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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 Iowa

          Click for the Ultimate Guide to EVV

          Electronic Visit Verification (EVV) in Iowa

          All states: EVV requirements map

          In short: The Medicaid managed care plans use CareBridge. Your own EVV software can record visits, but claims for EVV services go through CareBridge. Fee-for-service is exempt.

          Iowa EVV at a glance

          EVV modelOpen for capturing visits. Billing for EVV services runs through CareBridge.
          State EVV systemCareBridge, chosen by the managed care plans (not by the state) and free to providers.
          AggregatorCareBridge
          Can I use my own EVV vendor?Yes for agencies, if the system meets 21st Century Cures Act rules and is integrated with CareBridge.
          Are claims denied without EVV?Yes in managed care. Personal care since February 1, 2021 and home health since January 1, 2024.
          Managed careWellpoint Iowa, Iowa Total Care and Molina Healthcare of Iowa all use CareBridge.
          Fee-for-serviceExempt. EVV is not implemented and claims are submitted as usual.

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

          How does EVV work in Iowa?

          Iowa runs EVV through its Medicaid managed care plans, not through a state-chosen system. Iowa HHS calls this a Managed Care Organization Choice model, and Iowa Medicaid states that it did not pick the vendor. The plans chose CareBridge, all of them use it, and it is free to providers. EVV is not implemented for fee-for-service Medicaid.

          The managed care program is called IA Health Link, and its three plans are Wellpoint Iowa, Iowa Total Care and Molina Healthcare of Iowa. Because all three use CareBridge, an agency works with one EVV system no matter which plan a member belongs to. CareBridge also acts as the plans' EVV aggregator, which means it collects visit data and produces the claims that go to the plans.

          EVV applies to two groups of services for managed care members:

          • Personal care (required since January 1, 2021): codes S5125, S5130 and T1019 on the current HHS code table.
          • Home health care services (required since January 1, 2024): codes S9122 to S9124, T1002 to T1004, T1021, T1030 and T1031, plus the G codes listed by the state.

          Supported Community Living and respite are not mandated EVV codes and are billed the usual way. Day habilitation is not on the EVV code table.

          Can I use my own EVV software in Iowa?

          Yes. An agency may use an outside EVV system to capture visits, as long as that system meets 21st Century Cures Act requirements and is integrated with CareBridge. What an agency cannot do is bill around CareBridge. Claims for EVV services have to be generated in CareBridge or submitted through it, whichever system recorded the visit.

          Important: Choosing your own EVV software in Iowa covers how visits are captured, not how claims are sent. A claim for an EVV service that reaches a managed care plan by any route other than CareBridge is denied.

          A few points matter when you plan for an outside system:

          • There is no public vendor list. The state FAQ says no list of approved third-party vendors had been published. To find out whether a vendor is integrated, the agency or the vendor has to ask CareBridge directly.
          • Testing does not pause denials. The state gives no exemption from payment denials while a third-party system is still being tested with CareBridge.
          • Home health claims carry extra data. Since January 3, 2025, home health providers must manage certain institutional claim details (facility type, claim frequency, admission date, patient status and attending provider) in the CareBridge Provider Portal, through a third-party EVV system, or both. A third-party system may supply some claim fields only after it completes specific testing with CareBridge.
          • Self-direction is different. The Consumer Choices Option uses CareBridge only. Caregivers check in and out with the CareBridge mobile app or by phone, and the member attests to the visit. We found no alternate EVV path for that program.

          Does Iowa deny Medicaid claims without EVV?

          Yes, for managed care members. Claims for EVV-required services that are not generated in or submitted through CareBridge are denied by the plans. For personal care the denials started with dates of service on February 1, 2021. For home health they apply to dates of service on or after January 1, 2024.

          • Personal care: EVV became required on January 1, 2021. Claims sent outside CareBridge were still accepted for dates of service through January 31, 2021, and denied from February 1, 2021.
          • Home health: for dates of service on or after January 1, 2024, home health services subject to EVV that are not submitted through the CareBridge EVV solution are denied. The state's 2025 billing guide repeats this rule.
          • Fee-for-service: no EVV check applies. Iowa Medicaid's April 2025 informational letter says providers keep submitting fee-for-service claims as usual. The state's reason is that nearly all services are delivered through managed care.

