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EducationMarch 17, 20267 min read

EVV Verification Rates: What Washington Providers Achieve

Jasmine M.

CareCade Foundation

EVV Verification Rates: What Washington Providers Achieve

What Is EVV Verification Rate?

Put This Into Practice

CareCade makes it easy to implement best practices for home care management.

Electronic Visit Verification (EVV) captures proof that home care visits actually happened—when, where, and by whom. The verification rate measures how consistently a provider achieves complete EVV compliance.

A high verification rate means visits are properly documented with:

  • GPS-confirmed location
  • Accurate clock-in and clock-out times
  • Caregiver identity verification
  • Service type recorded

For families, EVV verification rate answers a simple question: Can I trust that care is happening as scheduled?

Why Verification Rate Matters

For Families

Every verified visit is proof that:

  • The caregiver arrived at your loved one's location
  • They stayed for the scheduled duration
  • The visit wasn't fabricated or falsified

Low verification rates may indicate:

  • Caregivers forgetting to clock in/out
  • Technical issues not being resolved
  • Potential billing for services not rendered
  • Poor operational oversight

For Providers

Verification rate directly impacts:

  • Billing accuracy — Unverified visits may be denied
  • Compliance — Medicaid requires EVV for personal care services
  • Reputation — Families increasingly expect transparency
  • Audits — Low rates trigger scrutiny

For the System

State agencies use verification data to:

  • Prevent fraud and abuse
  • Ensure services are delivered
  • Monitor provider performance
  • Protect Medicaid integrity

EVV Verification Rate Benchmarks

Based on data from verified CareCade providers in Washington:

BenchmarkVerification RateWhat It Means
Excellent99%+Near-perfect compliance
Good97-98%Strong systems, rare exceptions
Acceptable95-96%Some gaps to address
ConcerningBelow 95%Systemic compliance issues

What Washington Providers Achieve

Across verified CareCade providers:

  • Average verification rate: 98.5%
  • Top quartile: 99.5%+
  • Median: 99%

The best providers treat unverified visits as exceptions requiring investigation, not routine occurrences.

How Verification Rate Is Calculated

Verification Rate = (Fully Verified Visits ÷ Total Visits) × 100

Fully verified means:

  • GPS location captured at clock-in
  • GPS location captured at clock-out
  • Times recorded accurately
  • Caregiver identity confirmed (if biometric enabled)

What Causes Unverified Visits

Technical issues:

  • Phone battery died
  • GPS signal lost (basement, rural area)
  • App crashed
  • Forgot to clock out

Process issues:

  • Caregiver forgot to use app
  • Used wrong clock-in method
  • Manual entry required after the fact

Legitimate exceptions:

  • Emergency situations
  • Client-directed changes
  • Technical outages

Good providers track why visits are unverified, not just how many.

Verification Methods Compared

Different verification methods affect achievable rates:

MethodTypical RateWhy
GPS + Biometric99%+Strongest verification, fewest excuses
GPS only97-99%Reliable but identity not confirmed
Telephony95-98%Depends on client having landline
Manual entry80-95%Prone to errors and delays

Biometric verification (Face ID, fingerprint) achieves the highest rates because:

  • Can't be done remotely (must be at location)
  • Can't be done by someone else (identity confirmed)
  • Quick and easy for caregivers
  • Works offline with sync

What Affects Verification Rates

Provider-Side Factors

Technology choices:

  • Mobile app quality and reliability
  • Offline capability
  • Ease of use for caregivers

Training:

  • Caregiver onboarding on EVV
  • Refresher training
  • Clear expectations

Monitoring:

  • Real-time dashboards
  • Same-day exception follow-up
  • Accountability for gaps

Caregiver-Side Factors

Device issues:

  • Smartphone condition
  • Battery management
  • App updates

Habits:

  • Consistent clock-in routine
  • Understanding of requirements
  • Buy-in on importance

Environmental Factors

Connectivity:

  • Rural areas with poor signal
  • Basements or concrete buildings
  • Client locations without WiFi

Client situations:

