Why electronic visit verification programs fail audits and what operations leaders should ask about their EVV controls Electronic visit verification (EVV) programs are an operational discipline, not a one-time IT checkbox. When states and providers treat EVV as a data collection tool without hard rules and clear exception workflows, documentation gaps and billing anomalies follow. Recent reporting that Colorado faced an $8 million repayment demand after a federal Medicaid audit is a reminder that even established EVV programs can leave audit exposure if the deployment lacks certain guardrails. The practical risk is simple: auditors don’t need to prove fraud to

Practical ways to balance verification, accessibility, and payment integrity for in-home services Meeting Electronic Visit Verification (EVV) requirements sounds straightforward on paper: prove that a caregiver was where they said they were, at the right time, and for the required service. The reality for home-health operators and Medicaid programs is messier. Proposed measures that layer mandatory biometric checks onto EVV create immediate operational questions about worker access, error rates, appeal paths, and the downstream effect on payments and enrollment. Recent reporting that Ohio lawmakers proposed a package requiring statewide EVV dashboards and, for some high-risk providers, fingerprint or facial recognition