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21st Century Cures Act

The 21st Century Cures Act requires all states to implement Electronic Visit Verification (EVV) for Medicaid personal care and home health care services. The Cures Act requires states to implement EVV by January 1, 2020, for personal care services and by January 1, 2023, for home health care services. Failure to meet these deadlines puts states at risk of losing federal Medicaid matching dollars.

The Michigan Department of Health and Human Services (MDHHS) submitted an EVV Good Faith Effort exemption request to CMS, requesting a delay in the implementation deadlines of EVV for Personal Care Services and Home Health Care Services.

  • On December 23, 2019, CMS granted the exemption request, delaying the implementation of EVV for Personal Care services until January 1, 2021.
  • On October 28, 2022, CMS granted the exemption request, delaying the implementation of EVV for Home Health Care services until January 1, 2024.

Michigan currently, and will continue, to incur a Federal Medical Assistance Percentage (FMAP) penalty until EVV is implemented for Personal Care Services.