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Ankota offers end-to-end solutions for managing care delivery for older or disabled people in their homes and in day facilities. Additionally, some of Ankota's solutions can be unbundled modular components for companies that have home-grown or best of breed components but need additional add on capabilities.

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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

      About Us

      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 Delaware

          Click for the Ultimate Guide to EVV

          Electronic Visit Verification (EVV) in Delaware

          All states: EVV requirements map

          In short: Open model. Agencies use the state Sandata system or their own EVV software. The state says claims without matching EVV are denied. Change ahead: Delaware is procuring a new EVV aggregator and plans to stop offering a state visit capture system. The state estimates a January 2027 start, which is not final.

          Delaware EVV at a glance

          EVV modelOpen. Agencies use the state system or pick their own EVV software.
          State EVV systemSandata, offered by the state as an option.
          AggregatorSandata Aggregator (Sandata is now part of HHAeXchange)
          Can I use my own EVV vendor?Yes. You and the vendor sign an Alternate EVV System Attestation and send visits to the aggregator.
          Are claims denied without EVV?Yes, by state policy. We could not confirm the date denials began.
          Managed careAmeriHealth Caritas Delaware, Highmark Health Options and Delaware First Health take part. We did not find plan notices on EVV denials.
          What is changingThe state is seeking an aggregation-only contractor and plans to stop offering a visit capture system. Dates are estimates.

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

          How does EVV work in Delaware?

          Delaware uses an open EVV model. An agency can use the EVV system the state procured from Sandata, or it can use its own EVV software at its own cost. Either way, visit data goes to one statewide aggregator, the Sandata Aggregator. Sandata is now part of HHAeXchange, so some state documents call the aggregator HHAeXchange (formerly Sandata).

          The program is run by the Division of Medicaid and Medical Assistance (DMMA). EVV applies to in-home personal care services and home health care services. Self-directed attendant care is also subject to EVV. Every provider of these services has to register on the Sandata provider self-registration portal with its Medicaid (MCD) ID, whichever EVV system it uses. DMMA lists training options on its EVV page and holds a monthly EVV provider forum, with 2026 dates running from March 25 to December 30.

          The state's posted EVV Terms add a few details that matter day to day:

          • Place of service: EVV services are billed with place of service 12 (home) or 99 (other).
          • Exempt services: the CG modifier marks a service that is exempt from EVV. The listed reasons are a live-in caregiver, a service delivered outside the home, hospice, a newborn who does not yet have a Medicaid ID, and an out-of-state service.
          • Manual entries: manually entered visits cannot be more than 10% of an agency's EVV visits.

          The EVV Terms on the state site are dated July 15, 2022. A newer version may exist, so check these points with DMMA if one of them decides how you bill.

          Does Delaware deny Medicaid claims without a matching EVV visit?

          Yes, that is the state's published policy. DMMA says claims for EVV services that cannot be matched to an EVV visit will be denied. The policy is statewide and covers services that are subject to EVV, including self-directed services.

          Important: We could not confirm the date these denials began. The state's EVV page gives one date, but later state material appears to have postponed it, and we did not find a current notice that settles the question. Confirm the status with DMMA before you rely on any date.

          Three managed care plans take part in Delaware EVV: AmeriHealth Caritas Delaware, Highmark Health Options and Delaware First Health. We did not find a notice from any of the three that says how or when the plan denies claims without a matching visit. If you bill one of these plans for EVV services, ask the plan directly.

          The Division of Developmental Disabilities Services (DDDS) uses the same aggregator, and in-home respite and personal care under DDDS are EVV services. We did not find a DDDS source that says its claims are denied without a matching visit, so DDDS providers should confirm with the division.

          The safe way to operate is to treat the denial policy as live. A visit that was delivered but never reached the aggregator in a form that matches the claim is a visit at risk of not being paid.

          Can I use my own EVV software in Delaware?

          Yes. Delaware allows an alternate EVV system as long as it meets federal and state requirements and sends visit data to the Sandata Aggregator. The agency pays for its own system. Delaware does not publish a list of approved alternate EVV vendors. Instead, the provider and the vendor attest to the state that the system meets the rules.

          The Alternate EVV System Attestation sets out the main conditions:

          • One attestation per billing identity: a separate form for each NPI, Medicaid ID and location, signed by the provider and the vendor and sent to DMMA.
          • Seven days: visit data has to reach the aggregator within 7 days of the date of service.
          • Manual entry cap: manual entries cannot exceed 10% of EVV visits.
          • Changing vendors: the provider gives 45 days notice before switching to a different EVV vendor.

