Florida Reference

Florida EVV (Tellus / Netsmart): 2026 compliance guide

The 2026 Florida EVV compliance guide. Closed-model Tellus / Netsmart is required for all Florida Medicaid PCS and HHCS providers. Requirements + integration.

By Calvin Nesvig, Founding Partner·Updated May 3, 2026·7 min read
Quick answer
  • Florida is closed-model: Tellus / Netsmart is the state-mandated EVV vendor.
  • Applies to Medicaid PCS + HHCS: SMMC, LTC, HCBS waivers.
  • Private-pay + Medicare-only are NOT subject to Florida EVV.
  • You can use your own EHR for scheduling + billing as long as EVV exports cleanly to Tellus.
  • AveeCare exports to Tellus at $6 / active client / mo, EVV included.

Florida EVV overview

Florida's Agency for Health Care Administration (AHCA) administers the state Medicaid EVV program. Florida adopted the closed-model approach: Tellus / Netsmart is the state-contracted aggregator and provider system. All Florida Medicaid PCS / HHCS providers must submit EVV data through Tellus.

Providers can still use their own EHR for scheduling, billing, and care plan workflow — Tellus handles the EVV submission step. Most agencies in Florida use AveeCare or another EHR for the operational workflow and Tellus for EVV submission.

6 Florida EVV compliance requirements

Capture 7 CMS data elements

Service type, recipient, date, location, provider, start, end.

GPS-verified clock-in/out

Tellus expects geolocation matched to service plan.

Submit to Tellus / Netsmart portal

Closed-model: required, no alternative.

Maintain state-set usage rate

Below-threshold providers face claim hold-back.

Visit-maintenance corrections

Justify EVV mismatches; corrections within state-set window.

IVR fallback

For caregivers without smartphones; Tellus supports IVR clock-in.

AveeCare in Florida

AveeCare exports EVV data to Tellus / Netsmart for Florida Medicaid-funded visits at $6 / active client / month. Your team uses the Tellus portal for EVV submission; AveeCare handles scheduling, billing, and care plan workflow.

Frequently asked questions

Florida's Agency for Health Care Administration (AHCA) contracts with Tellus / Netsmart as the closed-model state-mandated EVV vendor for Medicaid personal care services and home health care services. All Florida Medicaid PCS / HHCS providers must use Tellus / Netsmart for EVV submission.
Florida Medicaid providers of personal care services (PCS) and home health care services (HHCS), including Statewide Medicaid Managed Care (SMMC) plans, Long-Term Care (LTC) plans, and HCBS waiver providers. Private-pay home care and Medicare-only HH are not subject to Florida EVV.
Yes — Florida is a closed-model state, so EVV submission must happen through Tellus / Netsmart, but you can use your own EHR for scheduling, billing, and care plan workflow as long as the EHR exports EVV data cleanly to Tellus. AveeCare exports cleanly to Florida Tellus.
AveeCare exports EVV data to Tellus / Netsmart for Florida Medicaid-funded visits at $6 per active client per month. Your team uses the Tellus portal for the EVV submission step; AveeCare handles scheduling, billing, and care plan workflow.

Sources

Accessed May 3, 2026.

CN
Calvin Nesvig
Founding Partner, AveeCare

Builds home care software full-time and works with home care agencies on workflow and software fit every week.

Need EVV that exports to Florida Tellus?

$6 / active client / month. Free demo, no card.