25-045m Self-Register Now to Access the State-Sponsored EVV System
Date: 01/14/25
Use this electronic verification system to track in-home service visits
Electronic Visit Verification (EVV) tracks in-home service visits through a federally mandated phone and computer-based application program. The program was developed to help reduce fraud, waste and abuse. This is a new requirement at the direction of the Department of Health Care Services (DHCS).
Health Net will monitor physicians and other providers to ensure compliance with this requirement under the established guidelines:
- Monitor physicians and other providers for compliance with EVV requirements and alert DHCS of any compliance issues.
- Provide technical assistance and training on EVV compliance.
- Arrange for members to receive services from physicians or other providers who comply with EVV requirements.
How to register
Access the California Provider Self-Registration Portal to complete the registration form.
Visit the DHCS website at California Electronic Visit Verification for more information on:
- Physician and other provider self-registration portal. Refer to the quick reference guide or instructional video to help complete your registration if needed.
- Physician and other provider types and codes. This document outlines the physicians and other providers who will be impacted by EVV.
- Questions and help. Additional information, resources and training.
Physicians and other provider types required to use EVV
Physicians and other providers who offer the services listed below in a member’s home are required to use EVV. This includes visits that begin in the community and end with in-home care or vice versa.
- Home health care services (HHCS)
- Personal care services (PCS) and homemaker services
- Day habilitation programs services
- Respite services
- Community-Based Adult Services-Emergency Remote Services (CBAS-ERS) programs
Services excluded from EVV requirements
The following services are not subject to EVV requirements:
- Dual Eligible Plans or Medicare Medi-Cal (Medi-Medi) plans for both HHCS and PCS that are primarily paid for by Medicare and/or by other health coverage.
- HHCS or PCS that:
- Do not require an in-home visit.
- Are provided in congregate residential settings where 24-hour service is available.
- Are provided by a “live-in caregiver," which may impact some individual nurse providers or private duty nursing staff.
- Are provided to inpatients or residents of hospitals or long-term care facilities, including, but not limited to, skilled nursing facilities (SNFs) – both freestanding and hospital-based SNFs, subacute facilities, pediatric subacute facilities, and intermediate care facilities.
- Services rendered through:
- Programs of All-Inclusive Care for the Elderly
- Hospice services
- California Community Transitions program
- Genetically Handicapped Persons Program
- Applied behavioral analysis
- Behavioral health treatment for individuals with intellectual disabilities or an institution for mental diseases
- Doula services
- Community health workers
- Assisted living waiver
Information required by physicians and other providers
The EVV program will require physicians and other providers to capture and transmit the following six mandatory data components for each in-home visit:
- Type of service performed
- Individual receiving the service
- Date of the service
- Location of service delivery
- Individual providing the service
- Time the service begins and ends
Additional information
If you have questions regarding the information contained in this update, contact the Health Net Provider Services Center by email, by telephone at 800-675-6110 or through the Health Net provider portal.
This information applies to Participating Physician Groups (PPGs), Ancillary Providers, and Community Supports (CS) Providers.
For Medi-Cal, this information applies to Amador, Calaveras, Inyo, Los Angeles, Molina, Mono, Sacramento, San Joaquin, Stanislaus, Tulare and Tuolumne counties.