Action Taken Codes & Reason Codes

Reason Codes

Description

Phone number did not link to the Member

Member won't let attendant use phone

Member doesn't have a phone in home

Phone in use by Member or individual in Member's home

Member received services outside of the home

Member's phone line not working (technical issue or natural disaster)

Member requested to change/cancel scheduled visit; or the scheduled visit has been cancelled due to the

Member’s services being suspended

Address did not link to the Member (GPS)

Attendant failed to call in

Attendant failed to call out

Attendant failed to call in and out

Attendant called in to or out of the EVV system early or late

Attendant's identification number (s) does not match the scheduled shift or task discrepancy/task does not match plan of care

Attendant entered invalid fixed location device code(s)

Attendant failed to report to Member’s home

Fixed location device on order or pending placement in the home

Fixed location device malfunctioned

Attendant unable to use mobile device

Attendant unable to connect to internet or EVV system down

Data Entry Error

Agency unable to provide replacement coverage (no show, no replacement)

Timesheet Received

Other

Action Taken

Description

Confirmed visit with outside entity and documented

Confirmed with the Member or the Member’s family member/representative and documented (this service cannot

be billed)

New attendant assigned to Member

Visit rescheduled

Service(s) cancelled or suspended until further notice

Updated Member’s address and documented

Updated Member’s phone number and documented

Changed verification collection method and documented

Timesheet received and signed by supervisor

Mutual Case/ or Cluster Case/ or Live-in Case

Change in schedule

Unverified visit; this service cannot be billed

Supervisor approved change

Timesheet Verified

Other