Regulatory watch

South Carolina EVV requirements and Phoenix

By the LockProof Team · Last updated November 5, 2026

This page sets out what papers from SCDHHS, South Carolina’s Medicaid agency, say about EVV; nothing here is legal advice. The state has run an EVV system for its community long-term care waivers since 2002, and its provider manual of October 1, 2025 ties four waivers to an EVV system and to Phoenix billing. No South Carolina text read ties GPS to EVV. The sources come first, then the dates.
Read on November 5, 2026, these South Carolina papers support the page:Title 44, chapter 6 of the state code and chapter 126 of the SCDHHS regulations were searched and hold no EVV text. An agency unsure whether one of its services is covered should ask SCDHHS or its own lawyer.

South Carolina EVV by date

The six dates, each tied to its paper:

PointDateWhat happenedPaper
Long-term care waivers2002.SCDHHS starts using EVV for its community long-term care waivers.Provider alert, Nov. 1, 2022
Manual wordingJuly 1, 2020.The HCBS manual swaps the name “Care Call” for “EVV”.Manual change record
Three SCDDSN waiversNov. 22, 2022.The launch planned for Dec. 11, 2022 is postponed.Bulletin 22-030
Second delayDec. 22, 2022.SCDHHS says it will weigh other EVV options; no new date given.Bulletin 22-039
Home healthDec. 29, 2023.CMS finds home health does not meet the federal EVV requirement; the state anticipated meeting it by December 31, 2024.CMS letter
Community ChoicesJuly 1, 2026.Waiver renewal in effect; in-home visits documented through EVV.Waiver SC.0405.R05.00

The Paper column sits off to the right on small screens. Dates checked against each paper on November 5, 2026.

SCDHHS in its own words

The manual of October 1, 2025 calls the EVV system “an automated system used for service documentation and Medicaid Management Information System (MMIS) billing” and Phoenix a system “used for service monitoring, web-based reporting, and billing to MMIS.” The Community Choices renewal adds that “Claims are generated based on the EVV visit data,” and that when a worker errs or the system is down, providers “may bill directly via Phoenix.”

Who is covered

Under the SCDHHS Medicaid provider manual of October 1, 2025, agencies serving Community Choices, HIV/AIDS, Mechanical Ventilator Dependent and Medically Complex Children participants must take part in the SCDHHS EVV system or Phoenix. Its personal care scope of July 1, 2025 lists the ability to use the EVV system among an aide’s qualifications. The three waivers SCDDSN once ran (ID/RD, Community Supports, HASCI) still bill through the Medicaid web tool, per that manual.

Phone line or app at each visit

The waiver renewal effective July 1, 2026 describes EVV by landline telephone or smartphone application when services start and end, carrying the service type, the worker’s identity, notes on the work done and observations about the participant. Phoenix compares that entry with the authorization and bills what was documented or what was authorized, whichever is lower. SCDHHS Medicaid guidance for case managers, the scope of July 1, 2024, says the EVV must be used while in the participant’s home for home visits.

Resolutions and missed visits

The waiver papers name a resolution process for user error or system failure. Per the Medicaid manual of October 1, 2025, resolutions billed through Phoenix must be uploaded within two weeks of the service to be paid without a worker strike under the SCDHHS Strike Policy, which sits behind the Phoenix login and was not read. The personal care scope of July 1, 2025 asks providers to enter the reason for each missed visit on the EVV website by close of business the following week.

Documented and only reported

Documented by SCDHHS: the state system, Phoenix billing, the four waivers, the 2002 start and the postponed SCDDSN launch. Reported only: the vendor HHAeXchange says on its own South Carolina page that agencies will use its portal or a vendor that integrates with it under a “new open model”. No SCDHHS text read on November 5, 2026 says this, so this page does not treat it as fact.

Gaps in what was read

No SCDHHS EVV program page or EVV FAQ turned up, and the old EVV page named in a 2021 memo now returns an error. No field-by-field EVV data specification appears in what was read; the waiver’s own description of a visit entry is above. A June 19, 2023 bulletin refers to claims sent “through both Care Call and Authenticare”; no paper read says which system serves which waiver today. No source read from SCDHHS puts a name to an aggregator for the state system. Neither Title 44, chapter 6 of the state code nor chapter 126 of the SCDHHS regulations mentions EVV.

