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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.

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    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 Nebraska

          Click for the Ultimate Guide to EVV

          Electronic Visit Verification (EVV) in Nebraska

          All states: EVV requirements map

          In short: Open model. The free state system (Netsmart Mobile Caregiver+) is also the aggregator, and alternate vendors are allowed. Claims are not paid without compliant EVV.

          Nebraska EVV at a glance

          EVV modelOpen. Agencies can use the free state system or their own EVV vendor.
          State EVV systemNetsmart Mobile Caregiver+ (formerly Tellus), provided free by Nebraska DHHS.
          AggregatorNetsmart
          Can I use my own EVV vendor?Yes. It needs a signed state attestation and a working integration with Netsmart.
          Are claims denied without EVV?Personal care: yes. Services not billed through EVV are not paid, a rule in place since January 2021.
          Home healthVisit capture required since April 1, 2024. Claims go through the Netsmart EVV system since May 1, 2024.
          Managed careHeritage Health plans use Netsmart for home health visits. Check each plan for its own claim edits.

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

          How does EVV work in Nebraska?

          Nebraska uses an open EVV model. The Department of Health and Human Services (DHHS) provides a free system, Netsmart Mobile Caregiver+ (formerly called Tellus), and Netsmart is also the state aggregator. An agency can use the state system or choose its own EVV software, which Nebraska calls an alternate EVV vendor. Either way, the visit data ends up in Netsmart.

          EVV applies to these Nebraska Medicaid services:

          • Personal Assistance Services (PAS), for both agency and independent providers.
          • Aged and Disabled (AD) waiver and Traumatic Brain Injury (TBI) waiver in-home services on the DHHS EVV service code list.
          • Home health: home health aide, skilled nursing, physical therapy, occupational therapy and speech therapy visits. Medical equipment and supplies are excluded.
          • Developmental disabilities waivers: certain in-home services. These providers clock in and out in Therap, which DHHS describes as an integrated third-party vendor, or in an approved alternate vendor.

          Agencies that pick an alternate vendor have a few conditions to meet. The vendor signs the state attestation, and signs it again each year or when requirements change. The vendor also completes integration agreements and Nebraska-specific testing with Netsmart, even if it is already certified in another state. The agency still registers in Netsmart so its visits can be released for billing, and it pays its own vendor costs. The DHHS home health guidance also says a provider may not mix systems, so plan on one EVV system for all of your Nebraska Medicaid business.

          Does Nebraska deny Medicaid claims without a verified EVV visit?

          For personal care, yes. DHHS has required personal care billing to go through the EVV system since January 2021, and it states that personal care services not billed through EVV will not be paid. This covers PAS and the home and community-based waivers. After a state audit, DHHS added system checks in 2025 that stop a visit from being billed or paid when key details are missing.

          • February 19, 2025: a visit without GPS verification, or without state-approved telephone (IVR) verification, gets a critical error and cannot be billed.
          • June 25, 2025: claims are not paid without a National Provider Identifier (NPI) for both the provider and the caregiver. Claims are also not paid when a caregiver or a recipient goes over 16 hours in a day on the applicable service codes.
          • July 9, 2025: DHHS scheduled a further check of task codes and prior authorizations for AD waiver, TBI waiver and PAS services. We did not find a later state page confirming that this check took effect on that date, so confirm its status with DHHS or Netsmart.

          Important: Home health works differently. Visit capture has been mandatory since April 1, 2024, and home health claims must be submitted through the Netsmart EVV system since May 1, 2024. We did not find a written rule that says a home health claim is denied when it has no matching visit, and the 2025 bulletins on NPI and the 16-hour limit are addressed to PAS and waiver providers. If you bill home health to a Heritage Health plan, ask that plan how it handles claims without a matching visit.

          In practice, a personal care visit that was delivered but not verified is a visit that cannot be billed in the normal way. The work of getting paid happens at the visit, not at billing time.

          What do Nebraska agencies need to get right on every visit?

          Nebraska expects each personal care and waiver visit to be verified by GPS in a mobile app, signed by the client, and tied to a provider and caregiver NPI. Telephone verification (IVR) is the exception and not the rule. Agencies that build these steps into daily routines avoid most critical errors.

