Electronic visit verification and timesheets
Two records have to agree before you can be paid: the electronic record of your visits, and the biweekly timesheet you and the consumer both sign. Get them right and pay is routine. Get them wrong and pay is late.
What EVV is
Electronic visit verification records that a visit happened — when it started and when it ended. Every state requires it for Medicaid personal care services under the federal 21st Century Cures Act. It is not optional and it is not a Communicare Elite policy.
What EVV is not: it is not a camera, a microphone, or continuous tracking of where you are between visits. It captures the beginning and end of authorized work. The compliance detail →
Recording a visit correctly
- Record the start when you begin work — not when you leave home, not when you park.
- Do the authorized tasks.
- Record the end when you finish — not later that evening from your kitchen.
- If the system fails, note the real times immediately and tell us the same day. Do not reconstruct a week later from memory.
Record in real time. Batch-entering a week of visits on Friday is the fastest way to create a discrepancy between EVV and your timesheet — and discrepancies are exactly what audits look for.
The timesheet
Missouri law requires timesheets signed by both the consumer and the attendant, submitted to the vendor biweekly. Your signature certifies that the hours are accurate. So does theirs.
Before you sign, check:
- Every date and time matches what actually happened.
- Nothing appears for days you were not there.
- Nothing is claimed for periods the consumer was hospitalized or away.
- Tasks recorded are within the authorized care plan.
- The total stays within the authorized hours.
- Both signatures are present.
Errors that delay pay
| Error | Consequence |
|---|---|
| Timesheet submitted after the deadline | Generally rolls to the next cycle |
| Missing the consumer’s signature | Cannot be processed |
| EVV record and timesheet disagree | Held until reconciled |
| Hours exceed the authorized plan | Excess is not billable |
| Time claimed during a hospital stay | Not billable; may trigger review |
The line you must not cross
Never ask a consumer to pre-sign a blank timesheet. Never record time you did not work. Never let someone else record visits under your name. These are not paperwork infractions — they are Medicaid fraud, and they take down the consumer alongside the attendant. If anyone pressures you to do any of it, call (314) 809-6655. Program integrity →
Questions about a timesheet? Call before you sign.
Call (314) 809-6655 for a free consultation, or text (314) 886-5902. We serve St. Louis City, St. Louis County and Missouri communities within about 40 miles of our office.