Official guidance for the Illinois Division of Developmental Disabilities (DDD) Electronic Visit Verification (EVV) Program
Effective: 03/17/2025
The purpose of this manual is to provide a guide for all agencies and individual service providers who are required to comply with the DDD EVV program. This includes Personal Support Workers (PSWs), Occupational Therapists (OT), Physical Therapists (PT), Speech Therapists (ST), Licensed Practical Nurses (LPN), and Registered Nurses (RN) providing home and community-based Personal Care Services (PCS) or Home Healthcare Services (HHCS).
- EVV Program Glossary
- Participants
- General
- Operational Use
- Program Integration
- Technical Definitions
- EVV Program Overview
- Illinois DDD EVV
- Illinois DDD EVV Exclusions
- Illinois DDD EVV Restrictions
- Enrollment
- Customer Enrollment
- PSW Enrollment
- Provider Enrollment
- Provider Guidance, Policy, and Procedures
- Alternate Locations
- Billing Integration
- Compliance Timeline
- Live-in Caregivers
- Student/Observational Caregivers
- Manual Entry Guidance
- Minimum Necessary
- Modification Thresholds
- Telemedicine/Telehealth and EVV
- Consumer Directed Attendant Support Services
- Overtime (OT)
- 16-hour Rule
- Correcting Customer IDs
- Data Storage and Security
- Disaster Recovery
- EVV Types of Service
- Illinois DDD EVV Types of Service Summary Table
- Illinois DDD EVV Types of Service Billing Conditions and Code Inclusions
- Appendix A: Alternate Location Guidance for State EVV Solution
- Appendix B: EVV Live-in Caregiver Attestation
- Version History
EVV Program Glossary
A. Participants
- Customer
Customer is an actively enrolled Illinois Medicaid and Home and Community Based Services (HCBS) Waiver recipient of EVV-required services. The waiver participant is referred to as the 'Customer'.
- Personal Support Worker
Personal Support Worker (PSW), also known as Caregiver, is the person providing a service to a customer. The Personal Support Worker may be an employee of a Provider or directly hired by the customer.
- Provider
Provider is a personal care service (PCS) provider (Personal Support Worker (PSW)) or home health care service (HHCS) provider (Physical Therapist, Occupational Therapist, Speech Therapist, Licensed Practical Nurse, or Registered Nurse) who is actively enrolled in IMPACT and with the Division of Developmental Disabilities (DDD) and who is billing DDD for PCS or HHCS services.
- Provider Agency
Provider Agency is an organization or entity that (1) employs personal care service (PCS) providers (PSW) or home health care service (HHCS) providers (Physical Therapist, Occupational Therapist, Speech Therapist, Licensed Practical Nurse, or Registered Nurse), (2) is enrolled in IMPACT and with the Division of Developmental Disabilities (DDD), and (3) is billing DDD for PCS or HHCS services.
- ACES$
ACES$ is the Financial Management Services (FMS) entity contracted with the Division of Developmental Disabilities (DDD) to assist customers who self-direct their services through employer authority to complete their employer responsibilities. ACES$ is considered a Provider (defined above) throughout the EVV Program Manual.
B. General
- The 21st Century Cures Act
The 21st Century Cures Act, also known as the Cures Act, is a Federal statute "to accelerate the discovery, development, and delivery of 21st century cures, and for other purposes." Section 12006 of the Cures Act mandates State Medicaid agencies to use Electronic Visit Verification.
- Electronic Visit Verification (EVV)
An electronic visit verification (EVV) system is a method designed to verify in-home visits for personal care services (PCS) and home health care services (HHCS).
- Illinois "Open Choice" Model
An Open Choice EVV model means that a DDD provider agency may choose to use the State EVV Solution at no cost or utilize an EVV Provider Choice System at their own cost. Providers who choose to utilize the Provider Choice System must ensure their system is configured to Illinois EVV rules and requirements and the system is capable of meeting the Electronic Data Interface (EDI) requirements.
- Implementation Date
The implementation date is the date Personal Care Services (PCS) and/or Home Health Care Services (HHCS) providers were required to begin using EVV. The implementation date also refers to the date a new PCS or HHCS provider is enrolled to become a new DDD service provider.
- Provider Choice System
Provider Choice System means the portion of the Illinois Open Choice Model chosen by provider agencies to submit EVV data through an EVV contracted provider that is secured independently by the provider agency. All contracted technologies must complete interface testing with HHAeXchange, and providers agencies must complete Data Aggregator training. Provider Choice Systems are paid for by the provider,agency satisfy all requirements as defined in rule, are compatible with the State EVV Solution, and are consistent with Federal and State law.
- State EVV Solution
State EVV Solution means the portion of the Illinois Open Choice model that is made available by the State at no cost to the provider. The State EVV Solution includes the Mobile Visit Verification (MVV) Application, Telephonic Visit Verification (TVV) System, and the Provider Agency's EVV Portal. The State utilizes HHAeXchange for the State EVV Solution, and the solution is offered at no cost to providers.
- Threshold
Threshold means the State-defined acceptable limit of modified and manual EVV records. This is calculated as a percent of paid claims.
- Verification Data Points
Verification Data Points mean the essential points of data that all EVV records must have to be considered a viable EVV system. The federally required points and their corresponding definitions in Illinois are:
Federally Required Point of Data |
Corresponding Definition in Illinois |
The type of service performed |
EVV Type of Service is a designation given to codes for the type of service delivered. Full information is within the EVV Type of Service section of this manual. |
The individual receiving the service |
The individual receiving the service is the Customer, as defined in the Participant Glossary section of this manual. |
The date of the service |
The date of the service. |
The location of service delivery |
A home or community address where PCS or HHCS services are conducted, accompanied by a GPS location. It is expected HHCS services are provided at the Customer's home. |
The individual providing the service |
The PCS or HHCS provider, as defined in the Participant Definitions of this manual. |
The time the service begins and ends |
The time a service begins and the time a service ends, as recorded utilizing EVV technology at the time of service delivery. |
C. Operational Use
- Welcome Letter
When a Provider Agency enrolls in IMPACT to bill DDD for PSW or HHCS, a Welcome Letter is sent to initiate the contact between HHAeXchange and the Provider Agency. The Welcome Letter includes guidance for entry into the State's EVV Solution, including via the Provider Portal (for those using HHAeXchange to directly log EVV) or Provider Choice Data Aggregator (for those using a different vendor to directly log EVV). DDD PSW and HHCS provider agencies may not begin servicing and billing DDD prior to completing enrollment with HHAeXchange and training providers on EVV usage.
