Georgia Medicaid Electronic Visit Verification (EVV) 2026

Georgia electronic visit verification (EVV) decides whether Medicaid pays for an in-home visit: the aide must electronically log the time, location, and her identity, or the visit goes unpaid. EVV is not a Georgia policy choice. It is a federal requirement created by Section 12006 of the 21st Century Cures Act, which added Section 1903(l) of the Social Security Act (42 U.S.C. 1396b(l)) and now governs every Medicaid-paid personal care or home health visit in the country.

This guide explains Georgia electronic visit verification for the people who feel it most: the Medicaid member receiving in-home care, the aide or family caregiver paid to provide it, and the providers who bill for it. It covers the federal rule and how it reaches Georgia, the six data elements every visit must capture, which Georgia services and waivers are covered, how caregivers clock in and out, what to do when the technology fails, and how EVV records stay private.

What the 21st Century Cures Act requires

The 21st Century Cures Act was a sprawling federal health law. Section 12006 added a new subsection, Section 1903(l) of the Social Security Act (42 U.S.C. 1396b(l)), requiring states to electronically verify Medicaid-funded personal care services and home health care services. The personal care requirement applies to services on or after January 1, 2020, with a possible one-year good-faith extension; the home health requirement applies on or after January 1, 2023. The purpose was to reduce fraud, waste, and abuse in Medicaid-funded in-home services by confirming that every billed visit actually happened, at the right time and place, by the right worker, for the right recipient.

The statute reaches two service categories:

Personal care services are services delivered in the home or community by a paid worker to help a Medicaid beneficiary with activities of daily living (bathing, dressing, toileting, transferring, eating, ambulation) or instrumental activities of daily living (meal preparation, light housekeeping, medication reminders, accompaniment to medical appointments).
Home health care services are skilled nursing, home health aide, physical therapy, occupational therapy, speech therapy, and medical supplies provided by a certified home health agency under physician orders.

The requirement covers both fee-for-service and managed care Medicaid, both consumer-directed and agency-directed services, and both HCBS waiver and State Plan services. Anywhere a Medicaid dollar pays for personal care or home health in the home, EVV applies.

What six data elements must every visit capture?

Section 1903(l) sets a minimum of six data elements that an EVV system must verify for each visit. States can require additional elements (tasks performed, recipient signature, supervisor verification), but cannot drop any of these six.

Data element	How EVV captures it
Type of service performed	A specific service code (HCPCS or state code) identifying the service, such as a personal care or home health aide code.
Individual receiving the service	The Medicaid beneficiary, verified by selecting the recipient from the caregiver's scheduled visits or entering the recipient's Medicaid ID.
Date of service	The calendar date of the visit.
Location of service delivery	GPS (mobile app), caller ID and registered phone number (telephony), or device ID (fixed device), confirming the visit occurred at the recipient's home or another approved location.
Individual providing the service	The specific worker, identified through login credentials, biometric sign-in, or a fob or badge scan.
Time the service begins and ends	Both the clock-in time and the clock-out time.

What happens if a state does not comply?

Section 1903(l) does not fine a state directly. Instead, it reduces the federal medical assistance percentage (FMAP), the share of Medicaid costs Washington pays, for personal care and home health spending that is not EVV-verified. The reduction is incremental: it starts small and escalates each year a state remains out of compliance, up to a maximum of one percentage point. A state that misses the deadline but is making a documented good-faith effort toward implementation can receive a limited extension.

Georgia implemented EVV for personal care services first, with home health care services following under the staggered federal phase-in. For current Georgia compliance status, refer to DCH's EVV program page.

How states implement EVV: three models

The Cures Act lets each state pick how providers connect to the system. There are three architectural models.

Model	How it works	Trade-off
Provider Choice	Each provider picks its own state-certified EVV vendor; the state accepts data from any certified vendor through an aggregator.	Leverages providers' existing systems but requires an aggregator to consolidate data for state reporting.
State Managed	The state contracts with a single EVV vendor that all providers must use.	Maximum data consistency, but can force providers off systems that already work for them.
Open Vendor	The state approves multiple certified vendors; providers choose from the approved list and feed a state aggregator.	Combines provider flexibility with state-wide data visibility.

Georgia runs the open-vendor model. DCH contracts with Netsmart Mobile Caregiver+ (formerly Conduent/Tellus) as the state aggregator and default platform, and providers may use that platform directly or an approved third-party solution that meets federal requirements and integrates with the aggregator. Visit data transmits to the aggregator and on to DCH and the relevant payer.