          Assisted living and residential care facilities may opt out of EVV for personal care, but only by sending a timely attestation. If the attestation is not received, denials are issued. Facilities that provide home health services may not opt out.

          This page covers the rules the plans share through CareBridge. We did not review each plan's own provider bulletins, so check with Wellpoint Iowa, Iowa Total Care or Molina Healthcare of Iowa for any plan-specific billing steps.

          What is changing next for Iowa EVV?

          We found no upcoming change to Iowa EVV as of our last check on October 8, 2026. No replacement for CareBridge has been announced, and we found no published date for bringing EVV to fee-for-service Medicaid. The most recent stakeholder meetings listed on the Iowa HHS EVV page were held in March and June 2025.

          Two things are worth keeping in view:

          • The fee-for-service exemption. The latest state document we found that restates it is the informational letter dated April 10, 2025. If you bill fee-for-service, confirm with Iowa Medicaid that nothing has changed before you rely on it.
          • Individual CDAC. Iowa scheduled the Individual Consumer Directed Attendant Care provider type to end on December 31, 2025, with members moving to an agency CDAC provider or to the Consumer Choices Option. We did not find a state page dated after that deadline confirming the change took effect. State materials say EVV requirements for managed care members continue to apply after the transition.

          Get notified when Iowa EVV rules change

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

          Who to ask about Iowa EVV

          Questions about Iowa EVV rules are best put to the state. Start with Iowa HHS: Electronic Visit Verification (EVV).

          Iowa EVV sources

          Related reading

          Other states that use CareBridge

          Tennessee, Wyoming. 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 Iowa's requirements, contact Ankota or read more about Ankota's EVV software.

          Iowa

          Mr. Michael Randol
          Medicaid Director
          Iowa Department of Human Services
          100 Army Post Road
          Des Moines, IA 50315

          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.

          Iowa EVV questions

          Who chose the EVV vendor in Iowa?

          The Medicaid managed care plans did, not the state. Iowa HHS calls this a Managed Care Organization Choice model, and Iowa Medicaid states that it did not choose a vendor. All of the plans use CareBridge, which is free to providers.

          Who is the EVV aggregator in Iowa?

          CareBridge is the aggregator for Iowa's managed care plans. It collects visit data, including visits sent from outside EVV systems, and it generates the claims for EVV services.

          Can I use my own EVV software in Iowa?

          Yes, an agency can capture visits in an outside system if it meets 21st Century Cures Act requirements and is integrated with CareBridge. Claims for those services still have to go through CareBridge. Iowa has not published a list of approved third-party vendors, so ask CareBridge whether a vendor is integrated.

          Does Iowa deny Medicaid claims without Electronic Visit Verification?

          Yes, for managed care members. Personal care claims not submitted through CareBridge have been denied for dates of service from February 1, 2021, and home health claims for dates of service on or after January 1, 2024.

          Is visit verification required for Iowa fee-for-service Medicaid?

          No. EVV is not implemented for fee-for-service in Iowa, and providers submit those claims as usual. The state restated this in an informational letter dated April 10, 2025, so confirm with Iowa Medicaid that it still applies.

          Which Iowa services require EVV?

          For managed care members, EVV is required for personal care billed under codes S5125, S5130 and T1019, and for home health care services including codes S9122 to S9124, T1002 to T1004, T1021, T1030 and T1031. Supported Community Living and respite are not mandated EVV codes.

          Which Iowa managed care plans use CareBridge?

          All three IA Health Link plans use it: Wellpoint Iowa, Iowa Total Care and Molina Healthcare of Iowa. We did not review each plan's own bulletins for extra rules, so check with the plan you bill.

          Can assisted living facilities opt out of EVV in Iowa?

          Assisted living and residential care facilities may opt out of visit verification for personal care, but only with a timely attestation. Without the attestation, claims are denied. Facilities that provide home health services may not opt out.

          I need more help with EVV

          Get help with EVV