- (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.
Authorizing statute(s): 53-2-201, MCA
Implementing statute(s): 53-2-201, 53-6-113, MCA
History: NEW, 2025 MAR, Notice No. 2025-523, Eff. 11/22/25.