EVV score check for Pennsylvania home care agencies
How does your agency score on EVV?
Enter verified visits and visits with a manual edit for one program and one quarter. The check compares them with Pennsylvania's 85% threshold. Confirm the result in your official EVV compliance report.
Manual-edit rate above 15%
The last figure is a projection: it assumes no further edited visits, and existing edits stay in the quarter's total. It is not your official compliance result.
Suggested next steps
Need help reviewing EVV exceptions?
Talk to us about EVV monitoringHow the standard works.
Since January 1, 2025, the Department of Human Services expects at least 85% of visits in each program to be verified electronically without a manual edit, measured every federal fiscal quarter. Since January 2026, providers above 15% manual edits receive alerts: DHS issues them for fee-for-service, and managed care providers are followed up by their MCO. Two quarters in a row above the line can lead to a corrective action plan.
Corrections are recorded in your EVV system, with the reason documented. Under DHS guidance, post-service changes generally count as manual edits; some plans publish specific exceptions, such as PA Health & Wellness for qualifying midnight-shift corrections. The lasting fix is fewer exceptions in the first place: clock-ins and clock-outs on time, visits that match the schedule, and locations your plan recognizes.
Sources: DHS Medical Assistance Bulletin 05-24-01 (Aug. 2024): 85% EVV compliance standard · DHS Medical Assistance Bulletin 05-25-03 (Aug. 2025): alerts and corrective action. This check is for information only and is not compliance advice; confirm your numbers in your official EVV compliance report.
EVV exceptions, before billing.
Tell us which EVV system you use and how your team handles exceptions today.