By January 1, 2020, state Medicaid programs must be using electronic visit verification (EVV) to document provision of personal care services (PCS). Within four years, by January 1, 2023, state Medicaid programs must be using EVV to document provision of home health care services (HHCS). Failure to implement EVV will result in a reduction to the state's federal medical assistance percentage (FMAP) for each quarter that the state is not in compliance. For PCS, in 2020, states that are not in compliance will experience an FMAP cut of 0.25 percentage points. The penalty will gradually increase to 1 . . .