EVV requirements by state.

Before the differences, the constant: under Section 12006 of the 21st Century Cures Act, every state Medicaid program requires EVV for Medicaid-funded personal care services (since January 1, 2020) and home health care services (since January 1, 2023). In all 50 states, EVV must capture the same six data points for each visit: the service type, the recipient, the date, the location, the caregiver, and the start and end time.

So no state lets you skip EVV for Medicaid visits. The questions that actually vary are how you capture and submit it — and those are set by your state’s chosen model.

The Cures Act let each state choose its implementation. Which model your state picked is the single most important thing to know, because it determines whether you can keep your own EVV-capable system:

The practical upshot: in Provider Choice and Open states, a platform you already like — and a layer like HeyHomeCare on top of it — fits cleanly. In State-Mandated states, you use the designated system, and the value of an operations layer is making sure caregivers actually use it correctly.

A researched starting point for common states — the model and the state-designated EVV system or aggregator. Treat it as a pointer to confirm, not a final authority: EVV programs change vendors and models, and managed-care rules can differ within a state. Always verify against your state Medicaid agency’s current EVV page.

Don’t see your state, or running in several? The model types above apply everywhere, and the next section is how to confirm your exact requirement quickly.

Three checks settle it for any agency:

• Your state Medicaid agency’s EVV page. It names the state model and the designated EVV system or aggregator — the authoritative source.
• Each MCO’s EVV guidance, if you serve managed-care members, since some states leave the choice to the plans.
• Your platform or EVV vendor, who can confirm exactly how they capture and submit EVV for your state and aggregator.

For the federal rules underneath all of this — the deadlines, the six data elements, and the penalties — see the 21st Century Cures Act EVV guide.

Whatever your state’s model and vendor, EVV compliance ultimately depends on one thing the software can’t do for you: caregivers actually clocking in and out, on time, at the right place. The system faithfully records the miss — and then waits for a human to notice. After hours, often no one does, and the visit window closes on a claim that should have been paid.

That’s the gap HeyHomeCare’s EVV clock-in chasing closes in every state: it detects an overdue clock-in from your live schedule and EVV flags and reaches the caregiver — by call or text, in English or Spanish — before the window expires. It never submits EVV itself; it makes sure the clock-in your state requires actually happens.