Free Download · Updated for 2026

Are you above the 85% EVV auto-verification threshold?

15 critical items every home care agency must verify to avoid penalties, denied claims, and lost revenue. Audit your agency in under 5 minutes.

44 States
Now enforcing EVV under the 21st Century Cures Act
85%
Auto-verification threshold required by most MCOs
1% FMAP
Federal Medicaid funding reduction for non-compliance
9-page PDF 5-minute self-assessment Compliance score matrix included
Why this matters now

EVV compliance has shifted from a planning consideration to a survival requirement.

With 44 states now enforcing Electronic Visit Verification and the OIG increasing audit activity, agencies that fall below the 85% auto-verification threshold face escalating consequences.

  • ×
    Formal non-compliance letters from your state Medicaid agency or MCO, requiring written response within fixed deadlines.
  • ×
    Corrective action plans that pull leadership time away from operations and into remediation reporting.
  • ×
    Denied Medicaid reimbursements on visits that fail verification, hitting cash flow within a single billing cycle.
  • ×
    Contract termination for agencies below threshold for three consecutive months.
States face up to a 1% reduction in federal Medicaid funding for non-compliance under the 21st Century Cures Act. Those costs flow downstream to agencies through denied claims, increased audit scrutiny, and accelerated enforcement timelines. — Section 12006, 21st Century Cures Act
What's inside the checklist

15 verification items across 5 dimensions of EVV compliance.

A practical, board-ready self-assessment built from federal mandates, state aggregator requirements, and the operational realities of running a home care agency.

Section 01

Federal Data Requirements

The six non-negotiable data elements your EVV system must capture for every Medicaid-funded visit under Section 12006 of the 21st Century Cures Act.

6 verification items
Section 02

State-Specific Compliance

EVV models, designated aggregator integrations like Sandata and HHAeXchange, auto-verification thresholds, and state-specific data fields beyond the federal six.

4 verification items
Section 03

System & Technology Readiness

GPS-enabled mobile check-in/check-out, backup verification methods for low-connectivity areas, and integration with billing, scheduling, and payroll software.

3 verification items
Section 04

Staff Training & Documentation

Caregiver training on clock-in protocols, low-battery and no-signal handling, and a documented exception-handling policy that survives audits.

2 verification items
Section 05

Audit & Financial Readiness

Monthly compliance report cadence, the 15% manual edit rate threshold, and a corrective action plan template ready before you need it.

3 verification items
Bonus

FMAP Penalty Brief

A plain-English breakdown of how the 1% federal funding reduction flows downstream to agencies, and what triggers the three-month enforcement window.

Reference brief
Compliance Score Matrix

Score your agency in under 5 minutes.

Count your boxes checked and reference the matrix to learn exactly where you stand and what to fix first.

Boxes Checked
Status
15 of 15
Fully Compliant
11 to 14
At Risk
7 to 10
Non-Compliant
Below 7
Critical
Built by an operator, not a vendor

Enterprise EVV compliance at small-agency economics.

MyVisits was built by a Clinical Director with 18 years of hands-on experience in behavioral healthcare operations. The platform was designed from the ground up to solve the exact compliance challenges in this checklist, helping agencies achieve and sustain 85%+ auto-verification rates without adding administrative burden.

  • SecureVerify QR Check-In Caregivers scan unique client QR codes at the start and end of every visit, capturing all six federal data elements in a single, tamper-proof action.
  • GPS & Geo-Location Verification Real-time location tracking confirms caregiver presence at the designated service address, satisfying the federal location-of-service requirement.
  • Automated Mileage & Travel Tracking Records caregiver travel distances automatically, eliminating manual mileage logs and supporting payroll accuracy.
  • Integration-Ready Architecture Designed to work alongside your existing billing, scheduling, and payroll systems so visit data flows from verification to claims without gaps.
Free 30-day trial
$39.95 per user / month

Full functionality from day one. Be compliant by end of day.

  • Captures all six federal EVV data elements
  • QR-based SecureVerify check-in and check-out
  • GPS verification and automated mileage tracking
  • End-of-day audit-ready reporting
  • Works alongside existing billing and payroll systems
  • 0% fraud risk through tamper-proof verification
Learn More at myvisits.net
Find out where you stand

Audit your agency against all 15 EVV compliance requirements.

Download the checklist, score your agency in under 5 minutes, and walk into your next compliance review knowing exactly where you stand.

Download the Checklist