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MedicaidAdministrativeMedium impact

Exemption of Electronic Visit Verification (EVV) for Live-In Caregivers in the Department of Human Services – Division of Developmental Disabilities (DHS-DDD) Home and Community-Based Services (HCBS) Waivers

Illinois Medicaid - HFS·IL · Occupational Therapy, Physical Therapy, Speech Therapy·Provider Notice
Effective date
May 10, 2023
We identified it
Jun 20, 2026
Days to comply

Summary

Illinois has reversed its decision and will now exempt live-in caregivers from Electronic Visit Verification (EVV) requirements for Medicaid-funded Home and Community-Based Services in developmental disability waiver programs. This affects billing for personal care services and home health services provided by live-in caregivers.

Action Required

Action needed
Immediately: Billing teams serving DHS-DDD HCBS waiver patients should sign up for DHS-DDD's listserv communication at https://www.dhs.state.il.us/page.aspx?module=17&item=110637&surveyid=1458 to receive updates on EVV exemption criteria and qualification requirements. Monitor for future guidance on which live-in caregivers qualify for EVV exemption to ensure proper billing compliance.