WISCONSIN DEPARTMENT OF HEALTH SERVICE: January 1, 2024: Electronic Visit Verification Starts for Home Health Care Services and Nurse Supervisory Visits
Learn more about soft launch and how to get ready.
Beginning January 1, 2024, the Wisconsin Department of Health Services (DHS) will require electronic visit verification (EVV) for home health care services (HHCS) and nurse supervisory visits using service code 99509. EVV is required by federal law. All states have to require EVV system use to maintain full federal Medicaid funding. Policy and training details will be shared in the coming months.
What is EVV?
EVV uses technology to make sure that members receive the services they need. Workers check in at the beginning and check out at the end of each visit using a mobile phone or tablet, landline phone or fixed voice over internet protocol (VoIP) phone, or small digital device.
What new service codes will require EVV?
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Personal Care Services (T1019 and T1020) Nurse Supervisory Visit Code |
Private Duty Nursing (PDN) Codes (Independent Nurses and Agency Nurses) |
Non–PDN Nursing Codes (Independent Nurses and Agency Nurses) |
Therapy Codes |
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99509 (Home visit for assistance with activities of daily living and personal care) |
99504 (Home visit for mechanical ventilation care) |
99600 (Unlisted home visit service or procedure) |
92507 (Treatment of speech, language, voice, communication, and/or auditory processing disorder) |
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S9123 (Non-vent private duty nursing care in home – by RN) |
T1001 (Nursing assessment/evaluation) |
97139 (Unlisted therapeutic procedure – Occupational Therapy) |
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S9124 (Non-vent private duty nursing care in home – by LPN) |
T1502 (Administration of oral, intramuscular, and/or subcutaneous medication) |
97799 (Unlisted physical medicine/rehab service or procedure – Physical Therapy) |
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T1021 (Home health aide or CNA visit) |
How will HHCS EVV be implemented in Wisconsin?
For HHCS, DHS will follow the same two phases that were used with EVV for personal care services. These two phases, soft launch and hard launch, were designed to give providers and workers time to learn how to use their EVV system without financial consequences.
The first phase is called soft launch. During soft launch, EVV is required, but there are no financial consequences if EVV information is missing.
Soft launch is a time for DHS and providers to work together to overcome hurdles, to establish processes, and to troubleshoot problems. DHS recognizes that a new process takes time and is offering soft launch for providers, administrators, and workers to get real-world practice using their EVV system before it will affect claims. For the service codes listed above, soft launch will start on January 1, 2024.
The second phase is called hard launch. After hard launch, there will be financial consequences, like claim denial, when EVV information is missing or incomplete. Hard launch is required by the federal government for Wisconsin to continue receiving its full federal funding. DHS will give stakeholders at least three months’ notice before moving from soft launch to hard launch.
What can you do now to get ready for HHCS EVV soft launch on January 1, 2024?
Review the recording of the August HHCS EVV public forum presentation available on the EVV Public Forums webpage. The written presentation in English, Hmong, and Spanish is available. If you’d like another language, contact Wisconsin EVV Customer Care at 833-931-2035 Monday–Friday 7 a.m.–6 p.m. CT or vdxc.contactevv@wisconsin.gov.
