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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 Wisconsin

          Click for the Ultimate Guide to EVV

          Electronic Visit Verification (EVV) in Wisconsin

          All states: EVV requirements map

          In short: Open model. Agencies use the free Sandata system or a certified alternate system. Personal care claims without EVV have been denied since May 2023, and home health since October 2024.

          Wisconsin EVV at a glance

          EVV modelOpen. Agencies use the free state system or a certified alternate EVV system.
          State EVV systemSandata EVV, provided by the Wisconsin Department of Health Services (DHS) at no cost.
          AggregatorSandata aggregator
          Can I use my own EVV vendor?Yes. The alternate system must be certified through Sandata and connected to the aggregator.
          Are claims denied without EVV?Yes. Personal care since May 1, 2023. Home health codes and 99509 since October 1, 2024.
          Managed careHMOs and Family Care MCOs also deny. Each plan sets its own claim timing and denial messages.
          Live-in workersNot required by DHS for personal care and supportive home care codes. Required for home health codes and 99509.

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

          How does EVV work in Wisconsin?

          Wisconsin uses an open EVV model. An agency can use the Sandata EVV system that the Department of Health Services (DHS) provides at no cost, or it can use its own alternate EVV system. Any alternate system has to be certified through Sandata and send its visits to the Sandata aggregator. Sandata passes only verified visits on to DHS each night.

          If you choose an alternate EVV system, the DHS alternate EVV page sets out the steps:

          • The system has to meet the Wisconsin alternate EVV technical specification (version 2.6 as of our last check).
          • The provider returns attestation form F-02659 to Sandata.
          • Certification and setup can take up to three months. If the vendor is already certified for Wisconsin, a shorter process takes about one week.

          We did not find a public list of certified alternate EVV vendors for Wisconsin. DHS material tells providers to contact Sandata to learn whether a vendor is already certified. Agencies on an alternate system check the status of their visits in the aggregator.

          Does Wisconsin deny Medicaid claims without a verified EVV visit?

          Yes. Wisconsin calls the start of enforcement the hard launch, and both hard launch dates have passed. Personal care and supportive home care have carried consequences for missing EVV for dates of service on and after May 1, 2023. Home health care codes and nurse supervisory code 99509 have been denied without EVV for dates of service on and after October 1, 2024.

          • Fee-for-service: a claim detail with no verified visit suspends and recycles for two days, then denies. The denial carries EOB 1047 (visit not found) or EOB 1048 (units do not meet requirements). Billed units above the verified EVV units are also denied.
          • BadgerCare Plus and SSI HMOs: HMOs have authority under their DHS contracts to deny personal care claims that are missing EVV, and the state said DHS, HMOs and MCOs would deny home health and 99509 claims from the October 2024 date. Providers are told to contact their HMO for its payment policy and denial messages.
          • Family Care MCOs: MCOs have the same authority, and each one sets its own claim timing and denial messages. We did not review any individual plan's billing rules, so check with each plan you bill.
          • IRIS: the fiscal employer agent denies provider agency claims that have no EVV. Participant-hired workers are still paid for hours worked, but repeated missing EVV can lead, after a staged process, to the participant being disenrolled from IRIS.

          Because only verified visits reach DHS, a visit that was delivered but never reached verified status is a visit that does not get paid. Agencies that review visit exceptions every day, instead of at billing time, have far fewer denials to chase.

          Which Wisconsin services and codes require EVV?

          EVV is required for personal care, supportive home care, home health care services and nurse supervisory visits, but the exact code list depends on the program you bill. The DHS service code table is the reference to check before you set up a new service.

          • Fee-for-service and HMOs: personal care code T1019, nurse supervisory code 99509, and ten home health codes (92507, 97139, 97799, 99504, 99600, S9123, S9124, T1001, T1021 and T1502).
          • Family Care: all of the codes above, plus T1020, S5125 and S5126.
          • IRIS: T1019, S5125 and S5126. DHS shows EVV as not required for the home health codes under IRIS.