Where LockProof fits in South Carolina

LockProof is not an EVV system. Phoenix bills nothing from it, and a LockProof photo is no substitute for a visit entered in the SCDHHS system. Its job is narrower. An SMS link puts the caregiver in front of the live camera, gallery uploads off, and our server sets the receipt time on every picture. A location rides along only when the handset hands it over; agencies that want one on every photo can make the app refuse a photo without it. Any after-the-fact edit to the picture, that receipt time or that location leaves the SHA-256 seal broken.

The SCDHHS system keeps the visit record the state pays from. LockProof serves people outside that record: a son in Charlotte keeping an eye on his mother’s aide in Greenville, or a family paying for extra hours privately. Compare visit-photo tools South Carolina agencies pair with EVV, or read what a LockProof visit record holds.

Date read, and nearby states

Each South Carolina paper here was read November 5, 2026, and SCDHHS announces changes through Medicaid bulletins. Each other state has a row in a fifty-state EVV table; for North Carolina, to the north, see the North Carolina page, and for Georgia, the Georgia page.

Common questions

Which EVV system does South Carolina use?

Its own. The SCDHHS provider manual dated October 1, 2025 refers to "SCDHHS’ Electronic Visit Verification (EVV) system or Phoenix monitoring and payment system", and the Community Choices waiver renewal of July 1, 2026 says claims are generated from the EVV visit data. No SCDHHS text read on November 5, 2026 names an aggregator or describes a way to plug in a third-party system, and none rules one out either.

Which South Carolina waivers use EVV?

Four, according to the HCBS provider manual of October 1, 2025: Community Choices, HIV/AIDS, Mechanical Ventilator Dependent and Medically Complex Children. The same October 1, 2025 Medicaid manual says the ID/RD, Community Supports and HASCI waivers "currently do not require the use of the EVV billing system" and bill through the Medicaid web tool. A launch for those three, set for December 11, 2022, was postponed on November 22, 2022, a postponement SCDHHS extended on December 22, and no relaunch notice turned up.

Does South Carolina EVV use GPS?

No South Carolina text read on November 5, 2026 uses the word GPS for EVV. The Community Choices waiver renewal, effective July 1, 2026, describes EVV through "a landline telephone or smart telephone application" that records when services start and end. The personal care scope of July 1, 2025 places the nurse’s recorded visits in the participant’s home, and none of these papers names a distance limit.

Is South Carolina home health on EVV?

Not according to the last federal text read. A CMS letter dated December 29, 2023 found that South Carolina home health services did not yet meet the federal EVV requirement and reported that the state anticipated meeting it by December 31, 2024. The SCDHHS home health manual of May 11, 2023 has no EVV text, and no later SCDHHS or CMS paper read here says whether that happened.

Can LockProof replace the SCDHHS EVV system?

Phoenix and MMIS never receive a byte from LockProof’s camera links. LockProof is not an EVV system. Agencies serving the four waivers keep recording in-home visits in the SCDHHS system. What LockProof adds sits beside that: an SMS carries a link, which opens the camera live (uploads from the gallery are off), and the server stamps the photo on receipt. Editing the image itself, its arrival time or a location the handset shared breaks a SHA-256 seal.

Is this South Carolina page legal advice?

No. The page repeats what SCDHHS manuals, scopes of service, waiver papers and bulletins said when read on November 5, 2026, with one federal letter. SCDHHS updates these papers through Medicaid bulletins, and its Phoenix guidelines sit behind a provider login that was not read. An agency weighing whether one of its own services belongs in EVV should put that to SCDHHS or a lawyer.

Visit photos for South Carolina families, beside Phoenix

LockProof is not an EVV system. Phoenix and MMIS get nothing from it. Photos come in through a link sent by SMS, straight from the live camera with gallery uploads off, and our server stamps each one on receipt. Alter the picture itself, its arrival time or any location the handset shared, and the SHA-256 seal fails. SCDHHS has not reviewed it.