Ohio: Use EVV platform for home health services to avoid claim denials

To comply with the 21st Century Cures Act and related state requirements, UnitedHealthcare Community Plan of Ohio has implemented an Electronic Visit Verification (EVV) system through Sandata for home- and community-based services.

As part of that compliance, beginning June 1, 2025, we'll deny claims with dates of service on or after June 1, 2025, for the following qualifying state plan home health service codes if we see you didn’t use the EVV platform through Sandata and show proof of the visit within the platform:

• G0156: Home health aide
• G0151: Home health physical therapies
• G0152: Home health occupational therapies
• G0153: Home health speech language pathology therapies
• G0299: Home health nursing RN
• G0300: Home health nursing LPN

Register with Sandata

If you’re not registered with Sandata, please register immediately by visiting the Sandata EVV Portal pageopen_in_new. Once you’re registered, you’ll need to complete the required trainingopen_in_new to access the EVV platform.

Next steps

Once you have access to the EVV platform, you’ll need to show proof of the applicable visit within the system. It’s also important to make sure the details of the visit match the claim details to avoid any claim denials.

Resources

Visit the Ohio Department of Medicaid websiteopen_in_new to find educational opportunities such as fact sheetsopen_in_new, past webinars, schedule a help session or read frequently asked questionsopen_in_new and EVV newsletters.

Questions? We’re here to help

• Email ODMCustomerCareEmail@Sandata.com
• Call the EVV customer service line at 855-805-3505 
• Connect with us through chat 24/7 in the UnitedHealthcare Provider Portal.