- Unmodified EVV
Unmodified EVV is EVV with all Verification Data Points captured by a PCS or HHCS provider at the time of service and not manually modified in any way.
- Modified EVV
Modified EVV is an EVV record with one or more of the Verification Data Points captured or modified by the PCS or HHCS provider after the time-of-service delivery. Modifications could include a change to the start/stop time, location, etc.
- Exception
Exception means an alert identifying one or more missing Verification Data Points. All Exceptions must be fixed for an EVV record to be a verified visit. PSW and HHCS provider agencies should implement policies outlining what is needed to verify the time worked when exceptions occur and require a manual modification to the visit record.
Exceptions may be fixed in the Call Dashboard and Pre-billing modules of the State EVV Solution. For Provider Choice functionality contact your vendor or ACES$.
- Alternate Location
An Alternate Location means a modification that corrects the location recorded at the time of service or enters an otherwise unrecorded location. See Managing Customer Addresses Job Aid for more information about the State EVV Solution. When service provision occurs in the community and not the individual's home, providers using HHAeXchange software should utilize the Community feature within HHAeXchange's Mobile App. When providers are clocking in and out, they will see a "Service Delivery Location" dropdown menu. Here, they can select "Community" as needed.
- Manual Visit Entry (Manual EVV)
Manual Visit Entry means one or more Verification Data Points are administratively entered by the PCS or HHCS provider within the Provider Agency's EVV Portal after the time-of-service delivery.
- Verified Visit
A verified visit does not contain any exceptions, meaning either no exceptions exist, or they have been fixed, making the visit eligible for claim submission.
- Incomplete
A visit is considered Incomplete if it requires manual intervention before it can be considered closed, completed, or verified.
- In Process
A visit is considered in process if a "clock in" is received and visit will remain in process until a "clock out" is received, or 16 hours has passed. After 24 hours, the visit will become Incomplete, assuming the Clock Out was not received.
D. Program Integration
- Provider Email Address
Email contact located in the Illinois Medicaid Program Advanced Cloud Technology (IMPACT) Provider Enrollment System titled "Provider Email Address". The Provider Email Address is utilized for communicating with the Provider Agency. When the primary e-mail contact for a provider agency changes, the provider agency is required to update the agency e-mail address in IMPACT.
E. Technical Definitions
- Your Social Security Number
Your Social Security Number The deadline for updating caregivers with the nine digits of the caregiver's SSN was October 17, 2024. This is applicable to agencies using the HHAeXchange solution and agencies transmitting EVV data to HHAeXchange from third-party EVV systems. Failure to comply with this will result in non-compliant EVV submissions and rejected billing submissions.
- Agencies using the HHAeXchange solution will need to update caregiver profiles within the HHAeXchange system.
- Agencies using third-party EVV systems must update existing caregiver profiles to include a valid nine-digit SSN via the Application Programming Interface (API) and send new records with this to HHAeXchange going forward.
- Agencies new to using EVV after October 17,2024, need to ensure all caregiver profiles include a valid nine-digit SSN.
- Exception ID
Exception IDs identify Exceptions that are created in the EVV system. Specific Exception IDs are located in the Support Center for the State EVV Solution.
- HHAeXchange Client Support Portal
The web-based administrative tool used to manage EVV activity, to add Manual Visit Entry data elements, and to monitor all activity recorded in the State EVV Solution.
- Data Aggregator
The State EVV Solution is also the State's EVV Data Aggregator. The system collects and normalizes visit data from all providers, regardless of whether using the State EVV Solution or a provider choice system. The State and Operating Agency utilize this portal for visit data oversight.
- Mobile Visit Verification (HHAeXchange +)
Mobile Visit Verification is a smart phone or mobile device application used by the Personal Support Worker, Occupational Therapist, Physical Therapist, Speech Therapist, Licensed Practical Nurse, or Registered Nurse to record visit data at the start and end of the visit.
- Reason Code
Reason Codes are standard codes established by the State and used to explain (or, as stated in the HHAeXchange training manuals, "acknowledge") an Exception. Reason Codes are located in the Support Center for the State EVV Solution.
- Telephonic Visit Verification/Interactive Voice Recognition (TVV/IVR)
TVV/IVR is a functionality for the Personal Support Worker, Occupational Therapist, Physical Therapist, Speech Therapist, Licensed Practical Nurse, or Registered Nurse to record an EVV visit calling in with a telephone. Each provider agency using the State EVV Solution is provided with one toll- free telephone number for use by the Personal Support Worker, Occupational Therapist, Physical Therapist, Speech Therapist, Licensed Practical Nurse, or Registered Nurse to record visit data at the start and end of a visit. For Provider Choice System functionality, please contact your vendor.
Illinois only allows the use of landlines to submit TVV records. EVV systems (either State Solution or Provider Choice System) must automatically record a specific address as the telephone is used, and locations must be updated to reflect the actual location of service delivery as needed.
EVV Program Overview
A. Illinois DDD EVV
Electronic Visit Verification (EVV) is mandated (effective September 1, 2023) in the Illinois DDD HCBS Waiver system by Section 12006(a) of the 21st Century Cures Act. Federal guidance requires EVV for Home and Community Based Services (HCBS) that include an element of Personal Care Services and Home Health Care Services. Effective September 1, 2023, Illinois DDD required EVV for Personal Support Worker services (55D), including PSW services approved through Temporary Assistance (53C). Effective January 1, 2024, Illinois DDD required EVV for Occupational Therapists (52O), Physical Therapists (52P), Speech Therapists (52S), Licensed Practical Nurses (55P), and Registered Nurses (55N) providing Home Health Care Services.
EVV requirements are the responsibility of providers billing PCS and HHCS services to the DDD through the Reporting of Community Services (ROCS) system. The impact to most customers is minimal.
The Illinois DDD EVV Program has implemented an Open Choice Model, meaning that providers may use the State EVV Solution or a Provider Choice EVV System.
The DDD established an Electronic Visit Verification web page to share policy and system updates and recordings of Kick Off Meetings and stakeholder Listening Sessions held in April 2023.
- State EVV Solution: The State offers an EVV system for provider use at no cost to the provider. The State EVV Solution is built specifically to collect EVV records. HHAeXchange is the entity with which Illinois has contracted to provide the State's EVV Solutions.
