Regulation • Regulated by CMS & State Medicaid Programs
Closed Model EVV
Definition: A state EVV model where the state mandates the use of a single state-contracted vendor for all Medicaid EVV visit capture.
Regulatory Impact & Compliance Overview
A few states originally selected closed models, but most US states have migrated to Open or Hybrid models following provider feedback regarding operational disruption and fragmented scheduling systems.
Governing Authority
Enforced by CMS & State Medicaid Programs in United States. Compliance with these standards is legally required for all licensed and participating care providers.
Automated Compliance
How AsanWork Enforces Closed Model EVV
AsanWork builds compliance directly into daily scheduling workflows. Hard compliance stops prevent un-vetted, un-screened, or non-credentialed staff from receiving shift allocations, ensuring 100% audit readiness.
Related United States Healthcare Terms
Regulation
21st Century Cures Act
A landmark federal healthcare law passed in 2016 designed to accelerate medical innovation, prevent health data blocking, and mandate Electronic Visit Verification for Medicaid home care.
Payroll
Blended Regular Rate (Overtime)
The weighted average hourly rate used to calculate FLSA overtime when a caregiver works at two or more different pay rates in the same workweek.
Regulation
CMS Conditions of Participation (CoPs)
Federal health and safety requirements that home health agencies and healthcare organizations must meet to begin and continue participating in Medicare and Medicaid programs.
Payroll
California Daily Overtime
A California state labor law requiring overtime pay of 1.5x regular pay for hours worked beyond 8 in a single day, and double pay for hours past 12.