Not everyone has digital access or landlines that may be required by the EVV system their state.
Concerns about how EVV will work in in rural areas where internet access may be limited.
In states with self-directed waiver programs there’s a concern that if a state dictates the type of EVV that the provider must use this will make the state a joint provider for purposes on the Fair Labor Standards Act, and could trigger overtime requirements.
The expense of purchasing EVV equipment could create an incentive for service provider agencies to stop serving Medicaid clients in a state.
