Electronic Visit Verification (EVV) in Mississippi

All states: EVV requirements map

Mississippi EVV at a glance

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

How does EVV work in Mississippi?

Mississippi uses a hybrid EVV model. The Division of Medicaid (DOM) provides a free EVV system, the HHAeXchange provider portal and mobile app, and HHAeXchange is also the state's data aggregator. An agency can use the free state system, or it can use its own EVV software as long as that software is approved and sends its visit data to HHAeXchange.

DOM awarded the state EVV contract to FEI Systems, with HHAeXchange as the subcontractor. The rules are set out in Mississippi Administrative Code Title 23, Part 200, Rule 1.14, which took effect on December 1, 2025. The waiver programs went live in HHAeXchange on August 1, 2023, State Plan home health, private duty nursing and personal care providers followed in December 2023, and the managed care plans were added on May 1, 2025.

If you choose your own EVV vendor, these conditions apply:

• You complete the HHAeXchange third-party attestation, and your system passes testing before it goes live.
• You use one EVV system for all EVV services under a provider number.
• You cannot use the free portal and a third-party system at the same time.
• Rule 1.14 sets an outer limit of 14 days for sending visit data. The aggregator's own technical requirements ask for visits to be sent much sooner than that, so plan to send data as visits happen.

We did not find a public list of approved third-party EVV vendors for Mississippi. Approval is handled provider by provider, so ask any vendor you are considering whether it has already completed Mississippi testing with HHAeXchange.

Which Mississippi Medicaid services require EVV?

Rule 1.14 lists the services that need EVV data for payment. For home care agencies, the main ones are personal care and in-home respite under the Elderly and Disabled Waiver, personal care attendant services under the Independent Living Waiver and the Traumatic Brain Injury/Spinal Cord Injury Waiver, and State Plan home health, private duty nursing and personal care.

• Elderly and Disabled (E&D) Waiver: Personal Care Services and In Home Respite.
• Independent Living (IL) Waiver: Personal Care Attendant services.
• Traumatic Brain Injury/Spinal Cord Injury (TBI/SCI) Waiver: Personal Care Attendant, In Home Companion Respite and In Home Nursing Respite.
• State Plan services: private duty nursing, personal care, and home health physical therapy, speech language pathology, skilled nursing and home health aide visits.
• ID/DD Waiver: Home and Community Supports, Respite In Home Nursing, In Home Respite and Supported Living.
• 1915(i) Community Support Program: Supported Living and In Home Respite.

Each visit has to capture the six data elements in 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. Manual entry is allowed only when the EVV system is unavailable or in documented exigent circumstances, and the reason has to be entered in the EVV system. Suspected falsification of EVV records must be reported to DOM Program Integrity within 2 business days. Fixed devices placed in the home (FOBs) are offered only to the waiver providers that joined in the first phase.

Does Mississippi deny Medicaid claims without EVV?

For fee-for-service Medicaid, yes. Rule 1.14(H), effective December 1, 2025, requires claims for EVV services to reach the state's fiscal agent through the state EVV system, unless DOM authorizes something else in writing. In a notice dated November 25, 2025, DOM announced a claims edit for dates of service from January 1, 2026: fee-for-service claims for EVV services that do not come from HHAeXchange are suspended, then reviewed, and denied when no technical issue is found.

In practice this means that even an agency using its own EVV software sends its fee-for-service claims for these services through HHAeXchange instead of billing the state's claims system (MESA) directly. A provider with a technical problem can ask DOM for a temporary exception using the state's exception request form.

Managed care works differently. For members in a Medicaid managed care plan, the agency still sends EVV visit data to HHAeXchange but bills the plan directly. DOM's notice named Magnolia Health, Molina Healthcare and TrueCare and said the plans would add similar claim edits. We did not find a plan bulletin confirming that any of these edits is live, so ask each plan you bill how it checks claims against EVV visits.

What is changing next for Mississippi EVV?

We did not find a confirmed upcoming change with a firm date as of our last check. Three items are announced or reported but not confirmed, and each one is worth checking with the source before you act on it.

• HHAeXchange+ mobile app: HHAeXchange's Mississippi page said its new mobile app, HHAeXchange+, would become the required app for completing EVV, with a scheduled date of August 31, 2026. We did not find confirmation that the requirement took effect. If your caregivers use the state's free app, confirm with HHAeXchange which app they should be on.
• State Plan private duty nursing and personal care claims: a further step requiring fee-for-service claims for these two services to be submitted and processed in HHAeXchange has been reported, and so has a postponement of that step with no new date. We could not confirm either one first hand. Watch DOM's Late Breaking News page for the current notice.
• Managed care plan claim edits: the state said Magnolia Health, Molina Healthcare and TrueCare would add EVV claim edits similar to the fee-for-service edit, without a firm date for each plan. We did not find confirmation from any plan. Check with each plan directly.

Mississippi EVV sources

• Mississippi Administrative Code Title 23, Part 200, Rule 1.14: Electronic Visit Verification (Secretary of State copy)
• Mississippi Division of Medicaid: Late Breaking News (archived copy, August 12, 2026)
• Mississippi Division of Medicaid: EVV for Personal Care Service Providers (archived copy, May 17, 2026)
• HHAeXchange: Mississippi information hub
• HHAeXchange: Mississippi EVV Data Aggregation Business Requirements

Related reading

• Best EVV Software Compatible with HHA Exchange
• EVV Aggregators Explained
• The Benefits of Using 3rd-Party EVV Software
• Ensuring Compliance with EVV-Compliant Mobile Apps
• What is EVV Software?
• EVV requirements for every state (map)

Other states that use HHAeXchange

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