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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 Indiana

          Click for the Ultimate Guide to EVV

          Electronic Visit Verification (EVV) in Indiana

          All states: EVV requirements map

          In short: Open model. Agencies use the free state Sandata system or an approved alternate EVV system. Claims with no matching EVV record have been denied since April 2024.

          Indiana EVV at a glance

          EVV modelOpen. Agencies use the free state system or an approved alternate EVV system.
          State EVV systemSandata, offered to agencies at no cost by the state.
          AggregatorSandata Aggregator
          Can I use my own EVV vendor?Yes. The vendor must meet Indiana's alternate EVV specification and send data to the aggregator.
          Are claims denied without EVV?Yes. Personal care claims submitted since April 1, 2024 and home health claims submitted since July 1, 2024.
          Managed careHome health denials apply to managed care too. The EVV record must carry the member's correct payer ID.

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

          How does EVV work in Indiana?

          Indiana uses an open EVV model. The state contracts with Sandata for an EVV system that agencies can use at no cost, and an agency may instead use an approved alternate EVV system of its own choice. Either way, visit data ends up in the Sandata Aggregator, which is connected to the state's Medicaid claims system. Indiana Health Coverage Programs (IHCP) publishes the rules on its Electronic Visit Verification page.

          If you use an alternate EVV system, a few conditions apply:

          • The vendor has to meet the state's Alternate EVV Specification. The posted version is 4.2, dated April 17, 2024.
          • The vendor sends visit files to the Sandata Aggregator daily.
          • The vendor pays a one-time setup fee of $3,360.
          • Each provider registers through the state's alternate EVV registration form.

          EVV records have been required for personal care services for dates of service on or after January 1, 2021, and for home health services for dates of service on or after January 1, 2024. The same process applies under Indiana PathWays for Aging, the managed care program for members age 60 and over that began July 1, 2024. The state's PathWays provider guidance says EVV does not change under PathWays, so agencies keep using Sandata or their alternate EVV vendor.

          Does Indiana deny Medicaid claims without a matching EVV record?

          Yes. Indiana denies claims for EVV-required services when there is no matching EVV record. Denials apply to personal care claims submitted on or after April 1, 2024, and to home health claims submitted on or after July 1, 2024. A claim that fails the EVV check is first suspended for seven days, which gives the agency time to correct the visit record before the claim is finally decided.

          • Personal care services: claims submitted on or after April 1, 2024 deny without a matching EVV record. The denial explanation of benefits (EOB) codes are 0950, 0951 and 0952.
          • Home health services: claims submitted on or after July 1, 2024 deny without a matching EVV record. The state bulletin says this applies to both fee-for-service and managed care.
          • Seven day suspension: claims that do not pass the EVV check suspend first, with EOB codes 0958 and 0959.

          Important: The state's home health bulletin says EVV denials apply to managed care as well as fee-for-service. We did not find the same statement for personal care claims billed to a managed care plan. If you bill Anthem, Humana, UnitedHealthcare or another Indiana Medicaid plan for personal care, ask the plan how it applies EVV to those claims.

          The payer ID on the EVV record matters. The state says records will not match claims unless the correct payer ID is on the EVV record. Traditional Medicaid uses INFSSA. For PathWays, the payer IDs are INATM for Anthem, INHUM for Humana and INUHC for UnitedHealthcare. Claims for PathWays members go to the member's plan, and Sandata does not submit claims to the plan for you.

          Which Indiana services require EVV?

          Indiana ties EVV to a published list of procedure code and modifier combinations, not to a general service description. If a code and modifier combination is on the state's Service Codes That Require Electronic Visit Verification table, the visit needs an EVV record. The version we checked was published December 9, 2025.

          For home care agencies, the main entries are:

          • Personal care (Table 1): under the Health and Wellness waiver, the PathWays for Aging waiver and the Traumatic Brain Injury waiver, the listed codes are attendant care (S5125 U7 and S5125 U7 UA), homemaker (S5130 U7 and S5130 U7 UA) and respite by a home health aide (S5150 U7 UA U9). The Traumatic Brain Injury waiver also lists residential-based habilitation (97535 U7).
          • Home health (Table 2): codes 92521 to 92524, 97161 to 97163, 97165 to 97167, 99600 (including the TE and TD modifiers), 99601, 99602, G0151, G0152 and G0153.

