Solutions

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 Kentucky

          Click for the Ultimate Guide to EVV

          Electronic Visit Verification (EVV) in Kentucky

          All states: EVV requirements map

          In short: Open model. Therap is the free state EVV system and the aggregator. Waiver claims with no matching EVV visit have been denied since January 1, 2026.

          Kentucky EVV at a glance

          EVV modelOpen. Agencies use the free state system or their own EVV software.
          State EVV systemTherap, state-sponsored and offered at no cost to providers.
          AggregatorTherap EVV aggregator
          Can I use my own EVV vendor?Yes. The vendor must integrate with the Therap aggregator, and the agency pays the vendor's costs.
          Are claims denied without EVV?Yes. Home health services since January 1, 2025 and 1915(c) waiver services since January 1, 2026.
          Managed careThe home health and private duty nursing denial rule covers fee for service and managed care claims.
          Upcoming changesNone found as of our last check.

          Last verified against state sources: 2026-10-07.

          How does EVV work in Kentucky?

          Kentucky uses an open EVV model. The Department for Medicaid Services (DMS) sponsors an EVV system from Therap that providers can use at no cost, and an agency may choose a third-party EVV system instead. Either way, visit data ends up in the Therap EVV aggregator, which is what the state uses to verify claims.

          If you choose your own EVV software, two conditions apply:

          • Integration: the vendor has to integrate with the Therap aggregator. For home health care services, DMS described the vendor completing a Therap vendor attestation, a business associate agreement and an end user license agreement before integrating.
          • Cost: the agency pays all costs of the third-party system. Only the state-sponsored system is free.

          Therap has not always been the state system for every program. For 1915(c) waiver services, Kentucky moved from Netsmart to Therap, with providers transitioned by February 1, 2025 and read-only access to the Netsmart system ending March 31, 2025. Home health care services (home health, private duty nursing and the Model II Waiver) went live on Therap from the start, with required use from January 1, 2024.

          On the DMS EVV page, the state also notes that the KOG login has been renamed KYID, with the same credentials, and that agency administrators are expected to review their list of EVV users every 90 days.

          Which Kentucky Medicaid services require EVV?

          EVV applies to two groups of services in Kentucky. In-home personal care type services under the 1915(c) waivers have required EVV since January 1, 2021. Home health care services have required it since January 1, 2024, after a soft go-live on December 28, 2023. Both traditional agency services and participant directed services (PDS) are covered on the waiver side.

          1915(c) waiver services on the DMS list of affected services:

          • Home and Community Based (HCB) waiver: attendant care, non-specialized respite and specialized respite.
          • Michelle P. Waiver: attendant care, community living supports, homemaker, personal care and respite.
          • Acquired Brain Injury (ABI) waiver: companion, personal care and respite.
          • ABI Long Term Care waiver: community living supports and respite.
          • Supports for Community Living (SCL) waiver: personal assistance and respite.

          Respite delivered in a congregate setting is exempt. Participant directed services are billed with the HI modifier and follow the same EVV requirement as agency services.

          Home health care services:

          • Home health: skilled nursing, home health aide, physical therapy, occupational therapy, speech therapy and medical social services.
          • Private duty nursing.
          • Model II Waiver: registered nurse, licensed practical nurse and respiratory therapist services.

          Does Kentucky deny Medicaid claims without an EVV visit?

          Yes. Kentucky denies a claim for an EVV-required service when there is no corresponding EVV visit in the aggregator. The rule applies whether the agency uses the state Therap system or a third-party system. It took effect on two dates, depending on the service:

          • January 1, 2025: home health care services. The DMS letter was addressed to home health, private duty nursing and Model II Waiver providers. For home health and private duty nursing, it covers both fee for service and managed care claims.
          • January 1, 2026: EVV-required 1915(c) waiver services, both traditional and participant directed, under the HCB, Michelle P., ABI, ABI Long Term Care and SCL waivers.

