Electronic Visit Verification (EVV) in Montana

All states: EVV requirements map

Montana EVV at a glance

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

How does EVV work in Montana?

Montana uses an open vendor model. The Department of Public Health and Human Services (DPHHS) provides Netsmart Mobile Caregiver+ as the state EVV system at no cost to providers, and it is also the state's aggregator. An agency can use Mobile Caregiver+ directly, or it can use an alternate EVV system that meets DPHHS requirements, is certified, and sends its visit data to Mobile Caregiver+. The state system went live on September 18, 2023.

To use an alternate system, the provider first completes a Provider Survey, and then the vendor completes an Alternate Vendor Survey and goes through certification and integration with Netsmart. The steps are listed on the Netsmart page for Montana DPHHS. The DPHHS FAQ also says every alternate EVV vendor must be able to capture visits offline.

The default way to record a visit is a mobile app that captures GPS location at check-in and check-out. Telephone check-in (IVR) is allowed only with prior approval from DPHHS. State policy for Community First Choice and Personal Care Services calls for the six federal data elements, with the start and end of each visit recorded in real time.

Does Montana deny Medicaid claims without EVV?

Yes. For dates of service on or after July 1, 2024, Montana denies claims for EVV services that lack compliant EVV data or that were not submitted through Netsmart Mobile Caregiver+. DPHHS set this full compliance deadline in a provider notice dated June 14, 2024. The rule applies whether the visit was captured in the state system or in an alternate EVV system.

The state names two exceptions:

• Medicare crossover claims that arrive electronically.
• Medicaid secondary claims (coordination of benefits) that need paper supplemental information.

For an agency using its own EVV software, this means every visit has to reach Mobile Caregiver+ and be released there before the claim can be paid. A visit that was delivered but never arrived in the aggregator is a visit that does not get paid. Agencies that review their unmatched and incomplete visits daily, instead of at billing time, catch these problems while they are still easy to fix.

DPHHS policy for Community First Choice and Personal Care Services also says EVV is part of state compliance reviews under the Administrative Rules of Montana.

Which Montana Medicaid services require EVV?

EVV applies across Montana's Medicaid home care and home health programs. DPHHS provider notices name Big Sky Waiver, Community First Choice, Personal Assistance Services, Home Health, Private Duty Nursing, the Severe and Disabling Mental Illness (SDMI) Waiver and the Developmental Disabilities Program. EVV does not apply to services delivered in congregate settings.

The exact procedure codes and modifiers that require EVV are set out in the state's Services Subject to EVV list, last updated October 28, 2025. We do not reproduce the codes here. Check your own service codes against that list, because it is the document the state works from. The list also includes Pediatric Complex Care Assistant services.

Two points catch agencies out:

• Live-in caregivers are not exempt. Montana requires EVV for all Community First Choice and Personal Care Services members, including those whose caregiver lives with them.
• Self-directed services are included. Self-directed personal assistance is on the services list. The DPHHS FAQ says self-direct employers who use Acumen as their fiscal intermediary use Acumen's own EVV system, and Acumen completes the vendor survey for them.

Montana Medicaid home care is paid fee for service. We did not find any separate managed care EVV rules for these services.

What is changing next for Montana EVV?

As of our last check, we found no announced change to Montana's EVV vendor, aggregator or rules. The one thing to watch is the state's claims system. DPHHS plans to replace it with the new Montana Healthcare Claims System, built by Gainwell Technologies, in 2027. No exact date has been published.

The state's claims modernization materials that we reviewed do not say how the new system will affect EVV claim submission, so we cannot tell you whether anything will change for EVV billing. If it does, expect DPHHS to announce it through provider notices.

DPHHS has also said in its EVV FAQ that it may revisit the EVV requirement for live-in caregivers once the new claims system is in place. That is a possibility the state has raised, not a decision. Until DPHHS says otherwise, live-in caregiver visits still require EVV.

Montana EVV sources

• Montana DPHHS: Electronic Visit Verification (EVV)
• Montana Medicaid provider notice: EVV full compliance deadline (June 14, 2024)
• Montana DPHHS: Services Subject to EVV (updated October 28, 2025)
• Montana DPHHS: EVV frequently asked questions
• Montana DPHHS: Community First Choice and Personal Care Services Policy 612, Electronic Visit Verification (July 2026)
• Netsmart Mobile Caregiver+: Montana DPHHS
• Montana Medicaid Claim Jumper newsletter (March 2026)
• Montana DPHHS: Claims Modernization

Related reading

• EVV Aggregators Explained: A Simple Guide for Home Care Providers
• The Benefits of Using 3rd-Party EVV Software
• Ensuring Compliance with EVV-Compliant Mobile Apps
• Podcast: The Present and Future of EVV with Netsmart's Brad Levine
• What is EVV Software?
• EVV requirements for every state (map)

Other states that use Netsmart

Georgia, Nebraska. 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 Montana's requirements, contact Ankota or read more about Ankota's EVV software.