State Electronic Visit Verification (EVV) & Aggregator Platform
Protect Provider Choice, Achieve 99% Adoption, and Simplify 21st Century Cures Act Compliance
Therap's state EVV aggregator links flexible, interoperable EVV data collection with point‑of‑care provider tools, removing operational friction while maintaining data integrity. Managing Electronic Visit Verification (EVV) across a state network requires a system that satisfies federal mandates without disrupting provider operations — and Therap's approach achieves provider adoption rates of 99% or higher.
Functionality
Interoperable EVV Aggregator
Ingest, normalize, and validate visit data from both Therap's native provider software and certified third‑party EVV systems using standard RESTful APIs.
Provider Choice Architecture
Allow providers to keep their preferred scheduling, care documentation, and billing software, eliminating business disruption while maintaining state oversight.
Real‑Time Oversight & Quality Dashboards
Give state teams immediate visibility into active service delivery, regional utilization trends, and service gaps across open or closed networks.
Integrated Payer Interfaces
Connect standardized aggregator data to state MMIS and MCO payment systems to support accurate claims adjudication without disrupting existing payment designs.
Mobile & Offline Capture for Cures Act Compliance
Equip field staff with iOS and Android tools to collect the six mandatory data elements of the 21st Century Cures Act, as well as GPS verification, electronic signatures, and offline data collection for remote areas.
End‑to‑End Billing & Claims Tools
Utilize optional provider tools that facilitate billions in annual Medicaid claims, supporting 837 claim file generation, 835 remittance processing, and pre‑billing validation.
Benefits
Achieve 99%+ Provider Adoption
Respecting existing provider systems and removing administrative hurdles leads to rapid onboarding and high compliance across state networks.
Maintain Data Integrity Without Bottlenecks
Decouple EVV verification from claims generation so providers maintain control over revenue cycles while state agencies receive verified, audit‑ready data.
Prevent Overbilling and Claims Errors
Match verified visit timestamps and geolocations against active service authorizations before billing to stop improper payments prior to claim submission.
Strengthen EVV Program Integrity
Flag ghost visits, overlapping shifts, and unauthorized locations automatically. Built‑in exception tracking monitors manual edits, overrides, and billing anomalies to catch fraud, waste, and abuse early and protect state funds.
“Therap’s statewide EVV system gives individuals, families, community service providers and DHSS real‑time access to information and data to provide better outcomes and decisions for our customers. CMS certification has been a collaborative effort from stakeholders across the State and allows for Alaska to apply for enhanced federal financial participation to continue to improve services and outcomes for all Alaskans.”
Alaska Case Study: Achieving 100% EVV Compliance in America’s Most Rugged Terrain
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Frequently Asked Questions
How does Therap achieve a 99% provider adoption rate?
Therap protects provider choice by offering two pathways to compliance: providers can use Therap’s state‑provided EVV tool or keep their preferred third‑party EVV software. By integrating third‑party vendors through open APIs and avoiding forced billing workflow changes, Therap minimizes business disruption and secures strong provider buy-in.
How does Therap handle third‑party EVV software under an open model?
Therap’s EVV Aggregator acts as a central intake layer using secure RESTful APIs. Third‑party vendors complete a certification process to verify data integrity, timestamp controls, and HIPAA compliance. Once certified, these systems push standardized visit data into the aggregator without disrupting provider operations.
How does the system prevent improper billing and fraud?
Therap matches time‑stamped, location‑verified visit records against service authorizations before claims are processed. This pre‑billing validation stops overbilling, identifies overlapping shifts, and highlights unauthorized visit locations prior to payment adjudication.
Can field staff record visits in areas without cellular reception?
Yes. The mobile app includes an Offline Mode that captures and time‑stamps visit details, GPS coordinates, and electronic signatures directly on the device without saving Protected Health Information (PHI). Data syncs to the central system once a Wi-Fi or cellular connection is restored.
How does Therap interface with state MMIS and MCO payment systems?
Therap builds bi‑directional interfaces using existing file‑sharing protocols. The aggregator feeds normalized EVV verification data into state data warehouses and payer systems, giving providers status updates while allowing MMIS platforms to handle claim adjudication as designed.