Generations supports agencies in all 50 states across the United States in meeting the new Medicaid billing requirements for Electronic Visit Verification.  We launch state-specific EVV interfaces on a rolling basis as states announce their requirements. 


Watch this video for an overview of Generations EVV:


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Let’s dive in and learn a little bit more about EVV and how Generations helps homecare agencies across the United States meet EVV deadlines…

Q&A with Generations Customer Success Specialist Heather Pierce

(This interview took place in March of 2020.)

Heather Pierce's headshotFirst, let’s get to know Heather.  As a Generations Customer Success Specialist, Heather works with homecare agencies to ensure they are using the Generations system to the fullest – to help clients reach both their short- and long-term goals.

The 411

Name: Heather Pierce   Title: Customer Success Specialist   Number of years with Generations: 2 years

Q: What did you do before Generations? 

A: I worked in the Medicaid call center for Michigan, where I looked at claims, patient eligibility and navigated different Medicaid requirements for 4 years. 

Q: What do you enjoy most about the work you do with Generations? 

A: The one-on-one trainings I lead for Generations clients! I enjoy training agencies and getting them up and running with the system. I especially like helping them with the billing portion. It’s rewarding when I see agencies find success.

I recently completed a training with an agency that in real-time saw the benefits of Generations and realized just how easy the system is to implement. I love those lightbulb moments!

Q: How do you spend your free time? 

A: All of my free time is devoted to the home improvement work I’m doing for my fixer-upper!

Talk to Us About EVV

Q: What is Electronic Visit Verification?

A: Electronic Visit Verification or EVV is a mechanism that helps verify home healthcare visits.

Q: What is the history behind EVV?

A: Electronic Visit Verification is a federal requirement that aims to eliminate fraud around care and reimbursements in the United States. States are in control of what they choose to do around EVV. It is complicated and complex! Every state has approached the new federal requirements differently and dates for implementation rarely match state to state. 

Q: Why does EVV exist?

A: It is a movement that has been adopted at the national level to mitigate fraud. The Cures Act has mandated that all states in the United States be in compliance by 2020. While some states are up and running, others have, and continue to receive, extensions. 

One part of my job is to have the latest information, such as knowing a state’s aggregator, if a state has been approved for an extension, etc., so that I can share it with my team at Generations. They then work with states’ aggregators to build HIPAA compliant interfaces. I also share information about new dates so that our clients remain in compliance. It’s important that the agencies I work with have the most up-to-date information because lack of accurate information can lead to serious consequences for homecare agencies, from denial of claims to termination from their state’s Medicaid program. We work hard to provide our clients with the tools and resources they need to ensure they are set up for success, especially when it comes to billing to Medicaid.

For example, I’m working with Generations clients in Virginia right now to get them up and running with EVV, as the deadline is fast-approaching. (That deadline has been pushed back to July 1, 2020.)

EVV for Homecare Agencies in All 50 States

Q: Who stands to benefit?

A: Individuals receiving care and their families benefit because they get the care they require in the right place at the right time.   Homecare agencies because in practice EVV technology expedites reimbursement to agencies because all necessary documents are shared with the state at one time.

Q: What are the repercussions for agencies that don’t have EVV in place by their state’s deadline?

A: Homecare agencies that are not in compliance with their state’s EVV requirements could, at a minimum, be denied their claims and on the other end of the spectrum be terminated from the Virginia Medicaid program entirely.

Q: What else should homecare agencies know? 

A: Now is the time to sign up with an EVV software provider if you haven’t already. While there are many integrations and EVV providers, there are certain questions we recommend agencies ask before they sign on with a software provider.

Our Vice President and Co-Founder, Lisa Ferden, recently shared a list of those questions in an article she wrote for HomeCare magazine

Q: Where should homecare agencies go for further reading?

A: Medicaid.gov has a really comprehensive guide to EVV that I recommend all homecare agencies bookmark.   Generations has a helpful article about EVV that I like to share with my clients for further reading. 

Additional Information 

Q: Is there anything else you’d like homecare agencies to know? 

A: As soon as we get information from states we open up a ticket and start working on the interface. We then reach out to agencies in that state and start testing it with them. We are very thorough and proactive in our approach and it’s led to strong results!

Contact Us

Generations has hundreds of agencies up and running with EVV and we have helped many of those agencies get EVV in place well before their state’s deadlines.      Interested in partnering with Generations now so we can help you meet your state’s EVV deadline? Send us a note! We’re available via LiveChat. Additionally, you may request to be contacted by a Generations Homecare Solutions Advisor.


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Generations develops the best tools for helping homecare providers prepare for the EVV requirements mandated by the 21st Century Cures Act.