The Future of EVV
How Flexible Electronic Visit Verification Tech Modernizes IDD Home & Community-Based Services

The landscape of personal care and home-based services is rapidly evolving, particularly for individuals with Intellectual and Developmental Disabilities (IDD). One of the most significant healthcare shifts in recent years has been toward self-directed care models, where individuals receive personalized care from a caregiver of their choosing. Often this is a trusted family member or close friend. This approach offers comfort and familiarity, crucial elements for the well-being of those living with IDD.

The increased utilization of self-directed care has highlighted the growing need for robust, user-friendly technology to support both caregivers and care recipients. Among the most vital of these technologies is Electronic Visit Verification (EVV) to support the complexity within these models across states and markets.

A Brief History of EVV in IDD Care

Electronic Visit Verification systems have become a cornerstone of compliance and reimbursement for Medicaid services. EVV tracks the who, what, when and where of care delivery, ensuring that services meet state requirements. For those serving the IDD community, EVV is more than just a regulatory necessity; it’s a critical tool that ensures care is appropriate, timely and reimbursed correctly.

The significance of EVV became even more pronounced with the introduction of the 21st Century Cures Act, which mandated the use of EVV for Medicaid-funded personal care services starting in January 2021. This legislation aimed to improve the accuracy and reliability of care delivery, but it also presented challenges—especially for family caregivers with little to no healthcare training. These caregivers need systems that are intuitive and non-disruptive, allowing them to focus on their loved ones rather than on cumbersome administrative tasks.

The Challenges of Traditional EVV Systems

While EVV systems are essential in-home healthcare settings, many traditional solutions are not well-suited to meet the needs of self-directed care models.

Common issues include:

• Location Constraints: Some EVV systems restrict care to specific locations, making it difficult to provide services in community settings.
• Rigid Scheduling: Pre-scheduled visits are often required, which can be impractical given the dynamic nature of care for individuals with IDD.

These challenges can lead to disruptions in care, delayed reimbursement for caregivers and at times burnout among those providing care. Therefore, it’s crucial for EVV systems to be flexible and adaptable to the unique workflows of each state and care setting.

A Superior EVV Solution for IDD Care

Recognizing these challenges, Netsmart has developed an EVV solution that helps meet the needs of IDD care providers. The Netsmart CareFabric® platform offers a range of features designed to enhance the quality of care while minimizing administrative burdens:

• User-Friendly Interface: The intuitive system reduces routine disruptions, allowing caregivers to concentrate on providing care rather than on data entry.
• Multiple Service Locations: Caregivers can easily track services provided across countless locations, ensuring community involvement so care is not confined to the home.
• Adaptable Integration: The platform integrates with other EVV vendors as required by state contracts, offering flexibility for providers working in various regulatory environments.
• Improved Workflow: Designed with caregivers in mind, the workflow ensures that data capture does not interrupt care delivery.

These features address the common pain points associated with traditional EVV systems, offering a solution that is both flexible and comprehensive. The Netsmart EVV system also supports multiple caregivers per recipient, enhancing the collaborative nature of care in self-directed models.

The Future of EVV in IDD Care

As home and community-based services continue to modernize, the technologies that support them must also advance. Netsmart is leading this evolution, providing care providers with a system that is not only compliant with state and federal regulations but also tailored to the unique needs of individuals with IDD and their caregivers.

For clinicians and home care providers, adopting advanced EVV technology can significantly enhance service delivery. By focusing more on delivering high-quality, personalized care, providers can improve outcomes for individuals with IDD and ensure that their services remain compliant and adequately reimbursed.