          Live-in workers. DHS does not require EVV from live-in workers for the personal care and supportive home care codes. That exception does not cover 99509 or the home health codes, so those visits need EVV even when the worker lives with the member. HMOs, MCOs and provider agencies may still choose to require EVV from live-in workers, so confirm each payer's rule. In IRIS, live-in participant-hired workers are not required to use EVV.

          What is changing next for Wisconsin EVV?

          We found no upcoming change to Wisconsin's EVV vendor, aggregator or home care EVV rules as of our last check. The most recent item on the DHS EVV news page is the October 2024 hard launch for home health. That does not prove nothing is planned, so it is worth checking the DHS EVV pages from time to time.

          Important: One related change is announced but not final. DHS has posted a notice of intent to select Public Partnerships LLC as the single fiscal employer agent for the IRIS program. As of our last check the award was still under protest review, and DHS described participant transfers as starting no earlier than 2027. DHS says EVV process details will be shared before any transition. If you serve IRIS participants, follow the DHS announcement page for the current status.

          Get notified when Wisconsin EVV rules change

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

          Who to ask about Wisconsin EVV

          Questions about Wisconsin EVV rules are best put to the state. Start with Wisconsin DHS: Electronic Visit Verification.

          Wisconsin EVV sources

          Related reading

          Other states that use Sandata

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

          Wisconsin

          Mr. James Jones
          State of Wisconsin, Department of Health Services
          1 West Wilson Street, Room 350 PO Box 309
          Madison, WI 53701-0309

          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.

          Wisconsin EVV questions

          Does Wisconsin deny Medicaid claims without EVV?

          Yes. Personal care and supportive home care have carried consequences for missing EVV for dates of service on and after May 1, 2023. Home health care codes and nurse supervisory code 99509 have been denied without a verified visit for dates of service on and after October 1, 2024.

          Who is the EVV aggregator in Wisconsin?

          Wisconsin's aggregator is run by Sandata. Every alternate EVV system has to connect to it, and Sandata sends only verified visits to the Department of Health Services each night.

          Can I choose my own EVV software in Wisconsin?

          Yes. Wisconsin is an open model state, so an agency can use the free Sandata system that DHS provides or an alternate system of its choice. The alternate system has to be certified through Sandata and send visits to the Sandata aggregator. We did not find a public list of certified vendors, and DHS tells providers to ask Sandata whether a vendor is already certified.

          How long does it take to set up an alternate Electronic Visit Verification system in Wisconsin?

          DHS says certification and setup can take up to three months. If the vendor is already certified for Wisconsin, a shorter process takes about one week. The provider also returns attestation form F-02659 to Sandata.

          Which Wisconsin service codes require visit verification?

          Under fee-for-service and HMOs, EVV is required for personal care code T1019, nurse supervisory code 99509 and ten home health codes. Family Care adds T1020, S5125 and S5126. In IRIS the required codes are T1019, S5125 and S5126.

          Are live-in caregivers exempt from EVV in Wisconsin?

          Partly. DHS does not require live-in workers to use EVV for the personal care and supportive home care codes. The exception does not apply to home health codes or to 99509, and HMOs, MCOs and provider agencies may still require it, so check with each payer.

          What happens to a Wisconsin fee-for-service claim with no matching EVV visit?

          The claim detail suspends and recycles for two days, then denies. The denial uses EOB 1047 when no visit is found, or EOB 1048 when the units do not meet requirements. Billed units above the verified units are also denied.

          Do Wisconsin HMOs and Family Care MCOs deny claims without Electronic Visit Verification?

          Yes. HMOs and MCOs have authority under their DHS contracts to deny claims that are missing EVV, and the state said they would deny home health and 99509 claims for dates of service from October 1, 2024. Each plan sets its own claim timing and denial messages, so ask each plan you bill for its policy.

          I need more help with EVV

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