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Medicaid team urges providers to prepare for EVV audits; records must be submitted within three months
Summary
Matt Lunn of the Medicaid EVV team reviewed federal EVV requirements for home‑based personal care and home health providers, said EVV records must be submitted to the state portal within three months of the claim, and urged providers to maintain communication with the state audit team; medicaid.utah.gov/evv and dmhf_evv@utah.gov were provided for assistance.
Matt Lunn, who oversees the electronic visit verification (EVV) team for the Medicaid division, reminded providers that EVV is a federal mandate that applies to personal‑care and home‑health services provided in a member’s home and that EVV records are separate from claim submission.
“State admin rule requires that you submit those EVV records within 3 months of submitting the claim for payment,” Lunn said. He explained providers must capture visits with EVV software (commonly a GPS‑enabled phone app), submit EVV records through the state EVV portal, and that the state maintains an audit team to review EVV compliance. Lunn encouraged providers who already have EVV systems but are struggling to email dmhf_evv@utah.gov for help and said his team is responsive.
Lunn gave two practical tips for audits: make sure you are capturing and submitting EVV records, and maintain communication with the state audit team. He added the audit team’s stated role is to help providers become compliant, not to punish: “Our audit team is here to help providers be compliant. It is not our goal to try to punish or, you know, or hurt the providers in any way.”
Lunn also said the Medicaid team is working to publish a clearer list of DSPD service codes that require EVV on the Medicaid website (the list currently exists but is buried in training materials) and that the site redesign will make those resources more prominent within a few weeks. He provided medicaid.utah.gov/evv and the EVV team email for follow‑up.
Why it matters: Providers who supply personal care or home health services in members’ homes must be EVV‑compliant to meet federal and state requirements; failure to submit EVV records may trigger audits and administrative follow‑up.
For help, providers were directed to medicaid.utah.gov/evv and to contact the EVV team at dmhf_evv@utah.gov.