- Provider Choice EVV System: Providers may choose to contract with a Provider Choice EVV system that interfaces with the State EVV Solution. This is especially useful for providers that already use an administrative suite of technology that can incorporate EVV records into existing records and practices. Any costs associated with using a different EVV system will be borne by the provider agency, and it is the responsibility of the provider agency to work with the State EVV Solution provider to ensure timely and accurate transmission of EVV data to the State
B. Illinois DDD EVV Exclusion
EVV is intended to be used for PCS and HHCS services when providing face-to-face support in a visit-based fee-for service setting. While EVV records may still be collected (meaning the State does not prohibit the collection of records in these circumstances), EVV records are not required when services are delivered through the following way:
- Live-in Caregivers with a Formal Initial and Annual EVV Exemption: The DDD recognizes the unique nature of service delivery for Live-in Caregivers. Live-in Caregivers providing personal care services and meeting all stated requirements can request to receive a formal approval for EVV exemption, as described in the Live in Caregiver section of this EVV Program Manual.
C. Illinois DDD EVV Restrictions
EVV assures that care is delivered at the time of service by collecting six points of data. DDD, in coordination with stakeholder feedback, has developed restrictions enforced in both the State EVV Solution and Provider Choice Systems and policy. The following practices are prohibited in the DDD EVV Program:
- DDD will not allow or accept biometric data, pictures, videos, or voice recordings to identify customers.
- DDD will not allow or accept pictures, videos, or voice recordings to substantiate PCS or HHCS visit data.
- DDD will not allow or accept visit data that includes continual GPS tracking during a visit and will only accept location information at the beginning and/or end of a PCS or HHCS visit. It is expected HHCS are provided at the Customer's home.
- DDD will not utilize geo-fencing to restrict the location of PCS delivery. Geo-fencing will be used to determine when a customer is receiving PCS in the community versus the home. Geo-fencing will be used to notify the DDD when services are provided outside the State of Illinois to ensure policies concerning out of state services are appropriately followed.
Enrollment
A. Customer Enrollment
Customers receiving services that require EVV must be administratively entered into the Provider EVV Portal for each Provider Agency collecting EVV records. Customers and Providers must work together to ensure information is correct and viable. Provider Agencies are responsible for the maintenance of all Personal Support Worker, Occupational Therapist, Physical Therapist, Speech Therapist, Licensed Practical Nurse, and Registered Nurse information. Self-direction customers should work directly with ACES$.
B. PSW, PT, OT, ST, LPN, and RN Enrollment
Personal Support Workers (PSWs), Occupational Therapists (OTs), Physical Therapists (PTs), Speech Therapists (STs), Licensed Practical Nurses (LPNs), and Registered Nurses (RNs) utilizing EVV must be administratively entered into the Provider Agency EVV Portal by each Provider Agency collecting EVV records for services rendered. PSWs, OTs, PTs, STs, LPNs, RNs and Providers Agencies must work together to assure information is correct and viable. Provider Agencies are responsible for the maintenance of all caregiver information.
C. Provider Enrollment
- Training
Providers and Provider Agencies enrolled in the EVV program must complete necessary training to receive EVV credentials. Training must be completed for both the State EVV Solution and Provider Choice EVV Solution (if/when applicable). For more information on training on the State EVV Solution, visit the Illinois Division of Developmental Disabilities (DDD) tab on HHAeXchange's Electronic Visit Verification web page. Additionally, provider agencies will receive access to HHAeXchange's Learning Management System (LMS) after completing enrollment with HHAeXchange.
Provider Guidance, Policy and Procedures
- The following guidance may be used to implement EVV successfully:
A. Alternate Location
An Alternate Location is defined as a modification that corrects the location recorded at the time of service or enters an otherwise unrecorded location. Providers may refer to Appendix A: Alternate Location Guidance for additional information.
Provider Responsibilities
Provider agencies must ensure the location for an EVV record is correct. A location may be a home address or community location, accompanied by GPS coordinates.
Provider agencies must maintain records supporting both the validity and appropriate use of an Alternate Location to ensure that services are rendered in appropriate settings.
Alternate Location in State EVV Solution
Providers utilizing the State EVV Solution can find information on entering an Alternate Location in the Client Support Portal in the Learning Management System (LMS) on the EVV Solution Information web page.
Alternate Location in Provider Choice EVV Solutions
Providers utilizing a Provider Choice EVV Solution must ensure a correct location of service delivery is submitted to the State. Providers should ask their EVV vendor how to correct or input location of service delivery within their EVV system. Provider Agencies are responsible for reviewing and ensuring accuracy of EVV data submitted to the State through the Data Aggregator
- Correcting any method of EVV collection that recorded the location incorrectly.
- Modifying an existing EVV record to update a previously entered location.
- Entering a Manual Visit into the Provider EVV Portal
B. Billing Integration
EVV records do not initiate billing requests to DDD directly. Claims must still be submitted to DDD through the ROCS Billing System. EVV records collected by the State Solution or transmitted to the State Solution by a Provider Choice system will be used to match claims against visits during a post payment review process.
If an EVV record is modified after a claim has been submitted for payment and paid, the provider agency is responsible for correcting the submitted claim to ensure it matches the modified record.
Visits and claims may not be submitted prior to service completion. A claim must be billed after a service has been completed and a visit has been recorded with EVV to ensure there is EVV data to match against the claim. Please note that DDD PSW and HHCS providers are expected to use EVV at the start and end of service provision. The individual receiving services, or the employer, is required to verify the visit in as close to real time as possible. DDD PSW and HHCS providers will not be penalized for instances in which EVV is used for service provision that is ultimately not billed to DDD.
If, as a billing provider, your claim requires an EVV visit but doesn't have an EVV record to match against, this means that you have not entered or have incorrectly entered one or more of the required points of data being captured in the EVV system. To resolve this, you will need to log into the HHAeXchange provider agency's portal (for State Solution users) or the HHAeXchange Aggregator (for Provider Choice systems) and find the visit(s) that was logged for the claim line(s). Next, check the following points of data to see which may be the cause of the missing visit(s):
- Client Medicaid ID - does the Client Medicaid ID on the claim match the Client Medicaid ID on the visit? If the Client Medicaid ID on the visit is mistyped, the visit will not match to the claim.
- Dates of Service - does the date(s) of service match the visit's start and end date(s)?
C. Compliance Timeline
Beginning on September 1, 2023, customers, and providers of Personal Care Services (PCS) were required to begin utilizing either the State EVV Solution or their Provider Choice Systems to submit EVV records.
