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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.

    Resources

    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 Florida

          Click for the Ultimate Guide to EVV

          Electronic Visit Verification (EVV) in Florida

          All states: EVV requirements map

          In short: Open model, split by payer. Fee-for-service Medicaid and most plans use HHAeXchange, and Aetna, Simply and UnitedHealthcare use Netsmart. Your own EVV software is accepted.

          Florida EVV at a glance

          EVV modelOpen. The state calls it the Open Vendor Model.
          State EVV systemHHAeXchange for fee-for-service, free to providers since October 1, 2024.
          AggregatorNo single statewide aggregator. HHAeXchange or Netsmart Mobile Caregiver+, depending on the payer.
          Can I use my own EVV vendor?Yes, if it integrates with your payer's system. You still need an account with that system.
          Are claims denied without EVV?Managed care: yes, for dates of service on or after June 21, 2021. Fee-for-service: no explicit denial rule found.
          Managed careHHAeXchange: Humana, Sunshine Health, Molina, Florida Community Care, Children's Medical Services. Netsmart: Aetna, Simply, UnitedHealthcare.

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

          Which EVV system does my Florida Medicaid payer use?

          It depends on who pays the claim. Florida has no single statewide EVV aggregator. Fee-for-service Medicaid and most managed care plans use HHAeXchange, and three plans use Netsmart Mobile Caregiver+. An agency that bills payers in both groups has to send visits to both systems.

          • Fee-for-service Medicaid (AHCA): HHAeXchange. It has been the Agency for Health Care Administration's EVV vendor for fee-for-service providers since October 1, 2024, and it is offered at no cost. It replaced Netsmart for fee-for-service.
          • Humana, Sunshine Health, Molina and the Children's Medical Services plan: HHAeXchange, since December 1, 2018.
          • Florida Community Care: HHAeXchange, since April 3, 2023.
          • Aetna Better Health of Florida: Netsmart Mobile Caregiver+.
          • Simply Healthcare Plans (listed by Netsmart under Anthem Florida): Netsmart Mobile Caregiver+.
          • UnitedHealthcare: Netsmart Mobile Caregiver+.

          For fee-for-service, EVV covers home health visits, private duty nursing and personal care. The HHAeXchange Florida page lists attendant care, companion, homemaker, private duty nursing, personal care and in-home respite as the services commonly in scope for its managed care plans. One note for readers of the state's own EVV page: it still carries older text that names Netsmart as the state's contractor below the HHAeXchange notice. The HHAeXchange notice is the current one.

          Can I use my own EVV software in Florida?

          Yes. Florida is an open model state, so an agency can keep its own EVV software as long as that software sends visit data to the system its payer uses. That holds for fee-for-service Medicaid and for the managed care plans on both HHAeXchange and Netsmart. In every case the agency still needs its own account with the payer's system.

          • HHAeXchange payers: a third-party EVV system integrates with HHAeXchange by electronic data exchange. The agency must still have an HHAeXchange portal. Sunshine Health also expects third-party visit files at least every two weeks.
          • Netsmart payers: an alternate EVV vendor integrates with Netsmart using Netsmart's published guide. The billing provider must still register with Netsmart in order to release visits.

          The systems the payers sponsor are free for their own visits. HHAeXchange is free to fee-for-service providers, and Netsmart says its EVV is free for Aetna Florida and Anthem Florida Medicaid visits. Many agencies still choose one EVV system of their own, because an agency that serves members across both groups of plans would otherwise have staff working in two separate systems. Neither HHAeXchange nor Netsmart publishes a list of third-party EVV vendors that are integrated for Florida, so ask any vendor to show you its working connection to each system you need.

          Does Florida deny Medicaid claims without EVV?

          For managed care, yes. Humana's home health quick guide says Statewide Medicaid Managed Care plans deny personal care and home health claims that are not submitted through their EVV vendors, for dates of service on or after June 21, 2021. That is a managed care date. For fee-for-service Medicaid, we did not find a state source that names a specific claim denial rule or a start date for one.

          • Fee-for-service: claims are created in the HHAeXchange portal and sent to the state electronically, and the state's program requires electronic claim submission. So the visit record and the claim travel the same path, even though we did not find a stated denial rule.
          • Sunshine Health: since January 30, 2025, Sunshine does not accept EVV claims for visits that were not electronically confirmed or that lack an exception reason. The plan repeated this as a denial rule in a notice dated August 22, 2025.
          • Aetna Better Health of Florida: Aetna's June 2024 long-term care training says providers must submit claims through the designated EVV vendor's system, and that not doing so can lead to denial or non-payment. We did not find a newer Aetna notice, so confirm the current rule with the plan.
          • Simply Healthcare and UnitedHealthcare: we did not find a current published claim denial rule or date for either plan. Check with the plan directly.

