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

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.