EVV compliance in Colorado is a mandatory part of Medicaid care, yet many providers still manage visit data manually or through Sandata uploads. This approach often leads to missed edits, delayed submissions, and potential payment issues.
With Medicaid audits becoming stricter, more Colorado care providers are adopting automated tools like ShiftCare Verify — dedicated EVV software that logs visits, formats data for Sandata, and submits records automatically. It keeps agencies compliant without the extra admin work – and keeps everything in one place, to centralise your records management.
Your team is better off spending time supporting clients, not troubleshooting file uploads. That’s why more agencies are turning to digital EVV solutions to automate visit tracking, Sandata submissions, and compliance updates — all from one dashboard.
What Is EVV and How Does It Work in Colorado?
Electronic Visit Verification (EVV) is a federal requirement under the 21st Century Cures Act. In Colorado, all Medicaid-funded personal care and home health services must use it to verify that visits occur as scheduled. The goal is to reduce fraud, improve care oversight, and ensure that participants receive the appropriate support.
The Colorado Department of Health Care Policy & Financing (HCPF) oversees the EVV program, using Sandata as the state’s EVV aggregator.
There are quite a few guidelines, but here are the main points to remember:
- Six required data points: Providers must collect six verification data points for each visit: service type, individual receiving service, date of service, location, time in/out, and staff member.
- Open Choice model: Colorado uses a Hybrid “Open Choice” EVV Model, meaning you may use the State’s no‑cost EVV system (via Sandata Technologies) or a certified “Provider Choice System” that interfaces with it.
- Services covered: Services requiring EVV include a wide range of Medicaid programs, such as personal care, CDASS, home health, behavioral therapy, respite, skills training, and more.
- Exemptions: Certain services are exempt such as live-in caregivers, reasonable modification under ADA, certain capitated models, hospice, PACE programs, and some telehealth services.
- Privacy protections: The program prohibits the collection of biometric data, continuous GPS tracking, forced geo‑fencing, pictures, or videos for EVV verification.
- EVV Submissions: EVV data must be submitted before claims are processed. Claims billed without matching visit records may be denied or recouped.
- Manual entries: Modifications or manual entries after service should be limited – repeatedly exceeding thresholds for modified or entered records may trigger audits.
- EVV enrolment: All providers, caregivers, and members must be enrolled and trained in the chosen EVV system.
How EVV Works in Colorado
| EVV Data Point | What It Includes |
| Service Type | the specific Medicaid service delivered (e.g., personal care, homemaker assistance) |
| Person Receiving Services | full name or Medicaid ID of the individual receiving care |
| Date of Service | the exact calendar date the care was provided |
| Location of Service | verified location (typically GPS from mobile app or fixed device) |
| Time In / Time Out | the clock-in and clock-out timestamps recorded for the visit |
| Staff Member | the name and unique ID of the caregiver who provided the service |
EVV Compliance Made Easier with Digital Tools
So, you’re aware of what is required, but the question remains – what digital tools can be used to make EVV compliance simpler and to break away from manual processes (and the never ending spreadsheets). There are a range of software tools available, purpose built to support EVV compliance across a range of States – which system you choose all depends on what’s available in Colorado, and what supports other requirements for your business – from client management and scheduling to invoicing and accounting.
ShiftCare Verify is an example of a software solution that is purpose-built for EVV compliance in Colorado, helping providers meet federal and state-level mandates. Instead of manually uploading records, ShiftCare automatically formats visit data and transmits it to Sandata using approved protocols.
This automation allows agencies to comply with the 21st Century Cures Act and Colorado Medicaid requirements, while simplifying the admin and claim processes. Status updates and exceptions sync back into the dashboard, so providers can manage and resolve issues without switching platforms.
Here’s how ShiftCare Verify can help care agencies to manage EVV:
- EVV-Ready Visit Records: ShiftCare logs clock-ins and clock-outs and formats them to match Colorado’s EVV submission standards.
- Approved Data Transfer: Visit data is securely sent to Sandata following the Colorado EVV interface specifications.
- Built-In Error Handling: Exceptions returned by Sandata are flagged in ShiftCare with details for fast resolution.
- Real-Time Feedback: Submission results flow back into the system so you can confirm accepted or rejected visits.
- Unified Compliance Workflow: No need for separate EVV portals because you can access both care delivery and EVV compliance in one place.
How ShiftCare Verify Automates EVV for Colorado Providers
ShiftCare handles the entire EVV reporting cycle within a single platform. From check-in to submission, it logs, formats, and sends every step with minimal manual intervention.
We’ve outlined the steps below to highlight how ShiftCare Verify can help you manage the end-to-end EVV process.
| Step | What Happens | Why It Matters |
| 1️⃣ Clock in/out | Staff record visits via the ShiftCare app or web portal. | Removes the need for extra hardware or manual entry. |
| 2️⃣ Auto-format | Data is structured to meet Colorado’s EVV specifications. | Ensures every record meets HCPF standards. |
| 3️⃣ Secure transfer | Visit data is sent directly to Sandata using approved protocols. | Faster, error-free submissions. |
| 4️⃣ Real-time feedback | Sandata responses appear instantly in your dashboard. | Instantly identify accepted or rejected visits. |
| 5️⃣ Quick fix and resubmit | Any rejected records include error codes and guidance. | Resolve issues before claims are processed. |
With this built-in automation, Colorado care providers can stay compliant with the 21st Century Cures Act — without the admin overload.
Ditch the Manual Logs and Start Automating EVV Compliance
ShiftCare also streamlines care management, scheduling, and progress notes, so everything your team needs will be in one place. Sign up for free and book a demo today — no credit card needed!