Beginning on December 31, 2023, customers, and providers of Home Health Care Services (HHCS) were required to begin utilizing either the State EVV Solution or their Provider Choice Systems to submit EVV records.
PCS and HHCS provider agencies are expected to have an overall EVV visit compliance rate of 50% within six (6) months of October 31, 2024. To ensure PCS and HHCS provider agencies are achieving this initial rate of 50% overall visit compliance, DDD began monthly compliance rates, beginning with the data from September 30, 2024, to October 31, 2024 By September 30, 2025, overall visit compliance is expected to be at 75% or higher. Agencies new to using EVV after October 31, 2024, need to achieve 50% compliance and 75% compliance at six-months and one year, respectively, after having an active HHAeXchange portal.
Non-compliance occurs if one or more of the following applies when an EVV visit is submitted:
- No EVV data is entered in the EVV system for a visit that was billed. For example, PCS or HHCS provider is NOT using EVV at all to clock in/out.
- At least 1 data point is altered or missing at the time the visit is submitted. Examples include:
- Missing call in
- Missing call out
- Missing call in/out
- If visit confirmed by mobile but is missing GPS coordinates
- If visit is confirmed by IVR but is missing Caller ID
- Manual edit to the visit (i.e., visit times billed do not match EVV times entered)
- Call in/out takes place from an unregistered EVV telephone number. Visits in the EVV system are from a Non-Registered EVV telephone number. For example, PSW is calling in/out from an unregistered EVV telephone number
- Service is provided by a temporary/unregistered PCS or HHCS provider.
Provider Options for Compliance
Providers may utilize multiple strategies to assure compliance to meet these thresholds and are advised of options that may be useful in implementing EVV in a timely manner.
- The DDD will begin monitoring for compliance monthly to ensure providers are utilizing the State EVV Solution or Provider Choice system. The DDD will work with the PCS or HHCS Provider Agency to assist with compliance requirements.
- Providers that fail to meet the 50% compliance threshold within six months of October 31, 2024, will be subject to Compliance Monitoring and Request for Written Response. Providers may be subject to Payment Recoupment. By September 30, 2025, a selection of claims submitted to the DDD that require EVV records will be reviewed for corresponding EVV. All claims subject to EVV requirements will initially pay, even if no EVV record is on file to match to the claim; although, this is subject to change. DDD staff will be reviewing EVV claims, and provider agencies that are non-compliant with the EVV process will be contacted and steps towards compliance will be taken. Paid claims that do not have valid matching EVV records may be subject to DDD Payment Recoupment.
- Providers that fail to meet the 75% compliance threshold by September 30th, 2025, will be subject to Compliance Monitoring and Request for Written Response. The provider may also be referred to HFS' Office of Inspector General (OIG) to investigate potential fraud, waste, and abuse that, if substantiated, could result in potential removal as an IMPACT provider. Additionally, providers may be subject to Overpayment Recovery, Denial of Claims, Suspension, or Termination of their Illinois Medicaid Provider Agreement in accordance with the IMPACT Agreement and Attachment A of the Community Services Agreement (CSA).
Newly Enrolled PCS and HHCS Provider Agency Compliance
For PCS and HHCS agencies enrolled with DDD after initial implementation dates began but before the 10/31/24 compliance monitoring start date, the same initial compliance thresholds, remediation, and corrective action standards apply. For agencies enrolled with DDD after 10/31/24, the clock for compliance thresholds and associated consequences begins effective the date their portal is activated with HHAeXchange. Prospective agencies will be required to, at minimum, complete and submit the HHAeXchange EVV Enrollment Survey prior to being approved by DDD.
Switching to a different EVV vendor: Provider agencies that were enrolled with DDD at the time of EVV implementation and unable to fully integrate a Provider Choice System with HHAeXchange by September 1, 2024, were required to utilize the free HHA solution until full integration of the Provider Choice System has been completed with HHA. For agencies enrolled with DDD after October 31, 2024, and electing the Provider Choice System, DDD expects integration with HHA to occur within three months of enrollment as a DDD provider. Provider agencies will not be exempt from using EVV while going through the integration process with HHAeXchange so the Provider Choice System should continue to gather EVV data during the development of the integration process. Provider agencies can only use one system (either the State EVV Solution or a Provider Choice System) at a time. Provider agencies may switch from using the Provider Choice System to the State EVV Solution at any time if they so choose. Provider agencies must notify HHAeXchange of the transition and complete all necessary trainings and processes, including if switching from a Provider Choice System to HHA and vice versa.
Self-Direction vendor switching: ACES$ is utilizing a Provider Choice System. At this time, ACES$ is the only FMS vendor contracted with DDD; therefore, this is their only option for utilizing an EVV system.
Individually Hired PSW Options for Compliance
EVV Exceptions may occur occasionally due to equipment failure, worker error, etc. When an EVV entry does not occur point-in-time, the PSW must work with the Employer to verify time worked.
- ACES$ engages in communication and educational opportunities with Employers/PSWs who repeatedly have Exception errors. The internal controls used by ACES$ to monitor this process establish responsibility, document procedures, and ensure independent internal verification.
Exception Outreach Process |
- |
- |
Outreach Type |
Criteria |
Contact Method |
Engagement / Reminder 1 |
After [6] exceptions within [30] days. |
- ACES$ contacts the Employer and PSW via No Reply email (bulk blind copy).
- If no email is on file or email is rejected, ACES$ Compliance Team will call Employers and PSWs to suggest retraining and remind them of exception requirements.
|
Engagement / Reminder 2 |
After [6] exceptions within [30] days. |
- ACES$ contacts the Employer and PSW via No Reply email (bulk blind copy).
- If no email is on file or email is rejected, ACES$ Compliance team places a phone call to the Employer and PSW regarding suggested retraining and reminder of exceptions requirements.
|
Engagement / Reminder 3 |
After [6] exceptions between days [60] to [90]. |
- ACES$ contacts the Employer and PSW to inform them that they are required to attend mandatory EVV training. E-mails will be sent to SDAs connected to consumers (if applicable) to inform them that PSWs and Employers are required to attend mandatory EVV compliance training.
|
Pass Training |
- Employer and PSW are given [1] month period to complete training and Survey Monkey questions.
- Employer and PSW complete and pass the Survey Monkey questions.
|
- ACES$ contacts the Employer and PSW via No Reply email (bulk blind copy) confirming training completion.
- If no email is on file or email is rejected, ACES$ Compliance Team places a phone call to the Employer and PSW regarding passed training.
