Medicaid Home Care by State

Where are EVV rules changing next?

These are the changes states have announced or scheduled, as of our last check of each state. Dates come from the state or the health plan. Where no date has been published, we say so.

With a date

• New York, November 1, 2026: Fidelis Care is scheduled to start enforcing its EVV billing checks, and MetroPlusHealth to require EVV data through HHAeXchange, on November 1, 2026.
• Arkansas, December 1, 2026: Fee-for-service home health claims without compliant EVV will be paid one cycle late from November 1, 2026 and denied from December 1, 2026.
• Virginia, January 1, 2027: The live-in caregiver EVV exemption ended October 1, 2026. DMAS has said there will be no compliance penalties before January 1, 2027, and penalty terms are not yet published.
• Wyoming, January 1, 2027: The minimum monthly EVV compliance rate, 75 percent today, rises to 85 percent by January 1, 2027.
• Texas, September 1, 2027: The share of visits that can be recorded with an alternative device drops from 50 percent to 25 percent on September 1, 2027.

Announced, no date yet

• Delaware: Delaware is procuring a new EVV aggregator and plans to stop offering a state visit capture system. The state estimates a January 2027 start, which is not final.
• Hawaii: Hawaii has said it will re-procure its EVV contract. No date has been published.
• Illinois: Illinois has said it plans to explore claim denials tied to EVV. No date has been set.
• Louisiana: Louisiana announced checks matching fee-for-service home health claims to EVV. We could not confirm they are in effect.
• Maine: Maine scheduled a claims system upgrade and a new provider portal for October 2026. EVV rules do not change.
• Massachusetts: MassHealth has announced claim denials for fee-for-service home health, GAFC and ABI/MFP waiver claims with no matching EVV visit. The start date has moved more than once and is not confirmed.
• Michigan: Michigan has signaled that personal care payment will be tied to EVV in the future. No date has been published.
• Minnesota: A 2026 state law is reported to expand EVV to more services and tie EVV data to claims. The state has not published dates or service codes.
• Mississippi: Mississippi announced that more services would have to bill through the state EVV system in fall 2026. We could not confirm the current status.
• Missouri: Claims validation for DMH Developmental Disabilities and Brain Injury Waiver personal assistance (provider type 85) was announced for fall 2026. The state has not confirmed that it is in effect.
• Montana: Montana plans to replace its claims system in 2027. No EVV change has been announced.
• New Hampshire: New Hampshire plans to start denying claims that skip EVV and has promised at least 30 days notice. No date is set.
• Ohio: A new state law (SB 315) will change GPS rules and narrow the live-in caregiver exemption. The state expects the rule changes in mid-2027, and the date is not final. New alternate vendor applications are paused.
• Oklahoma: Oklahoma plans to move its state EVV system to a new vendor. No go-live date has been published.
• Oregon: Oregon's contractor is bringing agency EVV vendors onto a new aggregator. No mandatory date has been published.
• Rhode Island: Rhode Island has posted a procurement for a new EVV module. No award or date has been published.
• South Carolina: South Carolina has chosen a replacement EVV vendor, and a more open model has been described. No go-live date has been published.
• West Virginia: West Virginia has said all EVV claims will eventually have to go through the state system. No date is set.

How do EVV requirements compare across states?

One row for each state and Washington DC. Filter the table to find the states that share a system or a rule, and click a state for its sources and details.

How do state EVV models differ?

Electronic Visit Verification (EVV) is a federal requirement for Medicaid personal care and home health visits, but each state decides how to run it. States fall into three broad groups. In an open model (also called provider choice), an agency picks its own EVV software and that software sends visit data to the state's aggregator. In a closed model, everyone uses the single system the state provides. Hybrid states offer a free state system and also accept data from other approved systems.

What does it mean when claims depend on EVV?

In a growing number of states, a claim is only paid when the aggregator holds a matching, accepted visit. Where that rule is in force, a visit that was delivered but not accepted by the aggregator is a visit that does not get paid, so acceptance rates matter as much as clock-in rates.

How current is this information?

Each state summary is checked against primary sources such as the state Medicaid agency, CMS, and the state's EVV vendor, and each state page shows the date it was last verified. This page is a reference, not legal advice, so confirm details with your state before you act on them.

Frequently asked questions about EVV by state

Related reading

• EVV: the Electronic Visit Verification essential guide
• EVV Aggregators Explained
• The Benefits of Using 3rd-Party EVV Software
• Missouri EVV April 2026: What Changed and How to Stay Paid
• Illinois EVV Update: What Home Care Agencies Need to Know
• EVV Software Demo Checklist: What to Ask and Test Before You Buy

Ankota provides EVV software for home care agencies and connects to state aggregators across the country. If you want to talk through what your state requires, contact Ankota.