Electronic Visit Verification (EVV) in Oregon

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Electronic Visit Verification (EVV) in Oregon

In short: Agencies choose their own EVV system and report monthly. Homecare workers paid by the state use the separate state system (OR PTC DCI). Change ahead: Oregon's contractor is bringing agency EVV vendors onto a new aggregator. No mandatory date has been published.

Oregon EVV at a glance

EVV modelHybrid. Agencies choose their own EVV system (Provider Choice). Workers paid by the state use a state system.
State EVV systemOR PTC DCI, for state-paid homecare workers and personal care attendants only. Agencies are not given a state system.
AggregatorDCI Data Aggregator, run by Acumen with ODHS and OHA. Agency EVV vendors are being onboarded in waves. We found no mandatory date.
Can I use my own EVV vendor?Yes for in-home care agencies and home health agencies. No for state-paid homecare workers.
How do agencies report EVV today?A monthly EVV report. In-home care agencies report to ODHS with an attestation. Home health agencies report to OHA.
Are claims denied without EVV?It depends on the program. Home health services that are not EVV compliant are ineligible for payment. We did not find a claim denial edit for in-home care agencies.
I/DD servicesSeparate track. ODDS uses eXPRS for EVV and billing.

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

How does EVV work in Oregon for home care agencies?

Oregon does not give Medicaid in-home care agencies or home health agencies a state EVV system. Each agency chooses its own EVV software, a model Oregon calls Provider Choice. Under the administrative rules in force, the agency verifies each visit at the time of service and then sends the state a monthly EVV report.

Oregon runs EVV separately by program, so the first step is to know which track you are on:

  • In-home care agencies (ODHS Aging and People with Disabilities): OAR 411-033-0030 requires an EVV system that verifies the six data elements of the federal 21st Century Cures Act at the time of service. The rule names no state system. Each month the agency sends a report listing the consumer name, Medicaid identifier, service dates, locations, start and end times and services, with an attestation that all submitted claims met EVV requirements.
  • Home health agencies (Oregon Health Authority): OAR 410-127-0046, effective January 1, 2024, says Oregon Medicaid selected the Provider Choice Model for home health. The agency's EVV solution must record start and end times to the minute and the geolocation at the start and end of the visit. The monthly report goes to OHA on the OHA template and includes the agency provider number, rendering provider name, client prime number, service date, start and end times, geolocation and service type.

OHA does not grant an agency-level exception from EVV for home health. A limited exception for an individual or a rendering provider may be allowed.

Does Oregon deny Medicaid claims without EVV?

It depends on the program. For home health, the rule is direct: services that are not EVV compliant are ineligible for payment and may be denied or recovered from the agency. For in-home care agencies, the rule requires a monthly attestation that every submitted claim met EVV requirements, and we did not find an explicit claim denial or payment hold tied to an EVV match.

  • Home health agencies: the payment language in OAR 410-127-0046 has applied since January 1, 2024. The rule also says an agency may not alter a data point before sending the record for payment. The rule does not describe an automated claim check, so plan for your monthly reports and visit records to be reviewed and audited.
  • In-home care agencies: OAR 411-033-0030 requires claims to be submitted through MMIS within 12 months and requires the monthly attestation. The absence of a published denial edit is not the same as no risk. An attestation is a signed statement that your claims were EVV compliant, so your visit records need to support it.
  • State-paid homecare workers: OAR 411-031-0040 says all claims must be EVV compliant.

In practice, the agencies that stay out of trouble are the ones that review visit exceptions every day, so the monthly report and the claims already agree by the time either one is sent.

Which EVV system do state-paid homecare workers use in Oregon?

Homecare workers and personal care attendants who are paid by the state use OR PTC DCI (Oregon Provider Time Capture, Direct Care Innovations). This is a closed track. No other EVV system is accepted for these workers, and it is separate from the rules for agencies.

Only three OR PTC DCI methods count as EVV compliant: the mobile application, a landline, and a fob. A time entry that is edited after it is captured is no longer EVV compliant, and neither is a web portal entry made without a fob code.

Two other programs have their own arrangements, and most home care agencies will only touch them at the edges:

  • I/DD services (ODDS): EVV data is collected in or imported to eXPRS, the system ODDS uses to authorize services and process billing. Agencies can use eXPRS Mobile-EVV or their own EVV solution with a file import. See the ODDS worker guide.
  • Independent Choices Program: the state contracts with Acumen as fiscal intermediary, and Acumen offers time entry by mobile app, landline or fob. See the ODHS Acumen EVV FAQ.