- If training is required a second time, DDD will be notified for further direction.
|
Fail Training |
- Employer and PSW are given [1] month period to complete training and Survey Monkey questions.
- Employer and/or PSW fail Survey Monkey questions.
|
- If the Employer and/or PSW fail or do not complete the training, ACES$ contacts the Employer and PSW via No Reply email (bulk blind copy).
- If no email is on file or email is rejected, ACES$ Compliance Team places a phone call to the Employer and PSW regarding failed training.
- ACES$ will engage Employer and PSW with a phone call to assist with a reschedule of training. If the individual is unavailable, ACES$ will leave a voicemail if possible.
- ACES$ provides the names and contact information for the Employer/PSW to DDD for additional case manager outreach .
- DDD sends a letter to the Employer/PSW, communicating that payments will be held if successful completion of training does not occur within one month.
|
Training Not Completed |
- Employer and PSW are given [1] month period to complete training and Survey Monkey questions.
- Employer and/or PSW do not complete the Survey Monkey questions.
|
- ACES$ provides the names and contact information for the Employer/PSW to DDD for additional case manager outreach .
- DDD sends a letter to the Employer/PSW, communicating that payments will be held if successful completion of training does not occur within one month.
|
DDD Engagement |
* When an Employer and PSW have not complied with EVV requirements after repeated communication and training by ACES$ over the course of one year , ACES$ will work with DDD to transfer the individual out of the self-direction program. |
- ACES$ provides DDD with details, including dates of outreach/communication and training efforts (pass/fail training questionnaire) made with Employer and PSW.
- Referral to DDD and ISC agency to re-evaluate the customer's placement within the participant-direction program.
- DDD, ACES$, and the individual's ISC agency will work with the customer to transition the customer to alternate services if indicated.
|
D. Live-in Caregivers
The DDD does not require EVV from Live-in Caregivers for Personal Care Services (PSWs) if the PSW and Employer have requested and have been approved for the live-in caregiver exemption.
Live-in Caregiver Definition
The DDD has developed the following definition:
Live-in Caregiver means a caregiver who permanently or for an extended period of time (defined below) resides in the same residence as the customer receiving services. Live-in Caregiver status is determined by meeting requirements established by the U.S. Department of Labor, Internal Revenue Service, and DDD.
IRS requirements:
- A PSW is an individual care provider receiving payments under a qualifying state Medicaid program, as defined in IRS notice 2014-7, for care the PSW provides to a customer living in the PSW's home.
- U.S. Department of Labor requirements:
- A PSW resides on the customer's premises permanently when the PSW lives, works, and sleeps on the customer's premises seven days per week and therefore has no home of their own.
Types of Services Eligible for Live-in Caregiver Exemption
Services provided by Live-in Caregivers are often delivered incrementally and without clearly defined start and end times. DDD recognizes the unique challenges of collecting EVV for this type of care and allows provider agencies (as defined above) to exempt PSWs from EVV if services are provided by a documented Live-in Caregiver. Only PSWs who have been granted approval for the exemption through the use of the Live-in Caregiver Attestation Form can provide services without using EVV. PSWs must use EVV until the request for an exemption is approved. All exemptions will be audited and reviewed by the ISCs and Developmental Disability reviewers. The Live-In Caregiver exemptions will be required to renew the exemption on a yearly basis.
Provider Agency Responsibilities
Provider Agencies are responsible for compiling, maintaining, and validating all records justifying the status of each Live-in Caregiver for DDD verification and auditing. The Live-in Caregiver Attestation Form (English version) (PDF) or Live-In Caregiver Attestation Form (Spanish version) (PDF), located on the EVV Website, and all supporting documentation must be collected and validated prior to utilizing the Live-in Caregiver exemption. Documentation must be valid during the time of services and billing dates if EVV is not collected. Providers should review instructions and requirements outlined in the Live-in Caregiver Attestation Form (English version) (PDF) or Live-In Caregiver Attestation Form (Spanish version) (PDF) for additional details.
Attestation forms will be required to be completed and approved annually . A PSW is expected to utilize EVV to record visits during the interval of time in which a previous Live-In Caregiver exemption expires and the current Attestation form is completed, unless this process is completed prior to the annual due date. If a living arrangement changes prior to the annual submission of the Attestation Form, the Customer/Employer of Record (EOR), customer, and/or guardian (if applicable), must notify the Provider Agency within 5 days of the change in living arrangement. The notification must be made on the Attestation Form in the section for removing the Live-in Caregiver Exemption. Once notified, the Provider Agency will immediately remove the Live-in Caregiver Exemption and ensure the PSW is using EVV for services provided to the customer.
Self-Directed Customer Responsibilities
The EOR, customers, and/or guardians, if applicable, are responsible for compiling, maintaining, and validating all records justifying the status of a Live-in Caregiver to be provided to the Provider. The Live-in Caregiver Attestation Form (English version) (PDF) or Live-In Caregiver Attestation Form (Spanish version) (PDF) must then be completed and, with all supporting documentation included, submitted to the Provider Agency prior to utilizing the Live-in Caregiver exemption. Any documentation provided with the Attestation Form, that contains an expiration date, must not be expired at the time of submission.
Acceptable documentation of customer and PSW residence must clearly display the PSW's or customer's home address. If using a document that is mailed on a monthly basis (for instance, bank statement or utility bill), the document must be within the most recent 3 months. If the document has an expiration date, the document must not be expired. Choose one of the following:
- Copy of current IL State Driver's License, State ID or other State provided Photo ID;
- Vehicle registration or voter registration card showing name and address of customer or PSW;
- Utility or other household bill showing name and address of customer or PSW;
- Address on federal or state income tax returns or refunds;
- Bank statement with name and address of customer or PSW;
- Medicaid records;
- Mail from medical service providers when the address is clearly stated;
- School ID Card (if an address is clearly stated on the ID card); and/or
- Other documentation, upon Division of Developmental Disabilities (DDD) approval.
The PSW, Customer/EOR, and the Provider Agency, must maintain records designating the status of Live-in Caregiver. The Provider Agency may make the effective date of the Live-in Caregiver exemption as the start of the next pay period. Documentation must be valid during the time of any billed service when an exemption from EVV requirements has been granted. The PSW, Customer/EOR and the Provider should review instructions and requirements outlined in the Live-in Caregiver Attestation Form (English version) (PDF) or Live-In Caregiver Attestation Form (Spanish version) (PDF) for additional details.
