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    Home Care, Day Services and Disability Services will continue to be among the most important industries worldwide for the next 2 to 3 decades. The resources provided here are designed to help you learn and grow. Thanks for being home care heroes and day service stars

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      Ankota creates software for organizations that keep older and disabled people living at home. Our primary products are software for Home Care, Electronic Visit Verification, Adult Day Services, and Long Term Supports and Services (LTSS) for people with Intellectual and Developmental Disabilities. We also support other players in this ecosystem like PACE programs, Area Agencies on Aging (AAAs), Centers for Independent Living (CILs) and more

          Electronic Visit Verification (EVV) in Arkansas

          Click for the Ultimate Guide to EVV

          Electronic Visit Verification (EVV) in Arkansas

          All states: EVV requirements map

          In short: Agencies use the free state systems (AuthentiCare for personal care, Sandata for home health) or a certified outside system. Personal care claims are already tied to EVV. Change ahead: Fee-for-service home health claims without compliant EVV will be paid one cycle late from November 1, 2026 and denied from December 1, 2026.

          Arkansas EVV at a glance

          EVV modelOpen vendor model. Use a free state system or your own EVV system that meets state requirements.
          State EVV systemFiserv AuthentiCare for personal care, attendant care and respite. Sandata for home health. Both are free to agencies.
          AggregatorFiserv AuthentiCare (personal care, attendant care, respite) and the Sandata aggregator (home health)
          Can I use my own EVV vendor?Yes. It must meet state requirements and send visit data to the state system for that service.
          Are claims denied without EVV?Personal care, attendant care and respite: yes, since December 1, 2022. Fee-for-service home health: not yet. Payment delays start November 1, 2026 and denials start December 1, 2026.
          Managed carePASSE plans use their own vendors: HHAeXchange (Arkansas Total Care, Empower) and CareBridge (Summit, CareSource).
          Self-directionSelf-directed caregivers use the PPL Time4Care app or a phone line, not the agency systems.

          Last verified against state sources: 2026-10-08.

          How does EVV work in Arkansas?

          Arkansas uses what the Department of Human Services (DHS) calls an open vendor model, and it runs two state systems split by service. Fiserv AuthentiCare covers in-home personal care, attendant care and respite. Sandata covers home health. Both are free to agencies, and an agency can use its own EVV system instead as long as it meets state requirements and sends visit data to the state system for that service.

          EVV applies to visits delivered in the home. Services in 24-hour residential settings that serve more than one person, other congregate settings and public schools are exempt. Each visit has to carry the six data elements required by the federal 21st Century Cures Act.

          Personal care, attendant care and respite. The DHS personal care EVV page lists procedure codes T1019, T1019 U3, S5125 U2 and S5150. Every caregiver needs a PIN. An agency that uses its own EVV system signs an attestation, its system has to be certified by the state-sponsored vendor, and its staff still complete AuthentiCare Web Portal and Reports training. Visit data from a third-party system is loaded into AuthentiCare for daily claims processing.

          Home health. Every home health agency enrolls in the Sandata provider portal and declares whether it will use Sandata or an alternate EVV vendor. Fee-for-service agencies that use an alternate vendor file the Home Health altEVV System Attestation Form with a wet signature. Home health claims still go to the state's Medicaid claims system (MMIS). They are not created in the EVV system.

          The state's EVV rule (Provider Manual Section I, 145.000) was revised with sections stamped September 1, 2026. The current rule includes:

          • Form DMS-9654 (declaration) and form DMS-9655 (third-party attestation).
          • The rendering provider's PIN on every claim or encounter.
          • A 10 percent cap on edited or manual visits, measured over three months, with a corrective action plan due within 14 days when an agency goes over.
          • A geofence reporting capability for all EVV systems.

          Self-directed caregivers in IndependentChoices and ARChoices do not use the agency systems. They record visits in the PPL Time4Care mobile app or by phone from a landline.

          Does Arkansas deny Medicaid claims without a verified EVV visit?

          It depends on the service. For personal care, attendant care and respite, the answer is yes, and it has been since December 1, 2022. For fee-for-service home health, the answer is not yet. As of our last check, home health claims are not denied for missing EVV, but the state has published dates for when that changes.

          • Personal care, attendant care and respite (in force now): the state phased in a payment suspension from November 1, 2022. On December 1, 2022, MMIS stopped accepting direct billing for S5125 U2, T1019 U3, T1019 and S5150, so these claims have to come through an EVV system.
          • Fee-for-service home health (not yet): from November 1, 2026, claims without compliant EVV are still processed, but payment is delayed one payment cycle. From December 1, 2026, claims for EVV-required home health services without EVV compliance are denied.

          The state rule (Section 145.300) applies the EVV claims requirement no matter how a claim is submitted, including through a PASSE claims system or a self-direction plan. It allows a claim that is unverified or inconsistent with the EVV record to be rejected, denied or recouped. In practice, a visit that was delivered but does not hold up in the EVV record is a visit that may not be paid, or may be taken back later.

