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[Ohio] Navigating EVV Claims Success: Join Our Office Hours for Claim Guidance
CareSource·OH · Physical Therapy, Occupational Therapy·Claims & Billing
Effective date
Jun 1, 2025
We identified it
May 9, 2026
Summary
CareSource Ohio Medicaid is implementing Electronic Visit Verification (EVV) requirements for home health services. Claims without valid, matching EVV records will be denied starting June 1, 2025 for specific G-codes and August 1, 2025 for T-codes. Providers must ensure EVV documentation is submitted with all qualifying claims or face automatic denials.
Action Required
By June 1, 2025: Billing team must verify all home health claims for codes G0151, G0152, G0153, G0156, G0299, and G0300 have valid, matching EVV visit records on file with Sandata before submission. By August 1, 2025: Extend verification requirement to codes T1000, T1001, and T1001U9. Update billing workflow to flag claims lacking EVV documentation for review prior to submission. Train clinical and billing staff on EVV requirements and coordinate with home health providers to ensure timely EVV data entry. Contact Provider Services at 1-800-488-0134 with questions. Register for CareSource EVV Office Hours (June 30 - September 30) for guidance on claim submission and denial resolution. Failure to include valid EVV records will result in automatic claim denials.