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The 21st Century Cures Act

The 21st Century Cures Act (Cures Act), signed into law on December 13, 2016, is designed to help accelerate medical product development and bring new innovations and advances to patients who need them faster and more efficiently. The main aspect of this law that will affect those working with Burd Home Health is called Electronic Visit Verification (EVV). This type of system and reporting is required by all Fiscal Intermediaries like Burd Home Health in all states starting January 1st, 2021.

The Goals of EVV are to ensure timely service delivery for members, including real-time Service gap reporting and monitoring, reduce the administrative burden associated with paper timesheet processing and generate cost savings from the prevention of fraud, waste, and abuse. It aims to strengthen quality assurance by improving the health and welfare of individuals through the validation of delivery services.​

Service Type​

Individual Receiving Care

Location of Service Delivery

Date of Service

Begin and End Times of Service

Data Points Collected


When clocking in and out for your shift the personal attendant will have to choose between two EVV locations, Home and Community.


When clocking in and out for your shift the personal attendant will have to choose between two EVV locations, Home and Community.

Home and Community EVV Locations

When clocking in and out for your shift the personal attendant will have to choose between two EVV locations, Home and Community.

Will my punches still count if they are not EVV compliant?

Yes, your punches will still count if they are not EVV compliant. However, if a caregiver continues to have punches that are not EVV compliant, Burd Home Health will work with that consumer and caregiver to help fix this. If this continues to be an issue, Burd Home Health may elect to stop working with that consumer.

Do all Fiscal Intermediaries have to follow the EVV rules?

EVV is a federal law that all fiscal intermediaries are required to follow. If a fiscal intermediary does not follow EVV rules, they will receive a financial penalty from the federal government. For this reason, Burd Home Health has elected to follow the EVV rules and help our consumers comply with EVV rules to the best of their ability.

What if I do not have a cell phone to use the DCI app?

1. The first option is to clock in using the consumer's landline phone.

2. The second option is to request a fob device which Burd Home Health can mail to you for clocking in and out.

3. If neither of these options work, Burd Home Health can provide tablets to consumers to use for clocking in and out.

What are the biggest changes happening now compared to how I usually clock in and out?

For most consumers, there is not much changing. However, below is a list of changes you will notice.


1. Facial Recognition is now enabled on the DCI app. This is the most secure way to clock in and requires the caregiver to take a picture of the consumer when clocking in and out.


2. When clocking in and out, you will now notice an additional location option where you must select "Home" or "Community". If you are at the consumer's home, you will choose "Home". If you are anywhere other than the consumer's home, you will choose "Community".


3. Burd Home Health will begin tracking EVV compliance. If your caregivers are consistently clocking in and out without being EVV compliant, we will reach out to try and resolve the issue right away.

How will I know if my punch is EVV compliant?

The best way to know if a punch is EVV compliant is to have your consumer login to the DCI web portal here -

What is the number one reason most punches are not EVV complaint?

The biggest reason most punches fail EVV is that they do not happen in real time. For instance, let's say a caregiver forgets to clock in. They then call their Burd Home Health Relationship Manager who adds the punch for them. Even if the consumers approve the times added, it did not happen in real-time and therefore fails EVV.


How does EVV help me?

• EVV is an important protection against fraud. • EVV helps make sure you get the services you are supposed to receive. • EVV helps make sure workers are paid for the time they work. • EVV figures out the number of hours worked so you won’t have to. • Because EVV is electronic, there is less paper and timesheets can’t be lost.

With EVV, are my caregivers only allowed to clock in at my home?"

The short answer to this question is No. EVV laws allow caregivers to clock in from the "Community" in an effort to maintain the flexibility that self-direction provides. The caregiver can clock in and out from other settings other than the consumer's home as long as they are providing hands-on care to the consumer in those settings.

What if I do not want to use EVV? Are there are exceptions?

Federal law requires EVV for Personal Care Services provided in the home. However, if your worker lives with you, federal law does not require EVV for services he or she provides. If you have services provided out in the community, not in your home, federal law does not require EVV. In both cases, Burd Home Health may still require EVV rules be followed.


You Asked, We Answered

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