Electronic Visit Verification (EVV) is a system that home-based service providers are required to use by AHCCCS in pursuant to the 21st Century Cures Act. This will eliminate all paper timesheets across the state and help prevent fraud, waste, and abuse.
The following provider types are required to use an EVV system when using a code subject to EVV:
| Provider Description | Provider Type |
| Attendant Care Agency | 40 |
| Behavioral Outpatient Clinic | 77 |
| Community Service Agency | A3 |
| Fiscal Intermediary | F1 |
| Habilitation Provider | 39 |
| Home Health Agency | 23 |
| Integrated Clinic | IC |
| Non-Medicare Certified Home Health Agency | 95 |
| Private Nurse | 46 |
You only need to utilize the EVV system you have in place while billing these codes:
| Service | HCPCS Service Code | Service | HCPCS Service Code |
| Attendant Care | S5125 | Respiratory Therapy | S5181 |
| Companion Care | S5135/S5136 | Speech Therapy | G0153/S9128 |
| Habilitation | T2017 | Private Duty Nursing | S9123/S9124 |
| Nursing | G2099/G0300 | Homemaker | S5130 |
| Home Health Aid/ Licensed Health Aid |
T1021 | Personal Care | T1019 |
| Physical Therapy | G0151/S9131 | Respite | S5150/S5151 |
| Occupational Therapy | G0152/S0120 | Skills Training and Dev | H2014 |
EVV applies to specific when billing for places of services that include:
| Places of Service Description | POS Code |
| Home | 12 |
| Assisted Living Facility | 13 |
| Other | 99 |
Please utilize the AHCCCS form templates below; providers subject to Electronic Visit Verification are required to use the forms.
Claims submitted for services subject to EVV, will be denied if the EVV process is not followed. All qualifying claims are reviewed by the AHCCCS EVV system to determine if EVV criteria is met. The schedule, direct care worker’s clock in/outs and member validations will all provide data for the claims validation process.
The most common claim denial reasons are:
AHCCCS EVV