ARM 37.85.405. ELECTRONIC VISIT VERIFICATION REQUIREMENTS

(1) Montana Medicaid providers that provide home and community-based services subject to federal Electronic Visit Verification (EVV) requirements must ensure an EVV system is used to electronically document the delivery of EVV services and submit claims. (2) Each EVV visit transaction must contain the following data elements, as required by section 12006 of the 21st Century Cures Act, Pub. L. No. 114-225 (Dec. 13, 2016), as codified at 42 U.S.C. 1396b(l)(l) & (5)(A), for: (a) the type of service provided; (b) the name of the member who received the service; (c) the name of the service provider who provided the service; (d) the date of the service; (e) the time the service began and ended; and (f) the location, including the address, at which the service was provided. (3) In addition to the requirements listed in (2), the department may request additional information deemed necessary to ensure the accurate payment of a claim for services. (4) EVV is a requirement for all members utilizing home and community-based services subject to federal EVV requirements, including those who have a live-in caregiver.