Georgia's EVV vendor: Netsmart Mobile Caregiver+

Georgia's state EVV vendor is Netsmart Mobile Caregiver+, which serves as the state aggregator and as the default solution for providers who do not run a separate certified vendor. The platform began as the Tellus product under Conduent and was rebranded to Netsmart's Mobile Caregiver+; references to "Tellus" or "Conduent" in older provider materials point to the same system Georgia uses today. The Mobile Caregiver+ customer support line is 833-483-5587 (the prior support number was sunsetted on January 16, 2026). Providers using a third-party solution must integrate with the aggregator to transmit data into the state system, and their EVV vendor choice is typically disclosed to families during care-plan onboarding. For current customer support contact information, refer to DCH's EVV program page.

How Georgia electronic visit verification works during a visit

The typical EVV workflow runs in five steps, from reviewing the schedule before arrival to the visit data linking to its Medicaid claim.

Step 1

Review the visit before arrival

The caregiver opens the EVV app and reviews her scheduled visit: recipient name, address, scheduled time, service type, and a task list if applicable.

Step 2

Clock in on arrival

With a mobile app, she opens the app, selects the visit, and taps "clock in"; the app captures the time, the GPS location, and her identity. With telephony, she dials a toll-free number from the recipient's home phone, and caller ID verifies the call came from the recipient's registered number, then she enters her employee ID on the keypad. With a fixed visit verification (FVV) device installed in the home, she swipes a key fob, and the device records the time and her ID.

Step 3

Provide the scheduled services

During the visit, the caregiver delivers the scheduled care. Some systems prompt her to document tasks completed; task documentation may be optional or required depending on the provider and vendor.

Step 4

Clock out at the end

The caregiver clocks out the same way she clocked in, capturing the time and location.

Step 5

Transmit the data after the visit

The vendor (or the state platform directly) transmits the visit data to the aggregator, which forwards it to DCH and the payer. The visit becomes linked to its claim; claims without matching EVV data may be denied or held pending verification.

What happens when clock-in or clock-out fails?

In practice, electronic capture fails for many reasons: the caregiver forgot her phone, the battery died, GPS could not acquire a signal, the home phone is out of service, the device was not working, the system was down, or the caregiver forgot to clock out. When that happens, EVV systems allow a manual edit, with guardrails:

A justification entered by the caregiver or supervisor explaining why the manual edit is needed.
Supervisor approval. Most systems require a supervisor or designated staff member to approve a manual edit, so a caregiver cannot self-edit a timesheet.
An audit trail documenting who edited the record, when, and what changed, including the original system state.
Monitoring against excessive editing. State and federal audits flag providers with high manual-edit rates, because heavy editing can signal either workflow problems or fraudulent visit padding. DCH sets thresholds above which a provider's edit rate triggers audit review.

Where Georgia electronic visit verification applies

EVV applies to Medicaid personal care and home health delivered in the home or community, including:

Personal care under Georgia's HCBS waivers: ICWP (Independent Care Waiver Program for adults with severe physical disabilities), CCSP (Community Care Services Program for elderly and disabled adults), SOURCE (Service Options Using Resources in a Community Environment), NOW (New Options Waiver) and COMP (Comprehensive Supports Waiver Program) for individuals with intellectual or developmental disabilities, and GAPP (Georgia Pediatric Program for medically fragile children).
State Plan home health services: skilled nursing, home health aide, physical therapy, occupational therapy, speech therapy, and medical supplies delivered in the home.
EPSDT pediatric personal care for children under 21 when medically necessary.
Self-directed services under Section 1915(j), including care delivered by paid family members through Consumer Direction.

EVV does not apply to services delivered outside the recipient's home or community: adult day health centers, group homes, day-program services in licensed facilities, hospice (a separate framework with its own documentation), hospital services, and nursing facility services. It also does not apply to most CMO administrative services, such as care coordination delivered by phone.

Self-directed services and family caregivers

Section 1915(j) self-directed personal assistance lets a beneficiary act as the employer of their personal care workers, including certain relatives. Self-direction is used in Georgia HCBS waivers, particularly ICWP, NOW, and COMP. One important limit: Georgia categorically bars spouses, parents of minor-child Medicaid recipients, legal guardians, conservators, and persons holding power of attorney from being paid as the primary family caregiver across CCSP Personal Support Consumer Direction, SOURCE participant direction, ICWP self-directed Personal Support Services, and NOW/COMP Family Hire. In Georgia, only VA programs and private pay reach those relationships.

When the paid caregiver is a permitted family member, EVV still applies. The federal mandate does not distinguish an agency aide from a consumer-employed family caregiver; the same six data elements must be captured for every paid visit. For family caregivers, the geolocation capture can feel intrusive, especially when the caregiver lives in the recipient's home. Common ways to reduce friction include simplified mobile interfaces, telephony from the home phone instead of a mobile app, pre-scheduled visit templates, and the technology support that financial management services agencies (FMSAs) provide, including device provisioning, training, and troubleshooting.

