Electronic Visit Verification for Michigan Medicaid Home Health Care Services
Sets out how the Agency uses electronic visit verification for Michigan Medicaid home health care services, as section 1903(l) of the Social Security Act and the Michigan Medicaid Provider Manual require: which services and patients are covered, the HHAeXchange state system or an approved alternative, how staff clock in and out, how manual edits are kept to a minimum to meet the 85 percent quarterly compliance threshold MDHHS enforces from April 1, 2026, and how visit data is protected.
About this policy
- Policy number
- MI-HH-BUS-03
- Version
- 1.0
- Main rule
- 42 U.S.C. §1396b(l)
- Library
- Michigan home health · 57 policies
- Category
- Business
- Sections
- 18
In short
- Clock in and out with the EVV app at every Michigan Medicaid visit that needs it.
- Use the app, not a phone call, whenever you can. Use the patient’s landline only with their permission.
- No internet? The app saves the visit. Get online within 7 days so it sends.
- Avoid manual edits: MDHHS expects at least 85 percent of visits without edits each quarter.
- Never clock in for someone else or for a visit that did not happen.
What's inside
18 sections. The full text comes with the One-time Policy Pack.
- Terms of Reference
- 1. Purpose
- 2. Scope
- 3. Definitions
- 4. Policy Statement (42 U.S.C. §1396b(l) and the Michigan Medicaid Provider Manual, Electronic Visit Verification chapter)
- 5. Which Visits Need EVV
- 6. The Agency’s EVV System
- 7. Recording Each Visit
- 8. Manual Edits and Corrections
- 9. Compliance Monitoring
- 10. Privacy and Devices
- 11. Responsibilities
- 12. Records and Compliance Monitoring
- 13. Staff Training
- 14. References
- 15. Related Policies and Forms
- 16. Approval
- 17. Revision History
An inspector may ask
- Which of your visits need EVV, and which system do you use?
- Show me your EVV compliance report for the last quarter. What percentage of visits had manual edits?
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