I have a small business that performs in-home services to people in need and Medicaid is the payor for the services.

Due to the 2016 Cures Act, all companies who provide Medicaid-paid services in homes must comply with Electronic Visit Verification (EVV) requirements in order to receive payment for services billed.

Currently, Adobe Sign meets all the requirements for business to use as their EVV solution EXCEPT "the location of of where the service is offered."

If Adobe could add an optional requirement to catch the location of a signature (e.g., GPS coordinates or IP Address) then the problem could be solved.

Here's more info on EVV for context:

EVV is a system that includes multiple point-of-care verification technologies, such as telephonic, mobile, and web-based verification inputs. The system electronically verifies the occurrence of home or community-based service visits, identifying the precise time that service provision begins and ends to ensure accurate claims disbursement.

EVV is required for all Personal Care Services and Home Health Services under Medicaid effective July 1, 2019*. Providers must select their own EVV service vendor and have records available for review upon request. All systems must be compliant with the Cures Act requirements including:

the type of service performed
the individual receiving the service
the date of the service
the location of service delivery
the individual providing the service
the time the service begins and ends
the date of creation of the electronic record
Providers may choose the EVV system that best meets their needs and are not required to use a specific software or vendor as along as the system meets federal requirements.

*While a July 1, 2019 compliance date has been set, recoupment/penalties for not having EVV data will not take place until January 1, 2021 for PCS and January 1, 2023 for HHS.

https://medicaid.utah.gov/evv/