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KMAP BULLETIN: UPDATED Electronic Visit Verification Compliance Requirements

Date: 09/10/25

UPDATED* KMAP GENERAL BULLETIN 24081 (PDF)

Effective with dates of service on and after May 1, 2024, the following compliance requirements for Electronic Visit Verification (EVV) in Kansas will be established. The compliance requirements outline the processes and procedures for monitoring continued compliance with Section 12006(a) of the 21st Century Cures Act.

Ongoing compliance monitoring will be conducted regularly to verify that all visits are authorized and entered correctly through the caregivers mobile EVV app or the client’s landline via interactive voice response (IVR). The EVV compliance requirements are applicable to all participating providers who deliver services that require EVV. Failure to comply with noted requirements may result in disenrollment from services.

Ongoing Compliance Monitoring:

  1. EVV compliance monitoring will be conducted on an ongoing basis by the State of Kansas EVV Team.
  2. Compliance monitoring will include reviewing EVV data for accuracy, completeness, and timeliness.
  3. Any informational or critical exceptions found will be documented.
  4. Providers found to be non-compliant with EVV requirements will be notified of the findings and provided with an opportunity to correct the issues through the remediation process outlined below.

Remediation of Non-Compliance:

  1. In the event of non-compliance, the EVV team State of Kansas and Managed Care Organizations (MCOs) will work with the provider to address the issues and implement corrective actions.
  2. The provider will be given a specified timeframe to address non-compliance issues and come into compliance with EVV requirements.
  3. The EVV team State of Kansas and Managed Care Organizations (MCOs) will conduct follow-up audits to ensure that the provider has successfully remediated the noncompliance issues.

Disenrollment from Services:

  1. If a provider or worker fails to remediate non-compliance issues within the specified timeframe, or if the non-compliance issues are deemed to be severe or recurring, they are subject to disqualification from further participation in the State of Kansas Medicaid Program. the provider may be disenrolled from services.
  2. If a self-directed member fails to remediate non-compliance issues within the specified timeframe, or if the non-compliance issues are deemed to be severe or recurring, the member may be removed from the self-directed program and required to work through an agency. 

Note: The effective date of the policy is May 1, 2024. The implementation of State policy by the KanCare Managed Care Organizations (MCOs) may vary from the date noted in the Kansas Medical Assistance Program (KMAP) bulletins. The KanCare Open Claims Resolution Log on the KMAP Bulletins page documents the MCO system status for policy implementation and any associated reprocessing completion dates once the policy is implemented. 

*Updates are indicated in underlined italics