          The table also lists hourly services under the Community Integration and Habilitation waiver, the Family Supports waiver, and two behavioral health programs. Many of those codes are marked with an asterisk, which means no EVV record is needed when the service is delivered in a 24-hour congregate setting and billed with the HQ modifier. That exception does not cover the attendant care, homemaker and respite codes listed above.

          The self-directed service codes that Indiana added to several waivers for dates of service on or after January 1, 2026 are not on the EVV table. We did not find a published EVV requirement for those codes. If you support self-directed services, confirm the current rule with the Family and Social Services Administration (FSSA).

          What is changing next for Indiana EVV?

          We did not find an announced upcoming change to Indiana's EVV vendor, aggregator or claim denial rules as of our last check. The state's 2026 EVV training material still describes the same setup: the free Sandata system, or an approved alternate EVV system that feeds the Sandata Aggregator.

          Two things are worth watching:

          • Some state EVV materials now carry HHAeXchange branding. The 2026 training material directs new users of the state system to register on HHAeXchange for a welcome kit. No vendor or aggregator change has been announced in the sources we read.
          • The EVV code table is updated from time to time. Check the posted table before you add a service line, because a code that is not on the table today could be added later.

          Get notified when Indiana EVV rules change

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

          Who to ask about Indiana EVV

          Questions about Indiana EVV rules are best put to the state. Start with IHCP: Electronic Visit Verification.

          Indiana EVV sources

          Related reading

          Other states that use Sandata

          California, Colorado, Connecticut, Delaware, District of Columbia, Hawaii, Idaho, 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 Indiana's requirements, contact Ankota or read more about Ankota's EVV software.

          Indiana

          Ms. Allison Taylor
          Indiana Family and Social Services Administration
          402 West Washington Street, Room W461, MS 25
          Indianapolis, IN 46204

          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.

          Indiana EVV questions

          Does Indiana deny Medicaid claims without EVV?

          Yes. Indiana denies personal care claims submitted on or after April 1, 2024 and home health claims submitted on or after July 1, 2024 when there is no matching EVV record. A claim that fails the check is suspended for seven days first, so the agency can fix the visit record before the claim is finally decided.

          Who is the EVV aggregator in Indiana?

          Indiana's aggregator is the Sandata Aggregator. Visit data from the free state system and from every approved alternate EVV system goes there, and the aggregator is connected to the state's Medicaid claims system.

          Can I choose my own EVV software in Indiana?

          Yes. Indiana is an open model state, so an agency can use the state's Sandata system or an approved alternate EVV system. The alternate vendor has to meet the state's Alternate EVV Specification (version 4.2), send visit files to the Sandata Aggregator daily, and pay a one-time setup fee of $3,360. Each provider also registers through the state's alternate EVV registration form.

          Is the Indiana state EVV system free?

          Yes. The state contracts with Sandata and offers that Electronic Visit Verification system to agencies at no cost. Agencies that prefer a different system can use an approved alternate EVV vendor instead.

          Which Indiana services require Electronic Visit Verification?

          Indiana publishes a table of procedure codes and modifiers that require visit verification. For home care it covers attendant care, homemaker and home health aide respite under the Health and Wellness, PathWays for Aging and Traumatic Brain Injury waivers, plus a list of home health codes. EVV records have been required for personal care dates of service since January 1, 2021 and for home health since January 1, 2024.

          Do Indiana Medicaid managed care plans deny claims without visit verification?

          For home health, yes. The state bulletin says the denials that began July 1, 2024 apply to both fee-for-service and managed care. We did not find the same statement for personal care claims billed to a managed care plan, so check with the plan directly.

          What payer ID goes on an Indiana EVV record?

          The EVV record has to carry the payer ID for the member's coverage, or it will not match the claim. Traditional Medicaid uses INFSSA. For PathWays for Aging, the IDs are INATM for Anthem, INHUM for Humana and INUHC for UnitedHealthcare.

          Do self-directed services require EVV in Indiana?

          The self-directed service codes Indiana added for dates of service on or after January 1, 2026 are not on the state's EVV code table. We did not find a published visit verification requirement for those codes. Confirm the current rule with FSSA before you rely on either answer.

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