Policy priority

EVV Modernization

Technology should support care, not interfere with it.

The challenge

Electronic Visit Verification errors trigger upfront claim denials for care that was actually delivered.

Why it matters

The 21st Century Cures Act does not require upfront denials. CMS allows states to use EVV data for post-payment audits.

What the Alliance supports

  • Delink EVV from upfront claim denials until the system is certified error-free
  • Move to a post-payment audit model that protects program integrity

Evidence

Post-payment audits let legitimate care be paid while documentation errors are corrected.

“Technology should support care, not interfere with it.”