EVV Compliance

EVV Compliance Delivered — Exceptions Resolved, Not Just Flagged

The 21st Century Cures Act mandates EVV for every Medicaid-funded home care visit. Most platforms capture the data — and hand every exception back to your team. CareBravo resolves exceptions and delivers verified compliance as completed work.

Six Data Points. Every Visit. Every Exception Is Someone's Time.

EVV requires the capture and verification of six specific data points for every home care visit. Non-compliance means payment denials and potential Medicaid funding reductions.

The Six Mandated EVV Data Points

1Type of service performed
2Individual receiving service
3Individual providing service
4Date of service
5Time service begins and ends
6Location of service delivery

Capturing the data is the easy part. The burden is what happens after capture:

A caregiver misses clock-in — someone investigates
GPS shows a location discrepancy — someone investigates
Visit documentation is incomplete — someone follows up
You operate in multiple states with different rules — someone tracks each one
Volume doubles — exceptions double. That someone is now spending hours each week just on compliance.

Traditional EVV software captures the data. Everything that goes wrong with it still lands on your team. The more visits you process, the more exceptions need handling. And most agencies don't have the capacity to dedicate someone to compliance full-time — so it competes with every other task on the list.

From Capture to Verified Compliance — Delivered

CareBravo doesn't just capture EVV data. It verifies visit data, resolves exceptions, applies state-specific rules, and delivers verified compliance as completed work.

Capture

Automatic Data Collection

All six EVV data points captured through the caregiver mobile app during normal clock-in and clock-out. GPS verification confirms location. No additional compliance steps for the caregiver.

Verification

Real-Time Data Validation

Each visit is verified against scheduling records, client authorization, and payer-specific requirements as the data comes in — not at the end of the billing cycle when it's too late to fix.

Exceptions

Exceptions Resolved

Missed clock-ins, GPS discrepancies, documentation gaps — resolved within the system. Cross-referenced against scheduling data, corrected, and documented. Delivered as completed work.

Multi-State

State-Specific Rules Applied

Each state has its own EVV requirements and approved aggregator systems. CareBravo applies state-specific rules automatically. No one on your team needs to track which requirements apply where.

Aggregator

Aggregator Data Submitted

EVV data transmitted to state-mandated aggregators automatically. No manual export, formatting, or submission. Data flows in the format and schedule each state requires.

Billing Flow

Billing Data Ready

Verified EVV data flows directly into billing. No manual handoff, no re-entry, no reconciliation between separate systems. When a visit is verified compliant, billing data is ready for claims processing.

Every step that traditionally takes someone's time is delivered as completed work. Data captured. Exceptions resolved. Multi-state rules applied. Aggregators updated. Billing data ready. That's compliance delivered — not compliance managed.

What Caregivers Experience

EVV compliance works because the caregiver's process is simple. No extra steps. No separate compliance app. Everything happens through the same CareBravo mobile app they use for scheduling.

1
Arrive at client location — GPS confirms the caregiver is at the correct address.
2
Clock in through the app — one tap. Time, date, location, caregiver ID, and client are captured automatically.
3
Complete visit documentation — care tasks, notes, and service type recorded during the visit.
4
Clock out through the app — one tap. All six EVV data points are now captured and verified.
5
Move to next visit — compliance verification, aggregator submission, and billing data flow happen behind the scenes. The caregiver's work is done.

What Happens to Compliance as You Grow

Compliance effort is one of the first things that grows with volume. More visits means more exceptions, more investigation, more hours. Unless the compliance work is delivered.

On Traditional Platforms

At 200 visits/month, one person handles compliance alongside other duties. At 500, exception investigation starts consuming hours each week. At 1,000+, compliance needs dedicated capacity — and every growth push adds more exceptions to the queue. The time spent on compliance competes directly with everything else.

On CareBravo

At 200, 500, or 1,000+ visits/month, EVV compliance is delivered the same way — exceptions resolved, documentation complete, aggregator data submitted. Volume grows. The time your team spends on compliance doesn't. That capacity goes to care, growth, or the six other operational functions that also need attention.

This is one piece of the 73% equation. When compliance is delivered as completed work at every volume level, agencies take on more clients without worrying about whether they have the capacity to keep up with exceptions. That's one of nine functions contributing to 73% average revenue growth across 100+ agencies.

Compliance Connects to Everything Else

On most platforms, compliance is a standalone function — disconnected from billing, scheduling, and payroll. On CareBravo, verified compliance data flows directly into the functions that depend on it.

Compliance → Billing

Verified Visits Flow Into Claims

When a visit is verified compliant, billing data is ready for claims processing. No manual handoff, no reconciliation between separate compliance and billing systems.

Billing detail →
Scheduling → Compliance

EVV Parameters Set Before the Shift

When a shift is scheduled, EVV verification parameters are configured automatically. Compliance is ready before the caregiver arrives.

Scheduling detail →
Compliance → Payroll

Verified Hours Flow Into Pay

Verified clock-in and clock-out times feed directly into payroll calculations. No separate time reconciliation step.

Payroll detail →
Compliance → Documentation

Visit Data Connected to Care Records

Visit verification data connects to nurse documentation and care records — creating a complete audit trail from scheduled visit through completed service.

Documentation detail →

On a traditional platform, each of these connections is a manual handoff — export, import, reconcile. On CareBravo, compliance data flows to billing, payroll, and documentation within the same system. No gaps. No reconciliation.

Multi-State EVV Compliance

Every state has its own EVV regulatory requirements, approved aggregator systems, and reporting timelines. CareBravo applies the correct rules automatically — no one on your team needs to track state-by-state differences.

🗺️

State Coverage Map — Coming Soon

Supported states, aggregator integrations, and state-specific compliance details will be published here as verification is completed.

If your agency operates in multiple states, ask during your demo about multi-state compliance for your specific jurisdictions.

EVV Compliance Questions

Electronic Visit Verification is mandated by the 21st Century Cures Act for all Medicaid-funded personal care and home health services. It requires capturing six data points per visit: type of service, who receives it, who provides it, the date, the start and end time, and the location. Non-compliance can result in payment denials and Medicaid funding reductions.

CareBravo captures all six data points when caregivers clock in and out through the mobile app. GPS verifies location. When exceptions occur — missed clock-ins, location discrepancies, documentation gaps — they're resolved within the system. Multi-state rules applied. Aggregator data submitted. Verified data flows directly into billing. The entire workflow is delivered as completed work.

Yes. CareBravo maintains EVV compliance across multiple states, each with its own requirements and approved aggregator systems. State-specific rules are applied automatically — no one on your team needs to track which requirements apply in which jurisdiction.

On traditional platforms, exceptions are flagged for someone on your team to investigate — missed clock-ins, GPS discrepancies, incomplete documentation. On CareBravo, exceptions are resolved within the system. Data is verified against scheduling records, discrepancies corrected, and documentation completed — delivered as completed work.

Verified EVV data flows directly into billing. No manual handoff — no exporting, re-entering, or reconciling between systems. When a visit is verified compliant, billing data is ready for claims processing. This works because scheduling, compliance, billing, and payroll all run within the same system.

All six mandated by the 21st Century Cures Act: type of service, individual receiving service, individual providing service, date, time the service begins and ends, and location (GPS-verified). All captured through the caregiver mobile app during normal clock-in and clock-out — no additional compliance steps.

See Compliance Delivered for Your State

We'll walk through how EVV data is captured, verified, and resolved — with the specific requirements for your state and payer mix.

Book a Demo