Electronic Visit Verification (EVV) in Michigan

All states: EVV requirements map

Michigan EVV at a glance

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

How does EVV work in Michigan?

Michigan uses an open EVV model with HHAeXchange as both the state-sponsored EVV system and the aggregator. Agencies can use the state system at no cost, with the HHAeXchange+ mobile app or a phone line (IVR) for clock in and clock out, or they can use their own EVV software that sends visit data to HHAeXchange. The Michigan Department of Health and Human Services (MDHHS) runs the program.

An agency that picks its own EVV vendor completes a Third Party EVV Attestation form, and its software has to meet the technical and business requirements that HHAeXchange publishes. Every provider fills out the HHAeXchange onboarding form, whichever path it chooses. Agencies and fiscal intermediaries also need an NPI and enrollment in CHAMPS, the state's Medicaid system. One group has no choice of vendor: Home Help individual caregivers who are hired directly by the client must use the state system.

EVV applies to these services:

• Home health: therapy, home health aide and nursing visits billed under codes G0151, G0152, G0153, G0156, G0299 and G0300, live since April 1, 2024. Visits for people enrolled in both Medicare and Medicaid are not required to report EVV.
• Home Help: all Home Help services, for agencies since July 1, 2024 and for individual caregivers since September 3, 2024.
• MI Choice Waiver: H2015 (Comprehensive Community Support Services) and S5150 (Unskilled Respite).
• Behavioral Health: H2015 (Community Living Supports) and T1005 (Respite) when the service starts or stops in the home. Center-based services delivered entirely in the community do not require EVV.
• MI Coordinated Health: H2015, S5150 and T1019. This program replaced MI Health Link on January 1, 2026.

For the MI Choice, Behavioral Health and integrated care personal care programs, the policy date was September 3, 2024, and caregivers were expected to be clocking in no later than October 7, 2024.

Home Help has exemptions. EVV is not required when the client lives with the caregiver and a live-in attestation (form BPHASA-2421) is approved, in congregate living settings, or when Home Help and Behavioral Health services are delivered in the same visit. Community Transition Services personal care is also exempt.

Does Michigan deny Medicaid claims without EVV?

It depends on the service. For home health, yes: claims for EVV-required codes have to be billed through HHAeXchange, and a missing or incomplete EVV record stops the claim from being created. For personal care, no: MDHHS has said the soft launch continues and payment is not tied to EVV until further notice.

Home health

• Fee-for-service, since June 1, 2024: EVV-required home health codes must be billed only through HHAeXchange, which creates the claim and sends it to CHAMPS once the EVV record is complete. Claims sent straight to CHAMPS are rejected.
• Medicaid Health Plans, since January 1, 2026: the managed care soft launch ended on December 31, 2025. Since the hard cutover, EVV-required home health codes are billed only through the state's EVV system, and claims sent directly to a health plan are denied. The cutover covers dates of service on or after September 3, 2024.
• At least one plan is looking backward as well. McLaren Health Plan told providers in a June 2026 notice that it is recouping payments made without EVV for dates of service from January 1, 2026, and that such claims are now denied up front.

Agencies that use their own EVV software for visit capture still bill these home health codes through HHAeXchange. We did not find a statement on whether the same hard cutover applies to home health paid by MI Coordinated Health plans, so check with your plan.

Personal care

• Home Help agencies keep billing with the MSA-1904 Home Help Agency Invoice, and payment is based on that invoice until further notice.
• Home Help individual caregivers keep submitting their CHAMPS Electronic Service Verification or Paper Service Verification, and are paid from those.
• MI Choice, Behavioral Health, MI Coordinated Health and self-directed services remain in soft launch. Providers bill the way they did before.

We did not check whether individual MI Choice waiver agencies or behavioral health plans apply their own claim rules, so confirm with the organization that pays you.

What is Michigan's 85 percent EVV compliance threshold?

Since April 1, 2026, Michigan expects at least 85 percent of a provider's verified visits to be completed without manual edits. The measure is taken each quarter and counted separately for each payer. It comes from MDHHS bulletin MMP 26-10. A provider that falls short faces corrective action, not claim denial.

Corrective action can include retraining, a compliance plan and meetings with the payer. Who watches the number depends on the program:

• MDHHS monitors fee-for-service home health and Home Help agencies.
• Medicaid Health Plans monitor their home health providers.
• MI Choice waiver agencies monitor MI Choice providers.
• Behavioral health plans and community mental health agencies (PIHPs and CMHSPs) monitor behavioral health providers.
• MI Coordinated Health plans monitor their providers.

The threshold covers agencies and fiscal intermediaries. It does not apply to Home Help individual caregivers. The bulletin also gives a grace period for a new EVV implementation: the quarter in which it happens plus the next full quarter. We did not find a statement on whether fiscal intermediaries are inside that grace period now.

A manual edit is any visit that had to be corrected by hand after the fact. So the threshold rewards agencies whose caregivers clock in and out correctly at the visit, and whose office staff review exceptions every day instead of at the end of the quarter.

What is changing next for Michigan EVV?

As of our last check, Michigan had no upcoming EVV change with a published effective date. Two changes have been signaled without a date, and both would tie personal care payment to EVV.

• Home Help payment. MDHHS has said it intends to use EVV for Home Help payment processing. That would require non-exempt providers to log every visit, including visits in the community. The link between EVV, authorizations and billing is still being built, and no date has been set. MDHHS has been telling individual caregivers to get familiar with the EVV Services Portal now.
• End of the personal care soft launch. MDHHS has said it will announce when the soft launch ends for MI Choice, Behavioral Health, MI Coordinated Health and self-directed services. As of our last check, the wording was still "until further notice."

Several recent changes are already in effect and are no longer upcoming: the 85 percent threshold (April 1, 2026), multi-factor sign-in on the HHAeXchange+ mobile app (August 31, 2026), and the move of HHAeXchange portal access to MiLogin (October 5, 2026).

The practical step for a personal care agency is to treat EVV as if payment already depended on it. Agencies that are meeting the 85 percent threshold today will have little to change when the soft launch ends.

Michigan EVV sources

• MDHHS: EVV for Home Health Care Agencies
• MDHHS: EVV for Home Help Agencies
• MDHHS: EVV for Home Help Individual Caregivers
• MDHHS: EVV for Behavioral Health, MI Choice Waiver, MI Coordinated Health and managed care home health
• MDHHS: Consultation Summary, Project Number 2549-EVV (April 2026)
• MDHHS letter L 25-59: managed care home health EVV hard cutover (copy on the UnitedHealthcare provider site)
• Meridian: Electronic Visit Verification enforcement bulletin (March 2026)
• McLaren Health Plan: EVV recoupment notice
• HHAeXchange: Michigan Information Center

Related reading

• Best EVV Software Compatible with HHA Exchange
• 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 requirements for every state (map)

Other states that use HHAeXchange

Illinois, Minnesota, Mississippi, New Jersey, Texas, West Virginia. 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 Michigan's requirements, contact Ankota or read more about Ankota's EVV software.