I am a live-in caregiver and when there are emergencies such as toileting accidents or worse in the middle of the night, my job is to care for the person not the clock FIRST.  THE PERSON comes FIRST.  Getting this person to their specialist appointments on time comes first!  Not the clock.  All appointments are all out of town as we live rural.  It is a very daunting task trying to schedule around the EVV which does have many glitches.  Why is it that the state, insurance, and evv glitches are overlooked and acceptable, but the provider gets the blame and is threatened with not being paid for work that has been done? ! There is a caregiver crisis: don't burden the overburdened with evv, for heaven's sake!