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Electronic Visit Verification Enforcement (Effective 4/1/2026)

Dear Providers,

This notice is to remind you about Electronic Visit Verification (EVV) requirements for Personal Care Services (PCS) and Home Health Care Services (HHCS).

Starting April 1, 2026, the Michigan Department of Health and Human Services (MDHHS) will fully enforce EVV compliance. Providers who do not follow EVV rules may face claim payment issues or corrective action.

What Is EVV?

Electronic Visit Verification (EVV) is a system that confirms:

  • Service was provided
  • The correct person received the service
  • The service happened at the correct time and place

Federal law requires EVV for PCS and HHCS services.

Who Must Follow EVV Rules?

EVV rules apply to all agency providers, including:

  • Personal Care Services (PCS) providers
  • Home Health Care Services (HHCS) providers
  • Fiscal Intermediaries (FIs)
  • Financial Management Services (FMS) providers

These requirements apply to both Medicaid fee-for-service and managed care programs, including Medicaid Health Plans, PIHPs/CMHSPs, HIDE SNPs, and MI Choice Waiver programs.

What Information Must Be Captured in EVV?

Each EVV visit must include all six required items:

  • Type of service provided
  • Person receiving the service
  • Date of service
  • Location of the service
  • Person providing the service
  • Time the service starts and ends

If any of this information is missing, the visit is not compliant.

How EVV Visits Must Be Recorded

EVV visits must be recorded using:

  • A mobile device, or
  • Interactive Voice Response (IVR)

Michigan allows providers to use either the EVV system or their own EVV system, as long as visit data is sent to the state aggregator.

Manual Edits – Important to Know

A manual edit happens when visit information is entered or changed after the visit.

Examples include:

  • Missing clock-in or clock-out times
  • Missing caregiver information
  • Missing phone number when IVR is used
  • Missing GPS location when a mobile app is used
  • Manually changing visit start or end times

Manual edits are allowed when needed but should not be the normal way visits are recorded.

EVV Compliance Standard

At least 85% of EVV visits each quarter must be completed with no manual edits.

This standard applies separately to each payer if you work with more than one program or health plan. Monthly compliance reports will be available through HHAeXchange (HHAX).

Grace Period for New Providers

MDHHS allows a temporary grace period for newly enrolled providers or new EVV program requirements. The grace period lasts through the quarter when the change occurs and the following full quarter.

Reference: Final Bulletin MMP 26-10 – Electronic Visit Verification (EVV)

Questions or Help

MDHHS Provider Inquiry
Email: ProviderSupport@michigan.gov
Typical Providers: 800-292-2550
Atypical Providers: 800-979-4662

Last Updated: 03/09/2026