Claims adjudicated as provided by a Live-in Caregiver without required Live-in Caregiver documentation or EVV records are subject to recoupment. The EOR, customer, and/or guardian, if applicable, are responsible for the validity of Live-in Caregiver documentation. If information is incorrect or falsified or the EOR, customer, and/or guardian, if applicable, fails to notify the Provider Agency of a change in living arrangement, the customer could lose their right to self-direct services and be required to use Agency-Based PSW services, and/or the case could be turned over to the Attorney General's office to further investigate potential fraud. If Live-in Caregiver documentation is not collected and verified by the Provider Agency prior to the approval of the exemption from EVV, liability is with the Provider Agency. If the living arrangement changes prior to the annual submission of the Attestation Form, the EOR, customer, and/or guardian, if applicable, must notify the Provider Agency, within 5 days of the change in living arrangement, so the Provider Agency can remove the Live-in Caregiver Exemption. The notification must be made on the Attestation Form in the section for removing the Live-in Caregiver Exemption.
Independent Service Coordination (ISC) Agency Responsibilities
ISC agencies will confirm Live-in Caregiver status during visits throughout the year. If the ISC agency is unable to verify the Live-in Caregiver status during a visit, the ISC must notify the Provider Agency as soon as possible, at which point the Provider will take the necessary steps as outlined above.
Operational Methods of Billing for Live-in Caregiver Services
Billing providers may submit claims, including both Live-in Caregiver services and services requiring EVV records, at the same time through the ROCS billing system. PSW services that must comply with EVV will continue to bill services using the 55D program code. The Division has developed new program codes for PSW services that are exempt from EVV requirements. PSW services that are exempt from EVV will bill using the 55E program code. Provider agencies must have an approved and current Live-In Caregiver Attestation Form for PSWs to bill using the 55E program code.
E. Manual Entry Guidance
Manual Visit Entry means an EVV record input of one or more Verification Points of Data in the Provider EVV Portal after the time-of-service delivery, which requires system acceptance and processing of the entry(ies) by an EVV administrative user. As a reminder, manually entering any EVV data point does qualify as a non-compliant EVV entry. As reflected in the "Individually Hired PSW Options for Compliance" section of this manual, PSWs must work with the Customer/EOR to verify time worked in the event of an exception. This verification must be completed before a manual entry is accommodated.
Provider Agencies utilizing the State EVV Solution can find information on entering a Manual Visit Entry in the Client Support Portal in the Learning Management System (LMS) on the EVV Solution Information web page.
Provider Agencies utilizing Provider Choice EVV Systems should reach out to their vendors for information on entering a Manual Visit Entry. Provider Choice EVV Systems submit new data to the EVV Data Aggregator, which updates existing records. Provider Agencies utilizing a Provider Choice System can see the latest version of data in the Data Aggregator.
F. Minimum Necessary
EVV records are used to verify that services have been delivered in as real-time a method as possible. EVV technologies are not prohibited from integrating into other technologies (such as service scheduling, payroll, or electronic health records); however, only information required for the collection and submission of EVV records is necessary. Many EVV technology solutions have the capacity to collect much more information than is required to be collected and submitted for EVV. DDD recognizes that some business practices may find this capacity useful, but DDD cautions that doing so may end up creating additional administrative burden in keeping all information correct.
The State only receives EVV-related data through the EVV program. DDD does not prohibit the use of additional capabilities, but if providers choose to use EVV technology for other uses, that information will not be sent to the State through the EVV Program.
G. Modifications
Electronic Visit Verification Record Modification Guidance
Electronic Visit Verification (EVV) helps assure the excellence of care delivery to HCBS Waiver customers in the Illinois DDD system by requiring all visit verification points of data to be collected at the time and place of service delivery. DDD considers visit details added or modified after the time of service to be visit modifications. Manual visit entry is when the entire visit is added after the time of service. While DDD recognizes the practical need for visits to be modified, doing so should only be done as an exception to normal practice, and the majority of all EVV records should remain unmodified. As a reminder, a modified visit entry is a non-compliant EVV entry. Provider agencies should implement policies for workers that require documented verification of time worked from the Customer/EOR ahead of accommodating manual entries.
On a monthly basis, DDD will review and monitor EVV records for appropriately documented reasons for modifications and will address with the provider agencies if issues persist.
After claims are paid, EVV records will be reviewed in a post-payment review to determine if appropriate thresholds have been met. Modified and manually entered EVV records will not automatically stop payments and may allow claims to pay; however, exceeding thresholds persistently and intentionally implies a need for performance improvements that will result in a DDD audit, corrective actions, or recoupment.
Provider Billing
Providers are advised that exceeding thresholds surrounding modified and manual entry EVV records will not automatically stop payments but may result in a DDD audit, corrective actions or recoupment. After claims are paid, EVV records will be reviewed in a post-payment review to determine if appropriate thresholds have been met. If the provider agency modifies an EVV record already matched to a paid claim, the provider agency is responsible for re-billing the matched claim to assure it still matches.
Unmodified EVV Record
Provider agencies are responsible to maintain accurate service delivery records. If the provider agency merges multiple EVV records and no data points of the visits were modified, the record will remain an Unmodified EVV Record.
If the provider agency updates EVV records indicating an alternate location and no other verification data points are modified, the record will remain an Unmodified EVV Record.
If the provider agency modifies an EVV record already matched to a paid claim, the provider agency is responsible for re-billing the matched claim to assure it still matches.
H. Telemedicine/Telehealth and EVV
Telemedicine and Telehealth are not authorized service delivery methods for PCS or HHCS services. PCS and HHCS services are required to be provided face to face.
I. Self-Directed Personal Support Worker Services
Self-directed customers are required to submit Electronic Visit Verification (EVV) records, unless they qualify for the Live-in Caregiver Exemption. Beginning September 1, 2023, all services submitted to DDD through ACES$ must have an EVV record. DDD has prepared this guidance specifically for self-directed customers to clarify what this means in practice in Illinois.
Self-directed Customers/Employers, who don't qualify for the Live-in Caregiver Exemption, are responsible for the following:
- Ensuring PSW collection of EVV records at the time-of-service delivery. The PSW may manually enter EVV records if the record was not collected at the time of service, but it will be considered a non-compliant EVV record. The customer/EOR is required to verify time worked prior to a manual entry taking place.
- If an EVV record that has been submitted needs to be modified, the Employer is responsible for updating the record.