          Which EVV system do Arkansas PASSE plans use?

          Arkansas's managed care plans (called PASSEs) do not use the state systems for their members. Each plan picked its own EVV vendor. Arkansas Total Care and Empower use HHAeXchange. Summit and CareSource use CareBridge. Each plan vendor offers a free option, and each accepts a connection from an agency's own EVV system.

          • Arkansas Total Care and Empower: personal care authorized by these plans is scheduled, verified and billed through HHAeXchange, and the caregiver's Arkansas Medicaid ID is sent with the claim. Agencies that keep their own EVV system connect to HHAeXchange by EDI integration. HHAeXchange's Arkansas page says AuthentiCare cannot be used for PASSE members.
          • Summit and CareSource: providers can use CareBridge at no cost or connect their own EVV system to CareBridge.

          For an agency that serves both fee-for-service and PASSE members, this means the same kind of visit can travel to different systems depending on who pays. It is worth confirming, payer by payer, where each visit needs to land before you bill.

          What is changing next for Arkansas EVV?

          The next change is enforcement for fee-for-service home health. DHS has published two dates. From November 1, 2026, home health claims without compliant EVV are paid one payment cycle late. From December 1, 2026, those claims are denied. DHS will also begin measuring the 10 percent edited or manual visit threshold for home health in the first quarter of calendar year 2027.

          Important: The November 1 and December 1, 2026 dates are the state's fee-for-service home health dates. We did not find confirmation of whether they also apply to PASSE home health encounters, and we did not find a confirmed date on which any PASSE began denying home health claims without EVV. If you bill a PASSE for home health, check with that plan.

          Personal care, attendant care and respite are not part of this change. Their claims have required EVV since December 1, 2022. We did not find any announced change of EVV vendor for either state system or for self-direction as of our last check.

          Get notified when Arkansas EVV rules change

          Leave your email and we will let you know when Arkansas changes its EVV requirements. No newsletter, only changes for this state.

          Who to ask about Arkansas EVV

          Questions about Arkansas EVV rules are best put to the state. Start with Arkansas DHS: Electronic Visit Verification (EVV) information. The state lists evvarkansas@dhs.arkansas.gov for EVV questions.

          Arkansas EVV sources

          Related reading

          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 Arkansas's requirements, contact Ankota or read more about Ankota's EVV software.

          Arkansas

          Ms. Dawn Stehle
          Arkansas Department of Human Services
          PO Box 1437, Mail Slot S-201
          Little Rock, AR 72203-1437

          Questions about EVV?

          EVV is still to be implemented in most of the states with different guidelines and regulations. We’re keeping up with the updates related to EVV implementation and if there is something we haven’t included, please share with us. To learn how ankota can help in ensuring compliance, please get in touch with us.

          Arkansas EVV questions

          Does Arkansas deny Medicaid claims without EVV?

          For personal care, attendant care and respite, yes. Since December 1, 2022 the state's claims system has not accepted direct billing for those codes, so claims have to come through an EVV system. Fee-for-service home health claims are not denied yet, but denials start December 1, 2026.

          When do Arkansas home health EVV claim denials start?

          The state has set two dates for fee-for-service home health. From November 1, 2026, claims without compliant Electronic Visit Verification are processed but paid one payment cycle late. From December 1, 2026, those claims are denied.

          Who is the EVV aggregator in Arkansas?

          Arkansas has two, split by service. Fiserv AuthentiCare collects visit data for personal care, attendant care and respite, and the Sandata aggregator collects visit data for home health. Both vendors also provide a free EVV system that agencies can use.

          Can I choose my own EVV software in Arkansas?

          Yes. Arkansas calls its approach an open vendor model, so an agency can use the free state system or its own EVV system. A third-party system has to meet state requirements and send visit data to AuthentiCare for personal care or to Sandata for home health, and the agency has to file the required attestation.

          Which Arkansas services require Electronic Visit Verification?

          Visit verification is required for in-home personal care, attendant care, respite and home health. The personal care codes named by the state are T1019, T1019 U3, S5125 U2 and S5150. Services delivered in 24-hour multi-person residential settings, other congregate settings and public schools are exempt.

          Which EVV system do Arkansas PASSE plans use?

          The PASSE plans chose their own vendors. Arkansas Total Care and Empower use HHAeXchange, and Summit and CareSource use CareBridge. Agencies can use the plan's vendor at no cost or connect their own visit verification system to it.

          Is there a limit on edited or manual EVV visits in Arkansas?

          Yes. The current state rule caps edited or manual visits at 10 percent, measured over three months, and an agency that goes over has to submit a corrective action plan within 14 days. For home health, the state will begin measuring this threshold in the first quarter of 2027.

          How do self-directed caregivers record visits in Arkansas?

          Caregivers in IndependentChoices and ARChoices self-direction use the PPL Time4Care mobile app, or a phone line from a landline. Employers and caregivers have to register with Time4Care for the caregiver to be paid. No other EVV option is offered for self-directed services.

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