Medicare AdvantageAdministrativeMedium impact
Electronic Visit Verification (EVV) Requirements for Medicare and Medicaid Alignment Initiative (MMAI) Home Health Care Services (HHCS)
Illinois Medicaid - HFS·IL · Physical Therapy, Occupational Therapy, Speech Therapy·Provider Notice
Effective date
Oct 29, 2024
We identified it
Jun 20, 2026
Summary
Illinois clarifies that Electronic Visit Verification (EVV) requirements for MMAI Home Health Care Services only apply when billing from the HFS Home Health Fee schedule, not all home health services. This affects services provided by HHA, CNA, LPN, RN, PT, OT, ST, OTA, and PTA staff, but excludes In-Home/Homemaker services.
Action Required
Immediately: Illinois HHCS providers must verify EVV is only being applied to MMAI enrollee services billed from the HFS Home Health Fee schedule. Review current EVV processes and update billing workflows to exclude In-Home/Homemaker services from EVV requirements. Check HHAeXchange's Illinois Information page for specific codes subject to EVV. Subscribe to HFS EVV Email Notifications for future updates.