EVV in rural Georgia with poor connectivity

Georgia has substantial rural geography, and many counties have limited cellular coverage, slow broadband, or both. EVV mobile apps need reliable connectivity for real-time submission, which can fail in rural areas. The backup capture methods exist for exactly this situation:

Telephony-based EVV needs only a working landline or cellular voice connection at the recipient's home. The caregiver dials a toll-free number, and caller ID verifies the location. This works wherever phone service exists, even in cellular dead zones.
Fixed visit verification (FVV) devices are small battery-powered units installed in the home. The caregiver swipes a key fob to record visit times, and the device stores the data and transmits it when next connected. FVV is useful where there is no phone service.
Offline mobile capture records visit data locally on the phone and syncs when connectivity returns, if the app is configured for offline mode in advance.
Cellular hotspots or signal boosters can be deployed at recipient homes in marginal-coverage areas.

These workarounds are not perfect, and caregivers serving rural areas may see higher manual-edit rates than those in cities. Technology access is a related issue: many caregivers, particularly older family caregivers, do not own smartphones or are not comfortable with apps. The usual remedies are training and onboarding support, switching to telephony or FVV, and dedicated FMSA support staff.

Is your EVV data private?

Yes. EVV data is protected health information under the HIPAA Privacy Rule, and its capture, transmission, storage, and use must comply with HIPAA:

Authorized users only. EVV data can be accessed by the provider, the payer (DCH or a CMO), the state aggregator, state oversight units, federal regulators with audit authority, and the beneficiary or their personal representative. Other parties cannot access it without authorization.
Minimum necessary use. Only personnel who need the data for treatment, payment, or operations should access it.
Breach notification. If EVV data is breached, HIPAA breach-notification requirements apply.
Beneficiary rights. Beneficiaries can obtain copies of their EVV records, request corrections to inaccurate records, and file complaints, including with the HHS Office for Civil Rights.
Geolocation as PHI. The GPS coordinates and location data captured by EVV are protected health information when tied to a Medicaid beneficiary.

Federal oversight and OIG audits

The HHS Office of Inspector General (OIG) audits state EVV implementation, and its audits have identified recurring issues: missing data elements (most often location), incorrect coding, time mismatches, excessive manual editing without adequate justification, providers not yet onboarded to EVV, limited state audit capacity, and state-vendor coordination problems during transitions. CMS reviews state EVV implementation as part of routine Medicaid oversight through quarterly reports, state plan amendments, and managed care contract reviews. For Georgia families, this oversight is largely invisible, but when audits surface compliance gaps, DCH typically responds with policy and process changes.

Common EVV problems and how to resolve them

The problems Georgia families and caregivers run into most, and how they are resolved:

A caregiver cannot clock in because of phone, GPS, or system trouble. Use the backup method (telephony if mobile failed, mobile if telephony failed, FVV if both failed); the agency's EVV support line provides assistance; a manual edit with supervisor approval covers the gap when no electronic capture is possible.
Location capture is inaccurate, showing the caregiver outside the home boundary. The provider reviews and corrects the GPS data, recalibrates the geofence, or confirms presence by phone.
The caregiver forgot to clock out and the visit shows an open-ended duration. A manual edit with supervisor approval fixes it; the agency reviews patterns to identify training needs.
The recipient's address changed and the system has the old one. The provider and case manager update the recipient profile; interim manual edits may be needed until the update lands.
A family caregiver struggles with the technology. The FMSA provides training and support, and the caregiver can switch to telephony if the mobile app is challenging.
Claims are denied for EVV mismatches. The agency investigates the EVV-claim integration, corrects the data-quality issue, and resubmits.

How beneficiaries and families can engage

EVV is not only a provider compliance issue. Beneficiaries and families have rights and roles:

Access your EVV records. Beneficiaries can request copies of their EVV visit records from the provider; this is part of the HIPAA-protected medical record.
Correct inaccurate records. If an EVV record is wrong (the visit did not occur as recorded, wrong service type, wrong caregiver), the beneficiary can request a correction.
Keep services during EVV failures. Services should not be denied because of EVV technology problems. If a caregiver is willing and able to provide care but cannot clock in due to a system issue, the visit should proceed with manual documentation, and the provider resolves the EVV issue separately.
Monitor visits. With the beneficiary's authorization, family members can use vendor portals to see arrival and departure times and flag missed shifts or late arrivals.
Escalate when problems persist. Contact the case manager (HCBS waiver participants have one through the waiver), the Georgia ADRC at 1-866-552-4464 to reach the local long-term care ombudsman, Disability Rights Georgia, or the Georgia Legal Services Program when issues are not resolved at the provider level.

