Electronic Visit Verification (EVV) in Louisiana

All states: EVV requirements map

Louisiana EVV at a glance

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

How does EVV work in Louisiana?

Louisiana runs an open EVV model. The Louisiana Department of Health (LDH) sponsors a free state system, the Louisiana Service Reporting System (LaSRS), which is run by Statistical Resources, Inc. (SRI). An agency can use LaSRS at no charge or, for certain in-home and home health services, buy its own EVV system that has met LDH's integration requirements. SRI also acts as the aggregator, so third-party visit data is sent to LaSRS each night through the LDH EVV data bridge.

EVV is required for a wide set of Medicaid services:

• In-home personal care: Long Term Personal Care Services (LT-PCS), Community Choices Waiver personal assistance services, and the in-home services under the New Opportunities Waiver, Residential Options Waiver, Supports Waiver and Children's Choice Waiver.
• EPSDT and behavioral health personal care services.
• Home health: all home health services provided in the home and billed to Medicaid as primary have needed an EVV record since January 1, 2024.
• Center-based and employment services: Adult Day Health Care, day habilitation, prevocational services, center-based respite and supported employment. For center-based services, the participant is clocked in and out.

An EVV record needs both an electronic clock in and an electronic clock out. Location is collected only at clock in and clock out, not during the visit. A current prior authorization also has to be in LaSRS before a service can be captured electronically.

Self-direction is handled separately. Workers in the self-direction option must use EVV, but the agency EVV policy (including the 80% threshold) does not apply to them. Those rules sit in the state's Self-Direction Handbooks.

Can I use my own EVV software in Louisiana?

Yes, but only for some services. LDH allows a third-party EVV system for a specific list of in-home and home health services, and the agency pays for that system itself. Every other EVV-required service has to be recorded directly in the state system, LaSRS.

The services LDH lists as allowed through a third-party system are:

• Long Term Personal Care Services (LT-PCS)
• EPSDT personal care services and behavioral health personal care services
• Community Choices Waiver personal assistance services
• New Opportunities Waiver Individual and Family Support and Supported Independent Living
• Residential Options Waiver Community Living Supports
• Supports Waiver in-home respite and Children's Choice family support
• Home health skilled nursing and therapy

To go live on a third-party system, the agency sends LDH a signed attestation and business associate agreement 45 days before the go-live date. Test files go to SRI by the first of the month before go-live, and SRI has to accept an error-free test by the 15th of that month. The attestation should be signed again each year, or when the owner or executive director changes. After go-live, only services that reach LaSRS through the data bridge are released for billing.

LDH does not publish a list of approved third-party EVV vendors. In late 2025 the state reported that 48 provider agencies were using nine third-party solutions, without naming them. Ask any vendor you are considering to show that it has completed the Louisiana integration process.

Does Louisiana block Medicaid payment without EVV?

Yes. Louisiana ties payment to EVV through post-authorization. SRI releases units to the Medicaid fiscal intermediary only for services reported in LaSRS, so a visit that never reaches LaSRS is a visit that cannot be billed. For in-home providers, the state also enforces an 80% EVV use standard.

Here is how the 80% rule works for in-home services:

• At least 80% of services must be captured by EVV, with both a clock in and a clock out. The standard has been 80% since a May 2021 policy revision. It was 90% before that.
• Manually entered or edited entries are allowed up to 20%. Units beyond that allowance are blocked.
• Compliance is measured on a 90 day rolling lookback. Blocked units are released once the provider is back at 80%.

A few groups are treated differently:

• Center-based providers are not subject to the 80% threshold, but their units are still released only for services reported in LaSRS. LDH monitors EVV use and may refer providers to Program Integrity or the Attorney General.
• EPSDT and behavioral health personal care providers are exempt from the 80% threshold. Their compliance is reviewed monthly, and a provider may be blocked for payment if services are not collected through EVV.
• Home health providers have been required to use EVV since January 1, 2024 to avoid claim denial. No use threshold applied at launch, and we could not confirm whether one has been set since.

Two practical points help agencies stay above the line. When a home has no cell coverage, LDH has a Connectivity Test form that a supervisor or designee (not the worker) completes on site, and it is valid for one year. For home health members who have no prior authorization, the member is added through the Add Client function in LaSRS. Agencies that check missed and edited punches every day, instead of at billing time, are the ones that keep their percentage up.

What is changing next for Louisiana EVV?

Two items are worth watching, and neither has a confirmed date. LDH has explored replacing its EVV and aggregator system, and it announced tighter claim checks for home health and EPSDT personal care. As of our last check, we did not find confirmation that either one is in effect.

Claim matching for home health and EPSDT personal care. In October 2025, LDH announced in Informational Bulletin 25-29 that fee-for-service claims for home health and EPSDT personal care services would be matched against EVV records, with a planned start of December 1, 2025. We did not find a later state document confirming that these edits went live on that date, or whether they deny claims or only hold them. If you bill fee-for-service for these services, confirm the current status with LDH before you rely on either answer.

A possible new EVV and aggregator system. In October 2025, LDH issued a request for information for a new EVV and data aggregator solution, with responses due December 19, 2025. A request for information is a planning step, not a purchase. LDH said it plans to begin procurement afterward, but we did not find a request for proposals, an award or a transition date. The state's EVV page still names SRI and LaSRS as the state system.

We did not find current managed care plan documents that spell out how each Healthy Louisiana plan handles claims with no matching EVV record. If you bill a plan for home health or EPSDT personal care, ask that plan directly.

Louisiana EVV sources

• Louisiana Department of Health: Electronic Visit Verification
• LDH: EVV Policies and Procedures (revised March 9, 2026)
• LDH: Third-Party EVV Data Integration Process (March 2026)
• LDH: FAQ on EVV for Home Health Services (December 2023)
• LDH Request for Information 305PUR-EVV (October 2025)
• LDH Request for Information 305PUR-EVV: Addendum 1 (November 2025)
• Louisiana Healthcare Connections: EVV for home health and EPSDT personal care (LDH Informational Bulletin 25-29)
• AmeriHealth Caritas Louisiana: EVV guidance for home health providers (October 2025)

Related reading

• EVV Aggregators Explained: A Simple Guide for Home Care Providers
• The Benefits of Using 3rd-Party EVV Software
• EVV Software Demo Checklist: What to Ask and Test Before You Buy
• What is EVV Software?
• EVV Electronic Visit Verification Guide
• EVV requirements for every state (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 Louisiana's requirements, contact Ankota or read more about Ankota's EVV software.