Electronic visit verification system: complete 2026 guide
The complete 2026 electronic visit verification system guide. What EVV is, the 7 CMS-required data elements, the 3 state models, and how to evaluate vendors.
- EVV is required by federal law (21st Century Cures Act, Section 12006) for Medicaid PCS and HHCS.
- Every visit must capture 7 CMS data elements : service type, recipient, date, location, provider, start, end.
- States choose between 3 implementation models : open (provider choice), closed (state-mandated vendor), or open + aggregator.
- Software that does not capture all 7 elements cannot be used for Medicaid EVV submission.
- AveeCare captures all 7 and exports to all 50 state aggregators at $6 / active client / mo.
The 7 CMS-required data elements
Every Medicaid PCS / HHCS visit must capture all 7. Software that misses any cannot be used for EVV submission.
Personal care, companion care, skilled visit, etc. Tied to service code.
Client / member name + Medicaid ID.
YYYY-MM-DD.
Address; geocoded to confirm against service plan.
Caregiver / aide name + credentials.
Captured at clock-in via mobile app or IVR.
Captured at clock-out via mobile app or IVR.
3 state EVV models
Pick any vendor that meets the 7 CMS data-element requirement.
Use the state-contracted vendor (typically Sandata, HHAeXchange, Tellus, AuthentiCare, or CareBridge).
Open vendor choice + centralized aggregator. Common in NY, IL, NC, KS, GA, AR, IN, TX, CA.
See our EVV vendors by state reference for which model your state uses.
6 EVV system must-haves
Location matched against service plan address.
Visits in basements / rural areas still verify; sync on reconnect.
EVV mismatches require correction before submission.
Sandata, HHAeXchange, Tellus, AuthentiCare, CareBridge, DataLogic — whichever your state uses.
EVV usage rate by caregiver / client / service code.
PHI flows through EVV; vendor BAA required.
Where AveeCare fits
AveeCare captures all 7 CMS data elements with GPS-verified mobile clock-in, offline-first capture, visit-maintenance workflow, and exports to all 50 state aggregators. $6 / active client / month, EVV included.
Frequently asked questions
Sources
Accessed May 3, 2026.
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