          Note: The January 1, 2026 date for waiver services comes from a DMS provider letter dated October 6, 2025. As of our last check we found no delay or retraction, and the DMS EVV page still links that letter. We did not find a later state notice confirming the start. If the date matters to a billing decision, confirm it with DMS.

          DMS names who is responsible for getting visits into EVV. For traditional services it is agency staff. For participant directed services it is the staff of the financial management agency. In practice, a visit that was delivered but never recorded in EVV is a visit that does not get paid, so the agencies that stay paid are the ones that check for missing or incomplete visits before they bill.

          What is changing next for Kentucky EVV?

          We found no upcoming EVV change for Kentucky as of our last check on October 7, 2026. Both claim denial dates have passed and are now current requirements. The DMS EVV page and DMS provider letters did not list a new mandate, a new deadline or a change of vendor.

          A few existing rules are worth a second look because they affect payment today:

          • Timely data from third-party systems: for home health care services, DMS said that visits captured in a third-party system must reach the aggregator within 24 hours.
          • Signatures: DMS required signatures on home health care services visits by January 1, 2025. For waiver services, DMS told participants in a February 2025 letter that the participant or a representative signs for the visit. When a guardian is also the paid employee, a different representative has to sign.
          • User access: administrators review their EVV user list every 90 days.

          Get notified when Kentucky EVV rules change

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

          Who to ask about Kentucky EVV

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

          Kentucky EVV sources

          Related reading

          Other states that use Therap

          Alaska, North Dakota, South Dakota. See every state on the EVV requirements map.

          Page history

          • October 7, 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 Kentucky's requirements, contact Ankota or read more about Ankota's EVV software.

          Kentucky

          Ms. Carol Steckel
          Kentucky Cabinet for Health & Family Services
          275 East Main Street, 6 West A
          Frankfort, KY 40621

          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.

          Kentucky EVV questions

          Who is the EVV vendor in Kentucky?

          Therap is Kentucky's state-sponsored EVV system, and providers can use it at no cost. Therap also runs the state's EVV aggregator. For 1915(c) waiver services, Therap replaced Netsmart, with providers transitioned by February 1, 2025.

          Can I choose my own EVV software in Kentucky?

          Yes. Kentucky is an open model state, so an agency can use the state Therap system or a third-party system. A third-party vendor has to integrate with the Therap aggregator, and the agency pays all costs of that system.

          Does Kentucky Medicaid deny claims without Electronic Visit Verification?

          Yes. A claim for an EVV-required service is denied when there is no corresponding visit in the aggregator. The rule took effect January 1, 2025 for home health care services and January 1, 2026 for 1915(c) waiver services.

          Which Kentucky waiver services need visit verification?

          In-home personal care type services under the HCB, Michelle P., ABI, ABI Long Term Care and SCL waivers need it. Examples are attendant care, personal care, personal assistance, homemaker, companion, community living supports and respite. Respite in a congregate setting is exempt.

          Does EVV apply to home health and private duty nursing in Kentucky?

          Yes. Home health, private duty nursing and Model II Waiver services have required EVV since January 1, 2024. Claims for these services without a matching visit have been denied since January 1, 2025, and for home health and private duty nursing that covers both fee for service and managed care.

          Does Kentucky EVV apply to participant directed services?

          Yes. Participant directed services under the 1915(c) waivers follow the same visit verification rule as agency services and are billed with the HI modifier. The financial management agency's staff are responsible for getting those visits into EVV, and participants are told to ask that agency which system is used.

          How quickly must a third-party EVV system send visits to Kentucky's aggregator?

          For home health care services, DMS said visits captured in a third-party system must reach the Therap aggregator within 24 hours. A visit that has not arrived cannot be matched to a claim, so late data puts payment at risk.

          Is anything changing with Kentucky EVV soon?

          We found no upcoming change as of October 7, 2026. Both claim denial dates have passed, and the DMS EVV page and provider letters list no new deadline or vendor change. Check the DMS EVV page for the latest notices.

          I need more help with EVV

          Get help with EVV