What is changing next for Oregon EVV?

Important: Oregon's aggregation contractor is onboarding agency EVV vendors to a visit-level data aggregator, but as of our last check we did not find a state notice that sets a mandatory date or says the monthly EVV report is going away. Keep sending your monthly report until ODHS or OHA tells you otherwise in writing.

Oregon appears to be moving agency EVV from monthly reports toward visit-by-visit aggregation, but the timing is not final. Acumen works with ODHS and OHA to provide State of Oregon EVV data aggregation through the DCI Data Aggregator. The contractor's Oregon EVV specifications, last updated in July 2026, name two programs in scope: ODHS in-home care agencies (attendant care and personal care services billed as S5125 and T1019) and OHA home health agencies.

What the documentation describes:

  • EVV vendors chosen by agencies are called Alternate EVV Vendors. They are brought on in implementation waves, starting with an introduction email from ODHS to the vendor.
  • A vendor completes an Acumen onboarding form and testing, and its test report must be accepted by Acumen and the State before it can send live visit data.
  • The aggregator receives each visit, validates it, and marks it as an aggregation success or an aggregation failure.

What we did not find: a mandatory start date for agencies, a statement on whether aggregation replaces the monthly report, any link between an aggregation failure and claim payment, or a public list of onboarded vendors. A sensible step now is to ask your EVV vendor where it stands in Oregon's onboarding, and to watch for notices from ODHS (in-home care) or OHA (home health).

We found no upcoming change for state-paid homecare workers on OR PTC DCI, for I/DD services in eXPRS, or for the Independent Choices Program.

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Oregon EVV sources

Related reading

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 Oregon's requirements, contact Ankota or read more about Ankota's EVV software.

Oregon (1)

Ms. Lori Coyner
Oregon Health Authority
500 Summer Street, NE E49
Salem, OR 97301

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.

Oregon EVV questions

Can I choose my own EVV software in Oregon?

Yes, if you are a Medicaid in-home care agency or a home health agency. Oregon uses a Provider Choice model for both, so the agency selects its own EVV system and the state does not supply one. State-paid homecare workers and personal care attendants are the exception, because they must use OR PTC DCI.

Does Oregon have a state EVV system?

Only for workers the state pays directly. Homecare workers and personal care attendants enter their time in OR PTC DCI (Oregon Provider Time Capture, Direct Care Innovations). In-home care agencies and home health agencies are not given a state system for capturing visits.

Who is the EVV aggregator in Oregon?

Acumen works with ODHS and OHA to provide Oregon's visit data aggregation through the DCI Data Aggregator. It covers two programs, ODHS in-home care agencies and OHA home health agencies, and agency EVV vendors are being onboarded in waves. We did not find a state notice with a mandatory date, and the rules in force still require a monthly report.

Does Oregon deny Medicaid claims without a verified visit?

For home health, yes by rule. Services that are not compliant with Electronic Visit Verification are ineligible for payment and may be denied or recovered, effective January 1, 2024. For in-home care agencies we did not find an explicit denial edit, but the agency must attest each month that all submitted claims met EVV requirements.

What goes in the monthly EVV report for Oregon in-home care agencies?

The report lists the consumer name, Medicaid identifier, service dates, locations, start and end times, and services provided. It includes an attestation that all submitted claims met visit verification requirements. This comes from OAR 411-033-0030.

What does Oregon require from a home health agency's EVV system?

Under OAR 410-127-0046, the system must record visit start and end times to the minute and the geolocation at the start and end of the visit. The agency sends OHA a monthly report on the OHA template. OHA grants no agency-level exception, though a limited exception for an individual or rendering provider may be allowed.

Which time entry methods are EVV compliant in OR PTC DCI?

Three methods count: the mobile application, a landline, and a fob. A time entry edited after capture is no longer compliant, and a web portal entry without a fob code is not compliant either. These rules apply to state-paid homecare workers, not to agency caregivers.

How does visit verification work for Oregon I/DD services?

I/DD services run on a separate track through eXPRS, the system the Office of Developmental Disabilities Services uses for authorization and billing. Agencies can use eXPRS Mobile-EVV or their own EVV solution that produces a file for import into eXPRS. Agencies do not get an agency-level exception from using one of those two options.

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