STATE OF
ILLINOIS
IDoA
Module 9: EVV & Documentation
Illinois Department on Aging Training Program
Learning Objectives
- Understand HHAeXchange EVV system
- Demonstrate clock-in/clock-out procedures
- Accurately document care activities and incidents
1. What is EVV?
Electronic Visit Verification (EVV)
Federal law (21st Century Cures Act) requires EVV for all Medicaid-funded personal care services.
EVV electronically verifies:
- ✓ Type of service performed
- ✓ Individual receiving service
- ✓ Date of service
- ✓ Location of service delivery
- ✓ Individual providing service
- ✓ Time service begins and ends
⚠️ IMPORTANT: Failure to clock in/out properly can result in non-payment for your services and audit issues.
2. HHAeXchange System Overview
Access Methods:
- Mobile App: Download "HHAeXchange" from App Store or Google Play
- Telephony: Call 1-844-222-4425 and enter your PIN
- Fixed Device: Some clients have dedicated tablets
3. Clock-In Procedure (Step-by-Step)
Using Mobile App:
- Open HHAeXchange app on your phone
- Log in with your username and password
- Tap "Clock In"
- Verify client name and address
- Allow GPS location access
- Confirm you are at client's home
- Take a photo if required
- Tap "Submit"
✓ Confirmation message will appear. Screenshot it for your records.
Using Telephony System:
- Call 1-844-222-4425
- Enter your caregiver PIN when prompted
- Enter client's phone number or ID
- Press 1 to clock in
- Listen for confirmation number
- Write down confirmation number
WHEN to Clock In:
- ✓ Clock in WITHIN 5 MINUTES of arriving at client's home
- ✓ You must be physically present at the service location
- ✗ Do NOT clock in early from your car
- ✗ Do NOT clock in before arriving
- ✗ Do NOT clock in if client is not home
4. Clock-Out Procedure
Mobile App:
- Open HHAeXchange app
- Tap "Clock Out"
- Verify client information
- Select services provided (checklist)
- Add any notes about the visit
- Tap "Submit"
- Save confirmation number
Services Provided Checklist:
You will be asked to select all services you performed:
- □ Personal Care (bathing, grooming, dressing)
- □ Meal Preparation
- □ Light Housekeeping
- □ Medication Reminders
- □ Companionship
- □ Transportation
- □ Laundry
- □ Grocery Shopping
Only select services you ACTUALLY performed during this visit.
5. Troubleshooting Common Issues
Problem: GPS not working or wrong location
Solution: Ensure location services are enabled in phone settings. Call telephony system as backup.
Problem: App won't let me clock in
Solution: Check if you're scheduled for that time. Verify client information. Call support: 1-855-472-8800
Problem: Forgot to clock in/out
Solution: Notify supervisor immediately. Complete a manual timesheet. Document the situation.
Problem: Client's phone is disconnected
Solution: Use your mobile phone app or your own phone to call telephony system.
6. Visit Documentation Best Practices
What to Document in EVV Notes:
- Client's Condition: General appearance, mood, energy level
- Services Provided: Specific tasks completed
- Changes/Concerns: Any unusual observations
- Client Response: How client tolerated care
- Refusals: If client refused any service
Sample Visit Notes:
"Assisted client with shower. Client tolerated well. Prepared lunch - turkey sandwich, fruit. Light housekeeping completed in kitchen and living room. Reminded client to take 2:00 PM medication. Client in good spirits today."
Documentation DON'Ts:
- ✗ Don't use abbreviations
- ✗ Don't document services you didn't perform
- ✗ Don't leave fields blank
- ✗ Don't wait until end of week to document
- ✗ Don't share your login credentials
7. Compliance & Audits
State auditors review EVV data for:
- ✓ Timely clock in/out within scheduled time
- ✓ GPS location matches client address
- ✓ Services documented match care plan
- ✓ No duplicate visits or overlapping times
- ✓ Complete visit notes
Non-compliance can result in payment denials and agency penalties.
Quick Reference Card:
Support Numbers:
- HHAeXchange Support: 1-855-472-8800
- Telephony System: 1-844-222-4425
- Your Supervisor: [Listed in your hire packet]
Module 9: EVV & Documentation | Version 1.0