Electronic Visit Verification (EVV) in Minnesota

All states: EVV requirements map

Minnesota EVV at a glance

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

How does EVV work in Minnesota?

Minnesota uses a hybrid EVV model, which is the term the Department of Human Services (DHS) uses itself. An agency can use the state-selected system, HHAeXchange, at no cost, or it can use its own EVV software as long as that software meets state requirements and sends visit data to the HHAeXchange aggregator. Every provider has to enroll with HHAeXchange either way, and the same setup applies to fee-for-service Medicaid and to the Medicaid managed care plans.

If you choose your own EVV software, HHAeXchange asks you to enroll, open a ticket to set up the data connection, and follow the Minnesota business requirements and technical specifications. You pay your own vendor's costs. HHAeXchange also requires third-party providers to consolidate to a single office per tax ID. DHS publishes a list of third-party systems that have connected to the aggregator.

Minnesota rolled EVV out in phases:

• June 20, 2022: financial management services providers for self-directed services.
• November 14 and December 12, 2022: other personal care providers.
• June 5, 2023: personal care delivered through managed care plans.
• October 16, 2023: home health services.

Billing through HHAeXchange is optional. According to DHS, EVV does not change how you submit claims.

Does Minnesota deny Medicaid claims without a verified EVV visit?

No, not at the claim level. DHS says EVV does not change the billing process, and we did not find a claim edit that rejects a claim at submission because an EVV visit is missing. Instead, Minnesota enforces EVV in two ways: a compliance rate that each provider has to meet, and post-payment review that can lead to money being taken back when paid claims are not supported by EVV data.

The compliance rate. DHS has enforced EVV since September 1, 2024, and added percentage thresholds in 2026:

• 50% for visits billed on or after January 1, 2026.
• 80% for visits billed on or after July 1, 2026. This is the current requirement.

The rate is calculated per tax ID, across every NPI and UMPI under that tax ID. A visit that was entered manually or edited counts as noncompliant. Properly flagged live-in caregiver visits are left out of the calculation. Because the rate is set at the tax ID level, a provider ID that was never enrolled with HHAeXchange can pull the whole organization down. DHS's quarterly statuses include "Noncompliant (Missing provider IDs)" and "Noncompliant (Not enrolled)."

What happens if you fall short. Enforcement is progressive. It starts with a notice, moves to a corrective action plan, and can end in further DHS action. DHS withholds payment if a required corrective action plan is not filed within 30 days, and it may recover payments or end a provider's enrollment under Minnesota Statutes 256B.064. DHS policy says formal notices to providers under 80% begin in October 2026, based on a review of July to September 2026 data.

Managed care. The DHS compliance policy requires managed care plans to enforce the state's EVV requirements and thresholds across their networks. We did not find a published claim denial rule from any individual plan, so if you bill a plan, ask that plan how it applies EVV to payment.

The practical point is that a paid claim is not a safe claim in Minnesota. Payment can be reviewed later, and the compliance rate is measured on every visit, so agencies do best when they fix visit exceptions as they happen and keep manual entries rare.

Which Minnesota home care services require EVV?

EVV applies to personal care, home health, and a specific list of waiver services. Only the services and procedure codes on the DHS required services list need EVV, so not every waiver service is covered today. DHS says more services might be added and will be announced through its email lists.

• Personal care: PCA and Community First Services and Supports (CFSS), billed under T1019, in both the agency and budget models.
• Home health: skilled nursing, home health aide and home care nursing visits on the DHS code list.
• Waiver services on the list: in-home respite, crisis respite, night supervision, individualized home supports, in-person individual community living supports, and homemaker only when it includes personal cares.
• Self-directed services: Consumer Directed Community Supports personal assistance and the Consumer Support Grant, handled through financial management services providers.

DHS states that it does not require hospice services and providers to use EVV.

Each visit has to carry the six data points required by the federal 21st Century Cures Act: the type of service, who received it, who provided it, the date, the location, and the start and end times. Live-in caregivers are not exempt, but they have a lighter rule. They must enter the six data points at least once a day, and they do not have to check in and out in real time.

Check the DHS required services list against the exact codes and modifiers you bill before you decide a service is in or out of scope.

What is changing next for Minnesota EVV?

According to that summary, the 2026 law does three things:

• More services. It widens the list of services that fall under EVV to include adult day, adult companion, integrated community supports, and waiver services paid at hourly or minute-based rates, among others. Until DHS publishes codes and a schedule, the current DHS required services list still governs.
• EVV data in claims validation. It calls for EVV data to be used to validate claims. We did not find a DHS statement on whether or when this would become a check before payment. Today, Minnesota still reviews EVV after payment.
• Managed care interoperability. It directs managed care and county-based purchasing plans to make their EVV and claims systems work together. The summary describes a deadline of January 1, 2027. We could not read the final statute text to confirm that date.

One more item to watch: HHAeXchange guidance said EVV for affected members should be recorded under Medica One Health Plan for dates of service from October 1, 2026, as members moved from UCare. We did not find confirmation that the change was completed, so check with HHAeXchange or Medica if you serve those members.

Minnesota EVV sources

• Minnesota DHS: Electronic visit verification
• Minnesota DHS Community-Based Services Manual: EVV compliance policy
• Minnesota DHS Community-Based Services Manual: Electronic visit verification
• HHAeXchange: Minnesota information hub
• Minnesota House Research: Electronic Visit Verification (August 2026)

Related reading

• Best EVV Software Compatible with HHA Exchange
• EVV Aggregators Explained
• The Benefits of Using 3rd-Party EVV Software
• Medicaid Waiver Billing Software: Avoiding Denials in HCBS
• What is EVV Software?
• EVV requirements for every state (map)

Other states that use HHAeXchange

Illinois, Michigan, 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 Minnesota's requirements, contact Ankota or read more about Ankota's EVV software.