          Sandata publishes the technical specification that an alternate vendor's interface has to follow. For an agency owner, the practical test is simple: ask a vendor to show that its visits arrive in the Delaware aggregator on time and in a form that matches your claims. DDDS providers should also ask the division about its own data submission requirements, which we did not find published.

          What is changing next for Delaware EVV?

          Delaware is looking for a new EVV contractor that would do aggregation only, and it plans to stop offering a state visit capture system. DMMA issued a request for proposals (RFP HSS-27-005) with a public notice dated June 24, 2026. The RFP calls the new approach a Provider Choice model. None of this is final yet.

          What the RFP says, and what it does not say:

          • The contractor would handle aggregation, validation, compliance and oversight. It would not provide a visit capture system for providers.
          • The state says most providers have already moved to their own EVV systems and few still use the state capture system.
          • The RFP gives a start date of January 1, 2027, but that is the state's estimate for the project, not a confirmed go-live. The award date in the RFP is also an estimate.
          • As of our last check, we found no award announcement.
          • The RFP gives no date for when providers still using the state Sandata system would have to move to their own.

          If your agency still captures visits in the state system, this is the change to watch. The monthly DMMA provider forums are the best place to hear a firm timeline when one is set.

          Get notified when Delaware EVV rules change

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

          Who to ask about Delaware EVV

          Questions about Delaware EVV rules are best put to the state. Start with Delaware DMMA: Electronic Visit Verification. The state lists DHSS_DMMA_EVV@delaware.gov for EVV questions.

          Delaware EVV sources

          Related reading

          Other states that use Sandata

          California, Colorado, Connecticut, District of Columbia, Hawaii, Idaho, Indiana, Maine, Massachusetts, Missouri, Nevada, North Carolina, Ohio, Pennsylvania, Rhode Island, Vermont, Wisconsin. See every state on the EVV requirements 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 Delaware's requirements, contact Ankota or read more about Ankota's EVV software.

          Delaware

          Mr. Stephen Groff
          Division of Medicaid & Medical Assistance
          Delaware Department of Health and Social Services
          1901 N. Dupont Highway, PO Box 906, Lewis Building
          New Castle, DE 19720

          Another contact (from the letter above) is as follows:
          Glyne Williams
          1901 N. Dupont Highway
          Lewes Building
          New Castle, De 19720

          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.

          Delaware EVV questions

          Does Delaware deny Medicaid claims without EVV?

          Yes, by published state policy. DMMA says claims for EVV services that cannot be matched to an EVV visit will be denied. We could not confirm the date denials began, so check the current status with DMMA.

          Who is the EVV aggregator in Delaware?

          Delaware's aggregator is the Sandata Aggregator, and it is used statewide. Sandata is now part of HHAeXchange, so some state documents call it HHAeXchange (formerly Sandata). All visit data ends up there, whether an agency uses the state system or its own.

          Can I choose my own EVV software in Delaware?

          Yes. Delaware is an open model state, so an agency can use the state Sandata system or an alternate Electronic Visit Verification system at its own cost. The provider and the vendor sign an Alternate EVV System Attestation for each NPI, Medicaid ID and location and send it to DMMA. Delaware does not publish a list of approved vendors.

          Which Delaware services require visit verification?

          EVV applies to in-home personal care services and home health care services. Self-directed attendant care is also subject to it. In the developmental disabilities program, in-home respite and personal care are covered as well.

          Are live-in caregivers exempt from EVV in Delaware?

          Yes. Delaware's posted EVV Terms list a live-in caregiver as one of the reasons a service is exempt, and the claim carries the CG modifier. The other listed reasons are a service outside the home, hospice, a newborn without a Medicaid ID, and an out-of-state service. The posted terms date from 2022, so confirm with DMMA.

          How fast does visit data have to reach the Delaware aggregator?

          Under the state's alternate EVV attestation, visit data has to reach the aggregator within 7 days of the date of service. Manually entered visits cannot be more than 10% of an agency's EVV visits.

          Do Delaware Medicaid managed care plans deny claims without EVV?

          AmeriHealth Caritas Delaware, Highmark Health Options and Delaware First Health all take part in the state's Electronic Visit Verification program. We did not find a notice from any of the three that explains how or when the plan denies claims without a matching visit. Ask each plan you bill.

          Is Delaware getting a new EVV aggregator?

          Possibly. DMMA issued an RFP in June 2026 for a contractor that would do aggregation only, and it says the state would no longer offer a visit capture system. The RFP gives January 1, 2027 as an estimated project start, and we found no award as of our last check, so the timing is not final.

          I need more help with EVV

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