- Ensuring that EVV records are entered and approved by the customer/EOR. Approval of EVV records must be as near to point-in-time as possible as required by the 21st Century Cures Act and for DDD to accurately assess monthly compliance. EVV records must precede all approved service hours submitted to ACES$ by the designated billing deadlines. This allows billing to be compared to existing EVV records. Customers/EORs will not be penalized for approved EVV visits that are not submitted for billing due to monthly budget restraints. For the most efficient transmission of EVV data, DDD encourages EVV record approval by the Employer of Record by the beginning of the following pay period.
- If an issue arises from incorrect billing (for example, approving service hours without associated EVV records), then the customer/EOR must update the EVV record and re-bill. ACES$ will work with the customer/EOR to ensure the claim was correctly billed and reconciled with the payment to the PSW.
- EVV is only a visit record component, it does not equate to billing or complete the other billing requirements for PSW reimbursement. Customers/EORs and ACES$ are required to follow all normal business, contractual, and DDD requirements for billing, including correct coding, timely filing, and any other DDD requirements.
- Customers/EORs are also advised to communicate and coordinate with ACES$ in the case of an EVV record dispute or when experiencing any issues.
Responsibilities of the PSW:
- Collecting EVV at the time of service by utilizing ACES$'s EVV App and/or Telephony options.
- If EVV is not collected at the time of service, notifying the EOR so the EOR may add or update the EVV record as needed.
Responsibilities of ACES$:
- Having a system that collects and submits required EVV records correctly, and nearest to point-in-time as possible, to the State and can be used by customers/EORs to bill against.
- Transmitting all EVV data for the prior month to HHAeXchange no later than the 10th of the following month. This must be done to ensure monthly compliance data is accurately captured by HHAeXchange for reporting to both the State and Federal CMS.
- Addressing all technical support questions regarding ACES$'s system, which must be directed to ACES$ directly.
In addition to the defined roles and responsibilities of using EVV for self-directed customers, please also be aware of the following:
Thresholds refer to the proportion of manual or modified EVV entries to unmodified EVV entries.
- Any record not collected at the time of service and then manually entered after the time of service is considered a manual entry.
- Any record that has been modified after the time of service is considered a modified entry.
- Any record that has not been modified in any way since the collection at the time of service is considered an unmodified entry.
Thresholds will not be used to deny payments, but self-directed customers/EORs with abnormally high proportions of EVV records not recorded at the time of service may be subject to corrective action plans or payment recoupment by DDD in the future.
- Technical support of ACES$'s system should be referred to ACES$ for training and assistance.
- EVV does not change the nature of the self-direction program, and all program rules for the self-direction program still apply with the addition for the collection of EVV for visits.
Self-directed customers/EORs are again reminded that they are the Employer and must submit billing to ACES$ correctly. Specifically, customers/EORs must submit time for payment according to ACES$'s payroll schedule. As a reminder, EVV does not equate to billing, and EVV should be approved by customers/EORs following the service as close to real time as possible. Self-directed customers/EORs who appear unable to appropriately manage PSWs in using EVV, due to PSWs appearing to show repeated or willful EVV non-compliance, may be transitioned to agency services.
Please refer all EVV use questions directly to ACES$ to expedite issue resolution.
J. Overtime (OT):
Customers/Employers who utilize PSWs must hire a sufficient number of providers to cover the weekly hours in their Personal Plan/Service Authorization and name a back-up caregiver, per their Individualized Back-Up Plan (PDF), for coverage when another PSW is unable to provide services. A back-up caregiver may be a non-paid caregiver, an additional PSW or an agency.
Key points of the Overtime Policy:
- PSWs who work more than forty (40) hours per work week shall be paid at time and one half the hourly rate up to a maximum of sixty (60) hours per work week.
- Customers cannot exceed their monthly budget and are not to authorize the PSW to work more than the number of hours listed on the Personal Plan/Service Authorization.
- A PSW cannot work more than 16 hours in a 24-hour period. (See below for the 16-hour policy.)
K. 16-hour Rule:
The Department of Labor requires that the Division must pay a PSW for time worked if the time is verified by the Employer and the EVV system. Therefore, if a PSW works more than 16 hours in a 24-hour period and the time can be verified as stated above, the time must be paid. The PSW and Employer will be required to submit supporting documentation for working over 16 hours in a 24-hour period.
PLEASE NOTE: In no instance should the hours be reduced, or the timesheet returned to the EOR or PSW for correction.
Non-compliance:
- Once the timesheet has been paid, a 16-Hour Rule Violation Letter should be sent to the customer regarding the customer's non-compliance with the 16-hour rule as defined in this Manual.
- Please also contact the PSW to ensure the PSW is aware of and familiar with the non-compliance.
- A copy of the letter should be maintained in the customer file.
- Continued non-compliance of the 16-hour rule by the customer and PSW may result in a change to PSW services, up to and including a restriction of the customer's right to self-direct services. This change may be supported by the customer's inability to manage a PSW and should be supported with case notes and copies of written notifications to the customer and PSW regarding their failure to comply with the rule.
- If a change to PSW services is appropriate, Appendix E-1, m. of the Adults with Developmental Disabilities Waiver and the Children and Young Adults with Developmental Disabilities - Support Waiver is the supporting language which authorizes the involuntary termination of self-direction when a customer fails to direct their own services (non-compliance). The Personal Plan will be amended/edited, and individually hired PSWs will be replaced with Agency-Based PSW provider(s).
L. Correcting Customer IDs
State EVV Solution: The provider will need to end date the customer ID with the incorrect Medicaid ID and re-enter the customer using the correct Medicaid ID. Then, fix any visits associated with the customer.
If additional assistance is required, contact HHAeXchange and give the following information when requesting help with a customer ID that was entered incorrectly in HHAeXchange:
- Customer First/Last Name
- Customer ID (HHAeXchange ID)
- Wrong Medicaid ID
- Correct Medicaid ID
M. Data Storage and Security
- Confidentiality - System deliverables must be compliant with the Health Insurance Portability and Accountability Act 5010 Standards and the Medicaid Information Technology Architecture (MITA) to ensure protection of customers' confidential information and medical data security.
- Backup and Recovery - The EVV system being used must maintain reliable backup and recovery processes (outlined below) in the event of a system malfunction or a disaster situation and provide an alternative system for timekeeping due to a provider's failure or inability to use the system for a start or end shift.
