Electronic Visit Verification (EVV) in Nevada

All states: EVV requirements map

Nevada EVV at a glance

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

How does EVV work in Nevada?

Nevada uses an open EVV model that the state calls the Open Choice Model and describes as a hybrid. Agencies can use the free state EVV system, run by Sandata Technologies, or keep an EVV system of their own choosing. Either way, visit data ends up in the Sandata Aggregator, and every provider has to register with Sandata.

Sandata has been the state EVV vendor since January 1, 2024. Before that, the state system was Fiserv AuthentiCare, which ran through the end of 2023. The state's EVV page is the best starting point for current program information.

A few rules apply no matter which system you pick:

• Registration: all providers of EVV services register with Sandata, including agencies that use an alternate EVV system.
• Training: EVV training has to be completed before the vendor issues system credentials.
• Data: the EVV record has to capture the six data elements required by the federal 21st Century Cures Act, and the agency and attendant NPIs have to be recorded in the EVV system.
• Alternate EVV: an agency's own system sends visits to the Sandata Aggregator using the state's Alternate EVV Vendor Specification. Sandata does not bill for alternate EVV users, so those agencies submit claims through a third-party billing solution.

Which Nevada Medicaid services require EVV?

Nevada ties EVV to provider types and specialties, not to a single list of service names. EVV is required for personal care services, home health and private duty nursing, and for certain in-home waiver services such as attendant care, homemaker, chore, adult companion and respite. If your provider type and specialty are on the list below, your visits need EVV.

• Provider type 30, specialty 930: personal care services delivered by an agency. Personal care providers must submit their initial claims through an EVV system.
• Provider type 83, specialty 983: self-directed personal care through an Intermediary Service Organization (ISO). Self-direction is not exempt from EVV in Nevada.
• Provider type 29, specialty 929: home health care and private duty nursing, required to use EVV to document and bill since January 1, 2024. The eight-minute rule applies to EVV units for these services.
• Provider type 48: specialties 039 (Homemaker), 191 (Respite, individual providers only), 199 (Chore) and 208 (Adult Companion).
• Provider type 58: specialties 189 (Attendant), 039 (Homemaker), 191 (Respite) and 199 (Chore).
• Provider type 95, specialty 191: respite. The state lists it among the provider types whose EVV claims go directly to payers.

Other specialties under provider types 48 and 58, such as personal emergency response, social adult day care and case management, are not flagged for EVV. Provider type 38 is not on any published Nevada EVV provider type list.

Does Nevada deny Medicaid claims without a matching EVV visit?

Not for a visit mismatch in fee-for-service Medicaid, as of our last check. In April 2026 Nevada changed its EVV visit-match errors in the fee-for-service claims system from denials to informational messages. What has not changed is that claims for EVV services have to be submitted as EVV claims, to the EVV payer IDs.

Here is what the state has published:

• Direct-to-payer claims since April 1, 2026: EVV claims (837P and 837I) are no longer routed through an intermediary. They go directly to each payer using that payer's EVV payer ID. The fee-for-service ID is NVMED, and the state's announcement also lists EVV payer IDs for Molina, Health Plan of Nevada (UnitedHealthcare), Anthem and SilverSummit.
• Who submits: agencies on the state system submit EVV claims through Sandata. Agencies on an alternate EVV system submit through their third-party billing solution, using the same EVV payer IDs.
• Visit-match errors are informational: error codes 3802, 3807, 3808, 3809 and 3810 no longer deny a fee-for-service claim. The change names provider types 29, 30, 48, 58 and 83. Claims denied for those codes between April 1 and April 10, 2026 were reprocessed.

The state says the change lines fee-for-service up with the managed care organizations. We did not find a bulletin from any managed care plan that states how it handles a claim with no matching EVV visit, so check with each plan you bill. If you bill a plan that is not named in the state's payer ID list, ask that plan which payer ID to use for EVV claims.

What is changing next for Nevada EVV?

We found no upcoming Nevada EVV change as of our last check on October 8, 2026. The move to direct-to-payer EVV claims took effect April 1, 2026 and is now a current requirement, and no later EVV announcement appeared on the state's provider announcements page.

Two things are worth watching. The state has not said how long visit-match errors will stay informational, so agencies should keep their visits and claims matching as if the edits could deny again. And because EVV rules in Nevada are published through web announcements, the newest announcement is the one to follow when an older document says something different. Questions about the program can go to the state EVV team at NVEVV@nvha.nv.gov.

Nevada EVV sources

• Nevada Medicaid: Electronic Visit Verification (EVV) page
• Nevada Medicaid Web Announcement 3119: Sandata as state EVV vendor (July 2023)
• Nevada Medicaid Web Announcement 3186: alternate EVV and registration (October 2023)
• Nevada Medicaid Web Announcement 3877: EVV claims submitted directly to payers (March 2026)
• Nevada Medicaid Web Announcement 3891: EVV visit-match edits changed to informational (April 2026)
• Nevada Medicaid billing guidelines: provider types 30 and 83 (personal care)
• Nevada Medicaid billing guidelines: provider type 29 (home health)
• Nevada Medicaid Provider Enrollment Information Booklet
• Sandata: Nevada Alternate EVV Vendor Specification 1.7

Related reading

• EVV Software Compatible with Sandata Aggregator
• EVV Aggregators Explained: A Simple Guide for Home Care Providers
• The Benefits of Using 3rd-Party EVV Software
• What is EVV Software?
• EVV requirements for every state (map)

Other states that use Sandata

California, Colorado, Connecticut, Delaware, District of Columbia, Hawaii, Idaho, Indiana, Maine, Massachusetts, Missouri, North Carolina, Ohio, Pennsylvania, Rhode Island, Vermont, Wisconsin. 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 Nevada's requirements, contact Ankota or read more about Ankota's EVV software.