  • Emergency diversions
  • Schedule changes mid-visit
  • Access issues

Best Practices for High Verification Rates

For Providers

Technology:

  • Use EVV with offline capability
  • Choose GPS + biometric for strongest verification
  • Ensure app works reliably on common phones

Process:

  • Make EVV part of job requirements (not optional)
  • Follow up on unverified visits same-day
  • Track patterns by caregiver and location

Training:

  • Hands-on EVV practice during onboarding
  • Clear documentation of expectations
  • Support resources for common issues

Culture:

  • Explain why verification matters (not just compliance)
  • Celebrate high verification rates
  • Address issues supportively, not punitively

For Caregivers

  • Keep phone charged throughout shift
  • Clock in immediately upon arrival
  • Clock out before leaving (not after)
  • Report technical issues promptly
  • Know the backup process for failures

What to Ask Providers About Verification Rates

When evaluating a provider, ask:

  1. "What's your EVV verification rate?"

    • Expect 97%+ from a good provider
    • Ask for recent data (last month or quarter)
  2. "What verification method do you use?"

    • GPS + biometric is strongest
    • Ask if it works offline
  3. "How do you handle unverified visits?"

    • Look for same-day follow-up process
    • Ask how they investigate gaps
  4. "Can families see verification status?"

    • Transparency indicates confidence
    • Family portal access is a plus

Red Flags

  • Won't share verification rate
  • Rate below 95%
  • No process for investigating gaps
  • Manual entry is common
  • Blames caregivers without support

Verification Rate and Billing

Unverified visits create billing problems:

For Medicaid services:

  • Claims without EVV may be denied
  • Audits flag unverified visits
  • Patterns of gaps trigger investigations

For providers:

  • Unverified = potentially unbillable
  • Rework to document after the fact
  • Risk of recoupment

High verification rates protect both providers and families.

How CareCade Achieves High Verification Rates

CareCade's EVV is designed for high verification:

GPS + Biometric:

  • Location verified at clock-in/out
  • Face ID or fingerprint confirms caregiver identity
  • Dual verification prevents fraud

Offline Capability:

  • Works without cell signal
  • Stores data locally
  • Syncs when connection returns

Caregiver-Friendly:

  • Simple one-tap clock-in
  • Clear status indicators
  • Minimal friction

Real-Time Monitoring:

  • Dashboard shows verification status
  • Alerts for missed clock-ins
  • Same-day exception management

Family Transparency

Families using CareCade see:

  • Visit verified status in real-time
  • "On My Way" caregiver notifications
  • Historical verification record
  • Performance metrics over time

The Compliance Context

Federal Requirements

The 21st Century Cures Act requires EVV for:

  • Medicaid personal care services
  • Medicaid home health services

States must capture six data points:

  1. Type of service
  2. Individual receiving service
  3. Date of service
  4. Location of service
  5. Individual providing service
  6. Time service begins and ends

Washington State

Washington uses an open model—providers choose their EVV vendor if it meets requirements. High verification rates demonstrate compliance with:

  • DSHS DDCS requirements
  • ProviderOne billing standards
  • Federal EVV mandate

Verification Rate Trends

What we're seeing across the industry:

Rates are improving:

  • As EVV becomes standard, rates increase
  • Better technology makes compliance easier
  • Training and expectations are clearer

Biometric is becoming standard:

  • More providers adding face/fingerprint verification
  • Families expect identity confirmation
  • Fraud prevention drives adoption

Real-time visibility increasing:

  • Families want to see verification status
  • Providers compete on transparency
  • Technology enables instant confirmation

The Bottom Line

A good EVV verification rate is 97% or higher, with excellent providers achieving 99%+.

When evaluating providers:

  • Ask for their EVV-verified rate
  • Understand their verification method (GPS, biometric, etc.)
  • Look for transparency and family visibility
  • Consider verification rate alongside other quality metrics

High verification rates aren't just about compliance—they're about accountability and trust.


Find Verified Providers

Search for providers with transparent EVV compliance:

Browse Provider Directory →

Look for the verified badge indicating providers committed to accountability.


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