Home Health EVV Readiness Checker
Pick your state and answer six questions. The checker reads that state's own home health EVV rules back to you as a gap list, with the source linked on every finding.
Where the agency bills Medicaid.
What this tool answers
Section 12006 of the 21st Century Cures Act requires every state Medicaid program to verify home health visits electronically: who, where, when, what, start and end. Each state built its own program, with its own aggregator, accepted methods, enforcement and thresholds, and those rules keep moving. This checker holds what the state Medicaid agencies published, read on the date shown, and turns your six answers into the gaps that state would see.
How to read the result
- Stop
- A condition the state source says costs you payment or compliance outright: no EVV system in a state that denies unmatched claims, or telephone-only verification in a state that requires a GPS mobile app for home health.
- Gap
- Something to fix before the next review: a match rate below the threshold in force, too many hand-edited visits, or community visits verified by a method that cannot place them.
- Not verified yet
- For the six states whose own home health EVV text could not be read, or that have no home health EVV rule yet, the checker shows what CMS recorded in its state-by-state compliance table, what secondary documents say, and why the state detail is thin. It does not grade those states.
- The source link
- Every finding rests on a line from the state handbook, rule, bulletin or FAQ, and the links under the result are the pages that were read. The link is the authority, not this page.
Common questions
Does the federal EVV mandate apply to Medicare home health visits?
No. The Cures Act mandate covers Medicaid-funded personal care services and home health care services. An agency with no Medicaid home health has no federal EVV obligation, though a managed care plan or a state program may still require it by contract.
Is telephone clock-in enough for home health EVV?
It depends on the state. Texas and Pennsylvania accept a call from the patient's registered phone; Illinois requires a GPS-capable mobile app for home health visits and counts a telephone-only visit as non-compliant. Visits that start outside the home need a mobile method in every state that addresses the question.
What match rate do states expect?
The published thresholds differ: Texas scores EVV usage at 80% per state fiscal quarter, Illinois requires 75% compliant visits per quarter, Michigan 85% unedited visits per quarter from April 2026, Minnesota 80% from July 2026. Others, like Colorado, deny unmatched claims at pre-payment review but have not set a manual-edit number.
Why does the checker say my state is not verified?
Because the state Medicaid agency's own home health EVV text could not be read (California, Massachusetts, Louisiana, New Mexico and Connecticut as of October 2026) or has no home health EVV rule yet (South Carolina), the row rests on the CMS compliance record and secondary documents. The checker shows what is on record and does not grade those states, so it never invents a state rule.
Where this comes from
- CMS, EVV Compliance Status for Home Health Care Services by State or Territory — Status table as of January 1, 2024, with each state's determination letter date.
- 21st Century Cures Act §12006, 42 U.S.C. 1396b(l) — The federal mandate: EVV for Medicaid personal care services and home health care services.
- Texas HHSC, EVV Policy Handbook (one of the state sources; the rest are linked under each result) — Sections 3000, 7000, 9000, 12000 and 13000 are quoted in the Texas findings.
The monthly home health regs digest
What CMS changed, what's due next, and what to do about it — one email a month, no fluff. Read the first issue