The caregiver taps once. The app takes a GPS fix at clock-in and clock-out — never in between, and never in the background. Location is captured to prove where service was delivered, not to follow anybody around.

Waits for a fix good enough to be worth having, then records the accuracy, the provider, and whether the device reported a mock location. If no fix arrives, the punch is recorded anyway and flagged.

No signal is the normal case in rural work, not the exception. The punch is written to the device the instant the caregiver taps — with its GPS fix — and sent when a connection returns.

This is the difference between a compliant visit and an exception. A shift captured offline and transmitted later is still electronically verified. A shift re-typed from memory is not. The device stores only opaque identifiers and coordinates, encrypted, for at most three days.

The caregiver calls a number from the client’s landline at the start and end of the visit. Caller ID identifies the line, and the line cannot be answered from anywhere else.

That is why telephony has always been an accepted EVV method: a landline at the residence genuinely verifies place. A call from a mobile number verifies who is calling and nothing more — we record those as attested, never as verified.

A small sealed unit is anchored in the home and displays an 8-digit code that changes every 30 seconds. The caregiver notes the code on arrival and on leaving, then enters both later from anywhere.

Only somebody physically present could have read the code, and the code itself encodes when it was shown — so the times are derived by the server, never typed by the caregiver. The answer for homes with no coverage and no landline. Codes stay valid for seven days.

Added afterwards from the app or the portal, with a required reason code and the address where the work happened.

Always available, deliberately last. An address the worker types is attestation, not verification, and we never submit it as though a device measured it. Manual entries are flagged and do not count toward a state compliance percentage — which is exactly why the four methods above exist.