Legislation in the 21st Century Cures Act mandated that all home care agencies receiving reimbursement need to prove "electronically" that their visits were completed in accordance with what was claimed. States must require EVV use for all Medicaid-funded PCS by January 1, 2020 and HHCS by January 1, 2023. Otherwise, the state is subject to incremental FMAP reductions up to 1% unless the state has both made a “good faith effort” to comply and has encountered “unavoidable delays.” States and territories were required to self-report their EVV implementation status using a web-based survey, which the Centers for Medicare & Medicaid Services (CMS) used to determine compliance with the EVV requirements included in Section 12006(a) of the 21st Century Cures Act. View EVV compliance status for personal care services by State or Territory on the https://www.medicaid.gov/ website.