N. Disaster Recovery
The Provider EVV system (State EVV Solution or Provider Choice EVV System) must maintain a Disaster Recovery Plan that complies with Federal Guidelines (45 CFR 94.62(f)), including identifying every resource requiring backup, providing the full extent of backup needed, and ensuring backup is occurring minimally on a daily basis, in the event of a system failure. The plan must include offsite electronic and physical storage in the United States, preferably in Illinois, and should also include, at a minimum, all of the following:
- Recovery procedures for all events ranging from a minor malfunction to a major disaster;
- For offsite environments, roles and responsibilities of vendor and outsourcer staff;
- Checkpoint/restart capabilities;
- Retention and storage of backup files and software;
- Hardware backup for the main processor;
- Application and operating system software libraries, including related documentation;
- Identification of the core business processes involved in the EVV system;
- Documentation of Contingency Plans;
- Definition of triggers for activating contingency plans; and
- Plan for replacement of hardware and software.
EVV Types of Service
This section may be used more extensively in the future if more services are required to comply with EVV requirements.
Billing providers interested in which billing codes are included in each Type of Service, as well as the specific circumstances in which they apply, should refer to the next section "EVV Types of Service Billing Conditions and Code Inclusions."
A. Illinois DDD EVV Types of Service Billing Conditions and Code Inclusions
This section lists all billing conditions and codes included in each corresponding Illinois DDD EVV Type of Service. All service descriptions are for reference only. If there is a difference in description between this manual and/or DDD Waiver/Program Manuals located on the DDD web page, providers must adhere to that advice.
All billing codes listed in this document will require the corresponding EVV Type of Service on file as part of a verified EVV to correctly bill DDD. If a service code or condition of service delivery is not mentioned in this section, it does not require an EVV record at the time of publication. All billing codes and conditions are subject to change.
Personal Care
- Used by HCBS Providers (Billing Provider Type 91 and 94)
- Applicable in all locations
- All billing codes associated with Personal Care are:
HCPC |
Program Code |
Service Description |
T1019 |
55D |
Personal Support |
T1019 TU |
55O |
Personal Support - Overtime |
T1019 U7 |
55E |
Personal Support - Exempt |
T1019 TU U7 |
55F |
Personal Support - Exempt Overtime |
T2034 |
53C |
Temporary Assistance |
T2034 TU |
53O |
Temporary Assistance Overtime |
Tasks:
Home Health Care Services
- Used by HCBS Providers (Billing Provider Type 91 and 94)
- Applicable in all locations
- All billing codes associated with "Home Health Care" are:
HCPC |
Program Code |
Service Description |
G0151 |
52P |
Physical Therapy Visit |
G0152 |
52O |
Occupational Therapy Visit |
G0153 |
52S |
Speech Therapy Visit |
T1002 |
55N |
Registered Nurse Visit |
T1003 |
55P |
Licensed Practical Nurse Visit |
Appendix A: Alternate Location Guidance for State EVV Solution
Correcting EVV locations after PCS or HHCS provider has completed visit
All EVV records may be updated to reflect actual locations of service delivered. Providers are responsible for reporting correct EVV records and billing appropriately.
Provider notification (if needed) |
Provider Agency creates and fixes EVV record Exception |
o Report any relevant information of actual service delivery location and reasoning to Provider Agency |
o Correct the visit based on the instructions for the State EVV Solution or Provider Choice System. |
Alternate Location using Mobile Visit Verification (MVV/mobile app)
Though the mobile application should capture a GPS location, if service is being delivered at a location other than what is recorded, Alternate Locations may be entered. This may occur if the device used to capture EVV loses connectivity.
Provider notates Alternate Location from the mobile application |
Provider Agency fixes MVV record Exception |
o Provider identifies issue with mobile app and notifies Provider Agency. |
o Correct the visit based on the instructions for the State EVV Solution or Provider Choice System. |
Alternate Locations using Telephony Visit Verification (TVV)
Providers may enter up to three phone numbers in the State EVV Solution. The primary address(es) listed will link to each entered phone number in the Customer file when TVV is used. Cell phones aren't an authorized phone number to use for TVV. If calling from a known phone number, but service is delivered at a location other than the customer's primary address, an Alternate Location must be notated:
Provider notates Alternate Location from a known phone number |
Provider Agency fixes TVV record Exception |
o Provider must follow the process for calling in using the State EVV Solution or Provider Choice System. |
o Correct the visit based on the instructions for the State EVV Solution or Provider Choice System. |
The provider may call from a phone number that is not entered in the Customer Module of the Provider Portal to record EVV; however, a call from an unrecognized number will be recorded as an "unknown phone number" and will trigger an Exception that must be fixed.
Provider notates Alternate Location from an unknown phone number |
Provider Agency fixes TVV record Exception |
- Calling from a number not associated with the customer will automatically create an Exception, and further notation is not needed from the provider.
- After completing the TVV call, report the actual location of service delivery and reasoning to the Provider Agency.
- If an additional phone line is added or the number associated to the customer's home is changed, the customer/employer needs to notify the Provider Agency or ACES$ with the updated information.
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- The Exception "Unknown Phone Number" will appear on the Call Dashboard in HHAeXchange.
- If the phone number is correct, add it to the Customer Profile then on the Call Dashboard, click "Reprocess" and the call will link.
- If the phone number is not valid, click "Reject" and confirm the visit manually.
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Manual Visit EVV Records
If no EVV data is recorded at the time of service, a Manual Visit entry may be entered. The State EVV Solution requires the location component of Manual Entries to be entered as a Reason Note:
Provider requests a Manual Visit EVV |
Provider Agency enters a Manual Visit EVV record |
o Report any relevant information of actual service delivery location and reasoning to the Provider Agency |
- In the Customer calendar, click on the date and "New Non-Skilled Visit".
- Enter the Date, Time, Service, and PCS or HHCS provider to the schedule tab. Click "Save".
- Navigate to the Visit Info tab to confirm the Start and End Times, Location and the Reason for manually verifying the visit. Click "Save".
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Appendix B: EVV Live-in Caregiver Attestation
The EVV Live-in Caregiver Attestation form is available as a fillable pdf in the Live-In Caregiver Attestation Information section of the DDD EVV Website.
Links to the form in English and Spanish:
Live-in Caregiver Attestation Form (English version) (PDF) or Live-In Caregiver Attestation Form (Spanish version) (PDF)
Version History
This program manual will be updated in the EVV Resources section of the DDD EVV Website to reflect the current state of the Illinois DDD EVV program. As items are added or modified a short note will indicate the version date.
Original version posted: 09/01/2023