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Home Health & Hospice Operations4 min read
AdminManager / CoordinatorClinician / Staff

How do I ensure field clinician check-ins meet state Medicaid EVV rules?

Ensure field nurse visits, physical therapy, and home health aide visits satisfy state Medicaid Electronic Visit Verification (EVV) statutory requirements.

Direct Operational Answer

To ensure home health EVV compliance in YourMedSoft, field clinicians open their mobile portal at the patient residence, tap Start Visit to capture GPS coordinates and timestamp, deliver clinical care, and tap End Visit to record patient/caregiver digital e-signatures. The system validates all 6 statutory Cures Act data points.

YourMedSoft · Home Health & Hospice Operations
How do I ensure field clinician check-ins meet state Medicaid EVV rules?

What You Need Before Starting

  • Patient home address must be verified with geocoded coordinates in the patient profile.

Clinical & Regulatory Compliance Standards

  • Compliant with 21st Century Cures Act Section 12006 and state Medicaid EVV aggregation interfaces (e.g. Sandata, HHAeXchange).

Step-by-Step Instructions

1

Clinician Arrives at Patient Home

The field nurse or aide arrives at the patient residence and taps "Start Visit" on mobile.

UI: Mobile Button: Start Visit
2

Automated GPS and Time Verification

YourMedSoft verifies the clinician is within the patient’s geofenced home perimeter and records start time.

Operational Automation

Automate Your Healthcare Staffing Operations

YourMedSoft unifies scheduling, GPS time tracking, credentialing, and facility invoicing into one modern platform for healthcare agencies.

3

Document Visit Care & Tasks

The clinician records clinical vitals, wound care notes, or ADL assistance provided during the visit.

4

Capture Patient or Caregiver Signature

At visit conclusion, tap "End Visit" and present the screen for the patient or family caregiver signature.

UI: Mobile Button: End Visit & Sign
5

Review EVV Audit Dashboard

Agency coordinators monitor the live EVV dashboard, verifying that all visits show 100% compliant data points.

Pro-Tips & Best Practices

  • If GPS is unavailable due to rural cellular dead zones, the system records offline timestamps and prompts for landline IVR or supervisor verification.

Troubleshooting & Operational Edge Cases

Issue: Visit flagged with Geofence Location Exception

Operational Resolution: Verify whether the patient was seen at an alternate location (e.g. clinic or community center) and log an EVV location override reason.

Frequently Asked Questions & Troubleshooting

What are the 6 required EVV data points under the 21st Century Cures Act?

1. Service type, 2. Individual receiving service, 3. Date, 4. Location, 5. Clinician providing service, 6. Begin and end times. YourMedSoft captures all six automatically.

Authored by: YourMedSoft Home Health Operations TeamMedically & Operationally Reviewed by: Sarah Jenkins, MSN, RN, Healthcare Compliance Director
Last Updated: March 2026 Verified

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