HF3634

Purpose

Expand the use of electronic visit verification (EVV) to additional health and supportive services in Minnesota. The goal is to ensure accurate, time-stamped, location-specific documentation of services for federal EVV requirements and to improve accountability and consistency in how certain care services are reported and reimbursed.

Main Provisions

• Adds new definitions related to EVV to Minnesota law.
• Expands the list of services that must use electronic visit verification.
• Requires an EVV system that records specific details about each service encounter and complies with federal EVV standards.
• Allows the commissioner to designate additional services or provider types to be subject to EVV in the future.

Definitions and Key Terms

• Electronic visit verification (EVV): Electronic documentation that records the type of service, the person receiving the service, the date, the location of service delivery, the person providing the service, and the start and end times of the service.
• Electronic visit verification system: A system that provides EVV and complies with the 21st Century Cures Act (Public Law 114-255) and any related Minnesota requirements.
• Service: The set of specific programs or services listed for EVV coverage, including:
  • Personal care assistance services (as defined in Minnesota law for personal care and provided under the related section).
  • Community First Services and Supports (CFSS) under the referenced statute.
  • Home health services (as defined in the relevant home health sections).
  • All services delivered by a provider designated high-risk by the commissioner using criteria similar to those used to designate high-risk Medicare providers (per CFR 42:424.518).
  • Services designated as high-risk by the commissioner.
  • Other medical supplies and equipment or home- and community-based services that are required to be electronically verified by the 21st Century Cures Act (Public Law 114-255).
  • Any other program or service designated by the commissioner.

Significance and Changes to Law

• Creates a broader statutory basis for requiring EVV across more Minnesota health and supportive services.
• Formalizes the data elements collected by EVV (type of service, recipient, date, location, provider, start/end times) and ties them to a compliant EVV system.
• Establishes the authority to add more services or provider types to EVV requirements through the commissioner’s designation, allowing responsive updates as programs evolve or federal rules change.
• Aligns Minnesota practice with the federal EVV mandate under the 21st Century Cures Act, potentially affecting reimbursement and oversight processes for the listed services.

Practical Implications

• Providers of the expanded list of services will need to use an EVV system to document visits, including capturing service type, recipient, date, location, worker, and start/end times.
• Increased administrative requirements for affected programs, plus potential impacts on billing and audits to ensure EVV data is complete and accurate.
• Possible changes in reporting and oversight as new services move under EVV compliance.

Relevant Terms - Electronic visit verification (EVV) - Electronic visit verification system - 21st Century Cures Act (Public Law 114-255) - Minnesota Statutes 2024 section 256B.073 subdivision 2 - Personal care assistance services (256B.0625 subd. 19a; 256B.0659) - Community First Services and Supports (CFSS) (256B.85) - Home health services (256B.0625 subd. 6a) - High-risk provider (as designated by the commissioner; CFR 42.424.518) - CFR 42.424.518 - Commissioner (of human services) - Electronic documentation - Service date - Service location - Service type - Service start time - Service end time