Electronic Visit Verification (EVV) in Arizona
All states: EVV requirements map
In short: Open model with no state EVV system. Agencies contract their own EVV vendor, which sends visits to the state-run aggregator. Claims need a matching EVV visit.
Arizona EVV at a glance
| EVV model | Open. Agencies contract with their own EVV vendor. |
|---|---|
| State EVV system | None. AHCCCS stopped using Sandata as its EVV vendor on October 1, 2025. |
| Aggregator | AHCCCS Aggregator, run by AHCCCS itself. It replaced the Sandata aggregator on October 1, 2025. |
| Can I use my own EVV vendor? | Yes. The vendor must complete testing with AHCCCS before it sends data. |
| Are claims denied without EVV? | Yes. Hard claim edits apply to dates of service from January 1, 2023. |
| Managed care | Health plans check claims against visits in the aggregator and audit provider EVV compliance. |
| When does EVV apply? | Only when provider type, service code and place of service all match the AHCCCS table. |
Last verified against state sources: 2026-10-08.
How does EVV work in Arizona?
Arizona uses an open EVV model. There is no state-provided EVV system, so each agency contracts with its own EVV vendor, and that vendor sends visit data to the AHCCCS Aggregator. AHCCCS, the state Medicaid agency, built and runs the aggregator itself. It replaced Sandata on October 1, 2025, in a change the state calls EVV 2.0.
Arizona has used EVV since January 1, 2021. Before October 2025, AHCCCS contracted with Sandata as both the state EVV vendor and the aggregator, and agencies could use that system or an alternate vendor. That ended with EVV 2.0. Agencies that had used the state Sandata product had to contract with Sandata directly or move to another vendor.
- Vendor testing: each EVV vendor must complete successful testing with AHCCCS before it sends its first visit data.
- Who is responsible: AHCCCS says the aggregator checks technical compliance only. The provider agency is responsible for making sure its vendor meets AHCCCS policy.
- Audits: the AHCCCS EVV page says health plans have begun auditing provider EVV compliance.
- Aggregator access: the AHCCCS Solutions Center went live on May 4, 2026, and aggregator users now log in with ID.me.
AHCCCS posts a list of alternate vendors that are sending data to the aggregator. The state says the list is not an endorsement, and the version we reviewed was marked as updated on September 22, 2025.
Which Arizona services and providers require EVV?
EVV applies in Arizona only when three things all match the AHCCCS table: the provider type, the service code and the place of service. If any one of the three does not match, the visit is not an EVV visit. The table covers attendant care, personal care, homemaker, companion care, respite, habilitation, home health and private duty nursing.
The AHCCCS table of provider types and services lists:
- Provider types: 40, 77, A3, F1 (fiscal intermediary), 39 (habilitation provider), 23, IC, 95 and 46.
- Personal care and support services: attendant care (S5125), personal care (T1019), homemaker (S5130), companion care (S5135, S5136), respite (S5150, S5151) and habilitation (T2017).
- Home health and nursing: nursing (G0299, G0300), home health aide (T1021), private duty nursing (S9123, S9124), physical therapy (G0151, S9131), occupational therapy (G0152, S9129), speech therapy (G0153, S9128) and respiratory therapy (S5181).
- Place of service codes: 12, 13 and 99.
Fiscal intermediaries are on the table, so EVV also reaches self-directed attendant care. Check the current table before you set up a new service line, since the state can change it.
Does Arizona deny Medicaid claims without a matching EVV visit?
Yes. A claim for an EVV service needs a matching EVV visit in the AHCCCS Aggregator before it can be paid. Hard claim edits apply to dates of service from January 1, 2023, and Arizona kept this claims validation when it moved to its own aggregator in October 2025.
Before 2023, Arizona used soft edits, which ran through December 31, 2022. Since then, there is no payment unless all the required EVV visit data is present. Health plans check claims against the visits held in the aggregator before they pay or deny.
- Visit status matters: health plan notices say a visit that is not in verified or processed status is not payable. A visit in approved or incomplete status does not pass claims validation.
- Older visits: historical visit data was carried into the AHCCCS Aggregator. Visits from before October 1, 2025 that are not verified or processed stay unpayable until they are resolved, and agencies that changed vendors may need to enter a manual visit.
- Prior authorization: prior authorization data has not been required in EVV visit documentation since October 1, 2025.
In practice, a visit that took place but never reached verified or processed status in the aggregator is a visit that does not get paid. Agencies that review open visits every day, instead of at billing time, catch these before the claim goes out.
What is changing next for Arizona EVV?
We did not find a confirmed upcoming change to Arizona EVV as of our last check. The move to the AHCCCS Aggregator (October 1, 2025) and the AHCCCS Solutions Center login with ID.me (May 4, 2026) are both already in effect, so they are current requirements and not future ones.
Important: This page covers the core of Arizona's EVV setup. It does not summarize the detailed rules in the AHCCCS EVV policy and its FAQs on scheduling, live-in caregivers, designees and contingency planning. AHCCCS revises its policy manual during the year, so read the current policy and notices on the AHCCCS EVV page before you rely on a detail that is not covered here.
If your health plan sends an EVV notice, treat it as the most current word for that plan's claims, and ask the plan directly when its guidance and your vendor's guidance differ.
Get notified when Arizona EVV rules change
Leave your email and we will let you know when Arizona changes its EVV requirements. No newsletter, only changes for this state.
Who to ask about Arizona EVV
Questions about Arizona EVV rules are best put to the state. Start with AHCCCS: Electronic Visit Verification. The state lists EVV@azahcccs.gov for EVV questions.
Arizona EVV sources
- AHCCCS: Electronic Visit Verification
- AHCCCS: EVV table of provider types, services and places of service
- AHCCCS Solutions Center
- Arizona Complete Health: EVV 2.0 provider notice (October 1, 2025)
- Arizona Complete Health: EVV aggregator transition provider notice (July 1, 2025)
- Arizona Complete Health: EVV hard claim edits provider notice (December 9, 2022)
- Banner Health Plans: EVV notice (December 18, 2025)
- Banner Health Plans: EVV notice (May 15, 2026)
Related reading
- EVV Aggregators Explained: A Simple Guide for Home Care Providers
- The Benefits of Using 3rd-Party EVV Software
- EVV Software Demo Checklist: What to Ask and Test Before You Buy
- What is EVV Software?
- EVV requirements for every state (map)
Page history
- October 8, 2026: Page rewritten and checked against state sources.
This page is a reference, not legal advice. State rules change, so confirm details with the state before you act on them.
Ankota provides EVV software for Medicaid home care agencies. If you would like to talk through Arizona's requirements, contact Ankota or read more about Ankota's EVV software.
Ms. Jami Snyder
Arizona Health Care Cost Containment System
801 East Jefferson, MD 4100
Phoenix, AZ 85034