time attention, they can support HR, admin, and reporting tasks
- Cost-effective: gain EVV expertise and office support at a fraction of the cost of adding local staff
This isn’t outsourcing. It’s about strengthening your agency with a fully integrated remote team member who supports compliance and operations every day.
The Future of EVV: Support, Not Shortcuts
EVV isn’t going away. Regulations will only get stricter, audits will be tougher, and accuracy expectations will rise.
Agencies that treat EVV as an afterthought risk denials, financial losses, and reputational harm. The agencies that succeed will be those who:
- Keep leadership in control
- Add full-time compliance support to their teams
- Leverage flexible roles to improve both compliance and administration
At SallySupport, we believe the future of EVV is about support, not shortcuts.
In Conclusion
The future of EVV is here. Enforcement is rising, and the stakes are higher than ever. Agencies face a choice: scramble to catch up—or stay ahead.
Adding an EVV Compliance Specialist doesn’t just solve today’s headaches. It future-proofs your agency’s compliance, billing, and back-office operations.
Talk to SallySupport today about embedding an EVV Compliance Specialist into your team.