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  3. Electronic Visit Verification Policy Handbook
  4. EVV Forms
    • Electronic Visit Verification Policy Handbook
      • 1000, Electronic Visit Verification Policy Handbook Introduction
      • 2000, EVV Stakeholders
      • 3000, Programs and Services Required to Use EVV
      • 4000, EVV System and Setup
      • 5000, EVV Proprietary System
      • 6000, EVV Visit Transaction
      • 7000, Clock In and Clock Out Methods
      • 8000, Calculation of Bill Hours
      • 9000, Visit Maintenance
      • 10000, Reason Codes
      • 11000, EVV Compliance Reviews
      • 12000, Usage
      • 13000, EVV Claims
      • 14000, Reports
      • 15000, EVV Optional Services and Non-EVV Services
      • 16000, Fraud Waste and Abuse
      • 17000, EVV CDS Employer Policies
      • EVV Appendices
      • EVV Forms
      • EVV Revisions
      • EVV Contact Us

EVV Forms

  • Printer-friendly version

ES = Spanish version available.

Title
Form 1718, Electronic Visit Verification (EVV) Responsibilities and Additional Information (Managed Care Organization)ES
Form 1722, Employer's Selection for Electronic Visit Verification ResponsibilitiesES
Form 1732, Management and Training of Service ProviderES
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