Regulatory watch
Utah EVV requirements: rule R414-522
- Rule R414-522, as Utah Medicaid posts it, last changed October 26, 2023
- Utah Medicaid EVV FAQ, September 2024
- The Utah Medicaid EVV page and its service code list (undated)
- State Plan EVV training deck, file dated August 2, 2023
- Home Health Services provider manual, archived May 2024 copy
Compare Utah’s EVV dates
Utah’s documents give different start dates. Here is what each one says:
| Item | Date | What the paper says | Source |
|---|---|---|---|
| FAQ start date | July 1, 2019. | EVV in effect for both covered service types, with no penalty yet. | FAQ, Sept. 2024 |
| Personal care penalties | Jan. 1, 2021. | Recovery for personal care claims without EVV data can begin. | FAQ, Sept. 2024 |
| Personal care record | July 1, 2021. | The rule’s effective date for an EVV record on personal care. | R414-522-3 |
| Home health record | Jan. 1, 2023. | The rule’s effective date for home health; the manual’s too. | R414-522-3; manual 11-3 |
| Rule text | Oct. 26, 2023. | Last change to R414-522 in the copy Utah Medicaid posts. | R414-522 |
| Home health penalties | Jan. 1, 2024. | Recovery for home health claims without EVV data can begin. | FAQ, Sept. 2024 |
Phone readers: swipe sideways for the Source column. Dates were matched to their papers on November 6, 2026.
Utah Medicaid in its own words
R414-522, last changed October 26, 2023, defines EVV as “the use of telephone or computer-based technology to verify the data elements related to the delivery of a Medicaid-covered service.” On vendors, the Utah Medicaid EVV page, undated, puts it simply: “Providers may choose the EVV system that best meets their needs.”
Seven data elements and a three-month window
The rule, as last changed October 26, 2023, lists seven things a record carries: the service type, the person served, the date, the location of service delivery, the worker, when the visit started and stopped, and the day the electronic record was made. It has each provider send EVV records to go with each personal care or home health claim within three months of submitting the claim. The September 2024 FAQ says files may go daily, weekly, monthly or quarterly.
Audits, recoupment and exemptions
The rule’s audit section lets Utah Medicaid withhold payment from a provider that misses data deadlines and recover funds where no EVV record backs a claim, after a report the provider can contest. A provider that made a good-faith effort but could not set up EVV in time for reasons outside its control can ask for an exemption from penalties within two weeks of being told of a finding, and a fair hearing remains open.
Live-in caregivers and other exclusions
The Utah Medicaid EVV page, citing CMS guidance, says a caregiver living in the same home as the member does not log an in-home visit, and neither do medical equipment drop-offs. The September 2024 FAQ adds that the agency keeps the paperwork showing live-in status, and that hospice sits outside EVV for now and massage therapy outside it.
Where Utah’s texts disagree
The start dates do not line up. The September 2024 FAQ gives July 1, 2019, with penalties starting January 1, 2021 (personal care) and January 1, 2024 (home health). R414-522 puts the personal care record date at July 1, 2021 and the home health one at January 1, 2023, and the State Plan training deck of August 2, 2023 lists federal dates of January 1, 2021 and January 1, 2023. This page reports each date with its own paper and does not choose between them.
What this page did not read
The Utah Code sections the rule cites (26B-3-108, 26B-1-213 and 26B-3-129) were not read; 26B-3-129 did not load as text. Neither were the Medicaid Information Bulletins, the CIB titled “Additional EVV Guidance” that the FAQ points to, or the EVV file technical specifications. The rule copy came from Utah Medicaid’s site, not the Office of Administrative Rules. No source read from Utah Medicaid names a state EVV aggregator.
Where LockProof fits in Utah
Under R414-522, last changed October 26, 2023, Utah Medicaid, in its yearly post-payment review of one sampled month, checks paid personal care and home health claims against the EVV records filed for them. Private-pay families and relatives can keep a photo record of an aide’s visits of their own with LockProof. Look at photo apps a Utah agency can run next to EVV, or open a walk-through of a LockProof visit record.
Utah updates and nearby states
The September 2024 FAQ points readers to the Medicaid Information Bulletins for updates. Line Utah up against every other state with the national EVV table; Colorado, to the east, has its own page, and so does Arizona, to the south, on Arizona’s EVV rules.
Common questions
Which EVV system does Utah use?
Whichever one the provider buys. The Utah Medicaid EVV FAQ dated September 2024 calls it a provider choice model and says the system the provider chooses must meet federal guidelines; the provider sends its EVV records to Utah Medicaid by an API or a secure web portal. Rule R414-522, last changed October 26, 2023, treats the aggregator as part of the provider’s own system, and no Utah text read names a state aggregator.
Which Utah services are on EVV?
In-home visits for personal care or home health, under the State Plan or a Medicaid waiver, per R414-522 as last changed October 26, 2023. The Utah Medicaid EVV page lists the service codes, including attendant care, companion and homemaker codes from the Division of Services for People with Disabilities. The September 2024 FAQ leaves out hospice, paid mostly per diem, and massage therapy.
Does Utah EVV use GPS?
Not by rule. The Utah Medicaid EVV FAQ dated September 2024 states that Utah Medicaid reads the federal law as not requiring GPS, and that location can be confirmed by a check-in through a telephone call, a phone application or a web portal. Nothing else read from Utah on November 6, 2026 adds a distance limit or a map check.
What happens in a Utah EVV audit?
R414-522, last changed October 26, 2023, has Utah Medicaid pick one calendar month from the prior twelve for each provider every year, managed care encounters included. Claims lacking a matching EVV record go into an audit report the provider can dispute. The rule allows recovery of up to 25 percent of paid amounts for that month and the two before it, and up to 100 percent if the finding is not remedied.
Is LockProof an option for Utah EVV filing?
LockProof is not an EVV system. Utah providers still file visit data through their EVV vendor, and no EVV record goes from LockProof to Utah Medicaid. What LockProof offers runs on a different track: a texted link brings up the phone’s camera live, with gallery uploads switched off, and our server puts the time on each photo when it is received. If anyone edits the image, that server time or location data the phone volunteered, the SHA-256 seal stops verifying.
Is this Utah page legal advice?
No. What it says about Utah EVV comes from the five Utah Medicaid texts listed at the top, all read November 6, 2026 (a December 2022 FAQ was also read and is superseded); what it says about LockProof describes the product. The Utah Code and the Medicaid Information Bulletins were not read. The September 2024 FAQ points readers to those bulletins for updates, so an agency unsure about a service code should write to the Utah Medicaid EVV team or ask a lawyer.