Regulation • Regulated by CMS & State Medicaid Programs
Open Model EVV
Definition: A state EVV procurement model that permits home care providers to choose any compliant third-party EVV software as long as data is transmitted to the state aggregator.
Regulatory Impact & Compliance Overview
In an Open Model state, agencies are not forced to use the state's default EVV vendor for scheduling and visit tracking. Instead, agencies can use preferred systems like AsanWork and transmit verified visits seamlessly to the state data repository.
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 Open 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.