Less Time Committed to Care: Beliefs About EVV

March 25, 2022

This RTC:Rural paper explores consumer perceptions of Electronic Visit Verification (EVV), a system used to document personal assistance services (PAS) at the moment of care. In 2016, the federal government mandated the use of this system for all Medicaid-funded PAS services, which previously documented proof of care after it was provided.

Researchers led by Dr. Rayna Sage used survey results and qualitative comments to analyze how consumers are perceiving the EVV system as it is being implemented. They found that consumer responses were most focused on concerns about EVV interfering with their care and the belief that it would help in reducing fraud. However, variations in feelings about EVV highlight the need to better understand consumers’ experiences. Additionally, consumer respondents expressed the belief that unpaid PAS work done by their workers is underrecognized, but necessary for their care. These contrasting responses led researchers to recommend the continued collection of information on EVV in order to meet the expectations of the legislation and the needs of consumers and workers.

Read the full paper and consumer responses at:
“Less time committed to care”: Beliefs About Electronic Visit Verification Among Adults Using Home-Based Personal Assistance Services