          The practical point is the same for every payer. A visit that was delivered but never confirmed in the payer's EVV system is a visit that may not be paid, so the agencies that stay paid review their visit exceptions every day instead of at billing time.

          What is changing next for Florida EVV?

          Important: The Children's Medical Services plan was scheduled to move from Sunshine Health to Molina on October 1, 2026. As of our last check, we could not confirm that the move took effect. If you serve Children's Medical Services members, confirm with Molina which plan contract your visits and claims belong under before you bill.

          Under the announced plan, Children's Medical Services members would stay in HHAeXchange but sit under a new Molina contract in place of the Sunshine one. Molina also asked agencies that use third-party EVV software to report missed visits separately and to take on added plan of care reporting. If the move applies to you, ask your EVV vendor whether it supports those Molina requirements.

          We found no upcoming change for fee-for-service Medicaid as of our last check, and no notice that Aetna or Simply plans to change EVV systems.

          Get notified when Florida EVV rules change

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

          Who to ask about Florida EVV

          Questions about Florida EVV rules are best put to the state. Start with AHCA: Home Health Services Electronic Visit Verification (EVV).

          Florida 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 Florida's requirements and which system each of your payers uses, contact Ankota or read more about Ankota's EVV software.

          Florida

          Ms. Beth Kidder
          Florida Agency for Health Care Administration
          2727 Mahan Drive
          Mail Stop 8
          Tallahassee, FL 32308

          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.

          Florida EVV questions

          Who is the EVV aggregator in Florida?

          Florida has no single statewide aggregator. HHAeXchange collects visit data for fee-for-service Medicaid and for Humana, Sunshine Health, Molina, Florida Community Care and the Children's Medical Services plan. Netsmart Mobile Caregiver+ does the same job for Aetna, Simply Healthcare and UnitedHealthcare.

          Which Florida Medicaid plans use HHAeXchange and which use Netsmart?

          Humana, Sunshine Health, Molina, Florida Community Care and the Children's Medical Services plan use HHAeXchange, as does fee-for-service Medicaid. Aetna Better Health of Florida, Simply Healthcare Plans and UnitedHealthcare use Netsmart Mobile Caregiver+. An agency that bills plans in both groups needs to send visits to both systems.

          Can I choose my own EVV software in Florida?

          Yes. Florida uses an open model, so an agency can use its own Electronic Visit Verification software if it integrates with the system the payer uses, either HHAeXchange or Netsmart. The agency still has to hold an HHAeXchange portal or a Netsmart registration for those payers.

          Is the Florida EVV system free for providers?

          HHAeXchange is offered at no cost to fee-for-service Medicaid providers, and has been the state's vendor for them since October 1, 2024. Netsmart says its visit verification system is free for Aetna Florida and Anthem Florida Medicaid visits. Agencies that prefer their own software can use it instead, as long as it integrates.

          Do Florida Medicaid managed care plans deny claims without EVV?

          Yes. Humana's home health quick guide says Statewide Medicaid Managed Care plans deny personal care and home health claims not submitted through their EVV vendors for dates of service on or after June 21, 2021. Sunshine Health went further on January 30, 2025 and stopped accepting claims for visits that were not electronically confirmed or that lack an exception reason.

          Does Florida fee-for-service Medicaid deny claims without a verified visit?

          We did not find a state source that names a specific fee-for-service denial rule or a date for one. What is confirmed is that fee-for-service claims are created in the HHAeXchange portal and sent to the state electronically. Treat every visit as if it must be verified before you bill, and ask AHCA if you need the rule in writing.

          Which Florida home care services require Electronic Visit Verification?

          For fee-for-service Medicaid, the state lists home health visits, private duty nursing and personal care. For managed care plans on HHAeXchange, the services commonly in scope are attendant care, companion, homemaker, private duty nursing, personal care and in-home respite. Check your plan contract for the exact service list.

          Did the Children's Medical Services plan move to Molina?

          The move from Sunshine Health to Molina was scheduled for October 1, 2026. As of our last check we could not confirm that it took effect, so providers should confirm with Molina before billing. Under the announced plan, members stay in HHAeXchange under a Molina contract.

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