When does this change take effect?

This change is effective Aug 10, 2022.

MedicaidAdministrativeHigh impact

MAB2022081001

Q: Who is affected by this change?

This affects Pennsylvania Medicaid (DHS) Physical Therapy, Occupational Therapy, Speech Therapy providers in PA on Medicaid plans.

Pennsylvania Medicaid (DHS)·PA · Physical Therapy, Occupational Therapy, Speech Therapy·Provider Bulletin

Effective date

Aug 10, 2022

We identified it

Jun 20, 2026

Days to comply

—

Summary

Pennsylvania Medicaid now requires Electronic Visit Verification (EVV) for all home health care services starting August 10, 2022, with claims denial beginning January 1, 2023 for unverified visits. Providers must choose between the state's free EVV system or their own alternate EVV system that interfaces with the state's aggregator.

Action Required

Action needed

By January 1, 2023: Home health providers must implement EVV system for all home health services. Choose either Pennsylvania's free EVV system (requires training) or alternate EVV system that meets state technical specifications and interfaces with state aggregator. Complete certification process if using alternate EVV. Failure to implement will result in claim denials for all home health services after January 1, 2023.

Related policy hubs

Pennsylvania Medicaid (DHS) policies PA policy changes Physical Therapy Occupational Therapy Speech Therapy