Solutions

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.

    Resources

    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 Missouri

          Click for the Ultimate Guide to EVV

          Electronic Visit Verification (EVV) in Missouri

          All states: EVV requirements map

          In short: Open model with no state EVV system. Sandata is the aggregator. Personal care claims with no matching verified visit have been denied since April 1, 2026. Change ahead: Claims validation for DMH Developmental Disabilities and Brain Injury Waiver personal assistance (provider type 85) was announced for fall 2026. The state has not confirmed that it is in effect.

          Missouri EVV at a glance

          EVV modelOpen (provider choice). Agencies pick their own EVV software.
          State EVV systemNone. Missouri does not provide a visit capture system.
          AggregatorSandata EVV Aggregator Solution (EAS)
          Can I use my own EVV vendor?Yes. The vendor must be certified with the aggregator.
          Are claims denied without EVV?Yes. Personal care since April 1, 2026 and home health since June 1, 2026.
          Managed careHome State Health and UnitedHealthcare apply the same check from September 21, 2026.

          Last verified against state sources: 2026-10-07.

          How does EVV work in Missouri?

          Missouri uses an open EVV model, which the state also calls provider choice. There is no state-run EVV app. Each agency chooses its own EVV software, and that software sends visit data to the state's aggregator, the Sandata EVV Aggregator Solution (EAS). MO HealthNet keeps a list of EVV vendors as a courtesy, and a vendor that is not yet certified has to pass interface testing with EAS first.

          EVV applies to personal care, advanced personal care, consumer-directed services, homemaker, chore and in-home respite, and to home health nursing, therapy and personal care aide visits. Missouri does not exempt live-in caregivers. Providers are also expected to log in to EAS at least weekly to check their visits.

          Does Missouri deny Medicaid claims without a verified EVV visit?

          Yes. MO HealthNet now checks each claim for an EVV-required service against the visits held in EAS, and denies the claim when there is no matching verified visit. The state calls this claims validation, and it arrived in phases:

          • January 7, 2026: soft launch. Claims without a matching visit were paid, with an alert on the remittance advice.
          • April 1, 2026: denials began for services authorized by the Division of Senior and Disability Services and billed by provider types 26 and 28 (personal care, advanced personal care, consumer-directed services, homemaker, chore and respite), for dates of service on or after that date.
          • June 1, 2026: denials began for home health providers (provider type 58).
          • September 21, 2026: Home State Health began denying personal care and home health claims with no matching verified visit. UnitedHealthcare Community Plan of Missouri posts the same date.

          For a claim to match, the visit in EAS and the claim have to agree on the participant's Medicaid ID, the provider's Medicaid ID, the date of service, the procedure code and modifiers, and the units. In practice that means a visit that was delivered but never reached verified status in the aggregator is a visit that does not get paid.

          What is changing next for Missouri EVV?

          Important: Missouri announced that claims validation would extend to Department of Mental Health Developmental Disabilities waiver personal assistant services and Brain Injury Waiver personal care (provider type 85) in fall 2026. As of our last check, the state had not confirmed that denials are in effect for these providers. If you bill under provider type 85, confirm the current status with the state before you rely on either answer.

          We did not find a published claims validation date for Healthy Blue. If you bill Healthy Blue for EVV-required services, ask the plan directly.

          What else do Missouri agencies need to get right?

          Beyond the federal EVV data elements, Missouri expects completed care plan tasks to be sent along with the visit. Missouri billing also works in completed 15-minute units, so agencies round down, and minutes left over can be carried forward and combined with a later visit to make another billable unit. Caregivers are identified by their Family Care Safety Registry ID, and many agencies hold more than one Medicaid provider ID, so each visit has to land under the right one.

          None of this is hard on a single visit. It gets hard across hundreds of visits a week, which is why the agencies that stay paid are the ones that review exceptions every day instead of at billing time.

          Get notified when Missouri EVV rules change

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

          Who to ask about Missouri EVV

          Questions about Missouri EVV rules are best put to the state. Start with MO HealthNet: Electronic Visit Verification. The state lists Ask.EVV@dss.mo.gov for EVV questions.

          Missouri EVV sources

          Related reading

          Other states that use Sandata

          California, Colorado, Connecticut, Delaware, District of Columbia, Hawaii, Idaho, Indiana, Maine, Massachusetts, Nevada, North Carolina, Ohio, Pennsylvania, Rhode Island, Vermont, Wisconsin. See every state on the EVV requirements map.

          Page history

          • October 7, 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 Missouri home care agencies and is on the state's EVV vendor list. If you would like to talk through Missouri's requirements, contact Ankota or read more about Ankota's EVV software.

          Missouri

          Mr. Todd Richardson
          MO HealthNet Division
          Missouri Department of Social Services
          615 Howerton Court, PO Box 6500
          Jefferson City, MO 65102

          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.

          Missouri EVV questions

          Does Missouri deny Medicaid claims without EVV?

          Yes. MO HealthNet denies claims for EVV-required services when there is no matching verified visit in the state aggregator. Denials began April 1, 2026 for personal care and related services billed by provider types 26 and 28, and June 1, 2026 for home health (provider type 58).

          Who is the EVV aggregator in Missouri?

          Missouri's aggregator is the Sandata EVV Aggregator Solution, known as EAS. Missouri does not provide a state EVV system for capturing visits, so every agency uses its own EVV software and that software sends visit data to EAS.

          Can I choose my own EVV software in Missouri?

          Yes. Missouri is an open model state, so agencies choose their own EVV vendor. The vendor has to be certified with the state aggregator, and a vendor that is not yet certified must pass interface testing first. MO HealthNet publishes a vendor list as a courtesy, and Ankota is on it.

          Which Missouri services require EVV?

          EVV is required for personal care, advanced personal care, consumer-directed services, homemaker, chore and in-home respite. It is also required for home health nursing, occupational, physical and speech therapy, and personal care aide visits.

          What has to match for a Missouri EVV claim to be paid?

          The verified visit in the aggregator and the claim need to agree on the participant's Medicaid ID, the provider's Medicaid ID, the date of service, the procedure code and modifiers, and the units. If any of these do not line up, the claim can be denied even though the visit took place.

          Do Missouri Medicaid managed care plans deny claims without EVV?

          Home State Health began denying personal care and home health claims with no matching verified visit on September 21, 2026, and UnitedHealthcare Community Plan of Missouri posts the same date. We did not find a published date for Healthy Blue, so check with that plan directly.

          Are live-in caregivers exempt from EVV in Missouri?

          No. Missouri does not exclude live-in caregivers from EVV. Visits by a live-in caregiver for an EVV-required service need to be captured and verified like any other visit.

          Does Missouri EVV claims validation apply to DMH developmental disability waiver providers?

          The state announced that claims validation would extend to DMH Developmental Disabilities personal assistant services and Brain Injury Waiver personal care (provider type 85) in fall 2026. As of our last check the state had not confirmed that denials are in effect, so providers should confirm the current status with the state.

          I need more help with EVV

          Get help with EVV