          • GPS is the main method. The caregiver has to be within 0.25 miles of the service location in urban zip codes, or 0.50 miles in rural zip codes.
          • IVR needs state approval. Waiver providers may use IVR only with prior approval from the state. The PAS program does not allow IVR at all, so PAS visits must be GPS verified.
          • Client signature. Since February 19, 2025, each visit needs the client's signature, or a recorded reason explaining who signed.
          • NPI for provider and caregiver. Both are required for a claim to be paid.
          • 16-hour daily limits. Hours for one caregiver, and hours for one recipient, cannot go over 16 in a day on the applicable codes.
          • Tasks. AD waiver, TBI waiver and PAS services have task lists, and the Legally Responsible Individual personal care codes added on July 1, 2025 also require tasks.

          DHHS gives each caregiver three educational interventions for visits that do not meet the verification rules. After those are used, a non-compliant visit can only be pursued through a formal appeal. That makes it worth reviewing visit exceptions every day and coaching caregivers early, before the interventions run out.

          What is changing next for Nebraska EVV?

          No upcoming change to Nebraska EVV was found as of our last check. The 2025 enforcement steps have all passed and are now current requirements. We reviewed the 2026 Medicaid provider bulletins and the 2026 Developmental Disabilities bulletins and found no EVV item, and we found no announcement of a change in the state EVV vendor or aggregator.

          One item to watch if you use an alternate vendor: a Netsmart notice to alternate vendors from April 2025 described new missed-visit reporting fields as coming soon, with no date given. We did not find a date for it. Your EVV vendor should be able to tell you where that stands.

          Get notified when Nebraska EVV rules change

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

          Who to ask about Nebraska EVV

          Questions about Nebraska EVV rules are best put to the state. Start with Nebraska DHHS: Electronic Visit Verification. The state lists DHHS.MedicaidFA-EVV@nebraska.gov for EVV questions.

          Nebraska EVV sources

          Related reading

          Other states that use Netsmart

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

          Nebraska

          Dr. Matthew Van Patton
          Director, Division of Medicaid & Long-Term Care
          Nebraska Department of Health and Human Services
          301 Centennial Mall South, 3rd Floor, PO Box 95026
          Lincoln, NE 68509-5026

          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.

          Nebraska EVV questions

          Does Nebraska deny Medicaid claims without EVV?

          For personal care, yes. Nebraska DHHS states that personal care services not billed through the EVV system will not be paid, and that has been the rule since January 2021. Since February 19, 2025, a visit without GPS or approved IVR verification also gets a critical error and cannot be billed.

          Who is the EVV aggregator in Nebraska?

          Netsmart is the Nebraska state aggregator. Netsmart also supplies the free state visit verification system, Mobile Caregiver+, which used to be called Tellus. Data from alternate vendors is sent to Netsmart under Nebraska's data specification.

          Can I choose my own EVV software in Nebraska?

          Yes. Nebraska is an open model state, so an agency can use the free state system or an alternate EVV vendor. The vendor has to sign the state attestation each year, complete integration and Nebraska-specific testing with Netsmart, and the agency still registers in Netsmart to release its visits. The agency pays its own vendor costs.

          Which Nebraska services require Electronic Visit Verification?

          Electronic Visit Verification applies to Personal Assistance Services, in-home services under the Aged and Disabled and Traumatic Brain Injury waivers, certain developmental disabilities waiver services, and home health. Home health covers home health aide, skilled nursing, physical therapy, occupational therapy and speech therapy visits. Medical equipment and supplies are excluded.

          Can caregivers use telephone check-in (IVR) in Nebraska?

          Only in limited cases. GPS in a mobile app is the main method, and waiver providers need prior state approval to use IVR. The Personal Assistance Services program does not allow IVR at all, so those visits must be GPS verified.

          How close does a caregiver need to be for a Nebraska EVV visit to verify?

          Nebraska sets the GPS range at 0.25 miles from the service location in urban zip codes and 0.50 miles in rural zip codes. A visit that is not GPS verified, and has no approved IVR verification, gets a critical error and cannot be billed.

          What are Nebraska's NPI and 16-hour rules for EVV claims?

          Since June 25, 2025, Nebraska does not pay personal care and waiver EVV claims unless both the provider and the caregiver have a National Provider Identifier. Claims are also not paid when a caregiver, or a recipient, goes over 16 hours in a day on the applicable service codes.

          Are Nebraska home health claims denied without a matching EVV visit?

          Home health visit capture has been mandatory since April 1, 2024, and claims must be submitted through the Netsmart EVV system since May 1, 2024. We did not find a written denial rule for home health claims that lack a matching visit. Check with the Heritage Health plan you bill for how it handles those claims.

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