Who oversees EVV in Georgia: DCH and DBHDD

The Georgia Department of Community Health (DCH) HCBS Bureau and EVV compliance unit oversee Georgia's EVV implementation, including vendor certification, state aggregator operations, provider compliance monitoring, data-quality reviews, manual-edit audits, provider training, and beneficiary outreach. The Georgia Department of Behavioral Health and Developmental Disabilities (DBHDD) runs parallel oversight for the NOW and COMP waivers, coordinating with DCH on EVV policy for those service categories.

One point of frequent confusion: Georgia's HCBS waivers operate on a fee-for-service basis, not through Care Management Organizations (CMOs). The Georgia Families CMO program covers the standard managed-care population of families and children, not the waiver populations that account for most Georgia EVV volume. Where a CMO is involved, it receives EVV data from the state aggregator and uses it to validate claims. Georgia's 2025 CMO procurement awarded new Georgia Families contracts to a refreshed set of plans, with implementation timing contested in litigation and a final go-live for new CMOs potentially slipping into late 2026; that reshuffle affects Georgia Families members, not waiver populations. For the current CMO panel, refer to DCH.

Frequently Asked Questions

What is Georgia electronic visit verification (EVV)?

EVV is the federally required system, created by Section 12006 of the 21st Century Cures Act, that verifies Medicaid-funded personal care and home health visits by electronically capturing six data elements: the type of service, the recipient, the date, the location, the provider, and the start and end time. In Georgia, the DCH EVV program runs an open-vendor approach with Netsmart Mobile Caregiver+ (formerly Conduent/Tellus) as the state aggregator.

Who has to use EVV in Georgia?

Every provider of Medicaid personal care services and home health care services in Georgia, including HCBS waiver providers (ICWP, CCSP, SOURCE, NOW, COMP, GAPP), State Plan home health agencies, EPSDT pediatric personal care providers, and self-direction financial management services agencies, including family caregivers paid through self-direction.

How does a caregiver clock in?

Most commonly through a mobile app on a smartphone, which captures GPS location. Alternatives are telephony (calling a toll-free number from the recipient's home phone, verified by caller ID) and a fixed visit verification (FVV) device in the home. If electronic capture fails, a manual edit is allowed with the caregiver's justification, supervisor approval, and an audit trail.

Does EVV apply to family caregivers under self-direction?

Yes. The federal mandate applies to all paid Medicaid caregivers, including permitted family members under Section 1915(j). Note that Georgia bars spouses, parents of minor-child recipients, legal guardians, conservators, and persons with power of attorney from being paid as the primary family caregiver across CCSP, SOURCE, ICWP, and NOW/COMP.

Can my services be denied because of an EVV problem?

No. Services should not be denied because of EVV technology problems. If a caregiver is willing and able to provide care but cannot clock in due to a system issue, the visit should proceed with manual documentation, and the provider resolves the EVV issue separately.

Can I see my own EVV records and correct them if they are wrong?

Yes. Beneficiaries can request copies of their EVV records from the provider, and vendor portals often allow family-member access with the beneficiary's authorization. If a record is wrong, request a correction; the audit trail documents the original record and the change. If the provider does not correct it, escalate to the case manager, DCH, or your local long-term care ombudsman via the ADRC at 1-866-552-4464.

How does EVV work in rural Georgia with poor cellular coverage?

Telephony-based EVV uses the recipient's landline and works wherever phone service exists. Fixed visit verification (FVV) devices are installed in the home and store visit data for later transmission. Offline mobile capture lets the app record data locally and sync when connectivity returns.

Key contacts

Verify program-specific phone numbers against DCH and the Georgia ADRC directories before relying on them in a care plan.

Georgia Aging and Disability Resource Connection (ADRC) Statewide hotline routing to the 12 regional Area Agencies on Aging; reaches the local long-term care ombudsman. 1-866-552-4464 aging.georgia.gov/programs-and-services/adrc

Georgia Department of Community Health (DCH) Georgia Medicaid agency and EVV program owner. dch.georgia.gov

Georgia Department of Behavioral Health and Developmental Disabilities (DBHDD) Oversees EVV for the NOW and COMP waivers. dbhdd.georgia.gov

Disability Rights Georgia Protection and advocacy for Georgians with disabilities. www.thedlcga.org

Georgia Legal Services Program Free civil legal aid for lower-income Georgians outside metro Atlanta. www.glsp.org

HHS Office for Civil Rights Files HIPAA privacy complaints about EVV records. www.hhs.gov/ocr/index.html

Georgia 211 helpline Statewide referral line for health and human services. 211

Learn More

Find personalized help navigating Georgia's EVV requirements at brevy.com.

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