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Ohio Governor Mike DeWine has announced a series of new initiatives aimed at strengthening the state’s efforts to prevent fraud, waste, and abuse within the Medicaid system. While these reforms impact a broad range of home- and community-based service providers, they carry especially significant implications for Electronic Visit Verification (EVV) providers and organizations relying on EVV for claims payment. Proposed changes include the following:
1. Mandatory GPS for All EVV Systems
Ohio Medicaid will move forward with rules requiring Global Positioning System (GPS) location capture for every provider using EVV.
2. EVV Requirement Extended to Live-In Caregivers
Live-in and family caregivers, previously exempt from EVV, will now be required to log all homecare services through EVV as a condition for payment.
3. Per Diem Services Subject to EVV
In the proposed rules, per diem services including structured family caregiving, and shared living, as well as informal respite and residential respite when delivered in a non-institutional setting, will require EVV.
4. Increased Scrutiny Through Analytics and Red-Flag Monitoring
Ohio Medicaid has rolled out new data-analytic tools capable of detecting billing anomalies, unusual visit patterns, and other red flags more efficiently.
5. More Frequent Revalidation for High-Risk Providers
EVV providers – particularly those with inconsistent/incomplete visit data or a high volume of manual visit entries – may experience more audits and documentation requests.
6. Statewide Moratorium on Home-Health and Hospice Providers
Effective May 14, Ohio Medicaid is pausing enrollment of new home-health and hospice agencies for six months. The moratorium applies to all enrollments for the following Provider Network Management (PNM) module provider types and remains in effect until November 14 unless an extension is authorized by the Centers for Medicare and Medicaid Services (CMS):
- 16 – Other accredited Home Health Agency
- 25 – Personal care
- 26 – Home care attendants
- 38 – Non-agency nurse (RNs and LPNs)
- 44 – Hospice
- 45 – Waiver organizations
- 55 – Waiver individual provider
- 60 – Medicare certified Home Health Agency
Proposed changes to Ohio’s EVV rules were posted for initial public comment and ODM is reviewing those comments.
Why These Changes Matter
Ohio’s move toward tighter EVV controls is driven by its increasing reliance on home- and community-based care, which saved the state more than $600 million in 2024 alone. Ensuring those services are legitimate, properly documented, and accurately recorded remains central to the state’s fraud-prevention strategy.
Looking for clarity on how EVV claims processing works from start ot finish? Just check the website. A new EVV End‑to‑End Process Flow Guide is now available. This resource walks you through each major step in the EVV process – from creating an OH|ID account and enrolling in PNM to completing required EVV training, registering in Sandata/HHAeXchange, logging visits, and submitting claims. The guide helps providers understand what to expect at every stage and supports ongoing compliance with EVV requirements.
Feel free to access this new, comprehensive tool whenever needed to better understand next steps and best serve our Medicaid members.
Refreshed Webpage Now Available
The revamped EVV webpage is now live, featuring a cleaner, more user-friendly design that makes it easier for providers to find the information they need. The updated layout organizes resources into clearer sections, streamlines access to training and support materials, and improves overall readability.
You can find a full list of resources with direct links to key information, including the Provider EVV Claims Look Up Dashboard and Sandata’s Ohio User Guides. Go, explore, and enjoy!
Sandata EVV Upgrades Now Live
Sandata/HHAeXchange, Ohio Medicaid’s EVV partner, has rolled out several new system upgrades, and you can use them right now!
You should have received an email on April 29 with an invite to share your feedback on the new improvements. If you didn’t get a link to the survey, we still want to hear from you. Please access the survey to provide input and help us enhance the EVV experience.
Here are some of the changes:
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Sandata’s Customer Support Portal which includes a streamlined tracking process for faster resolutions from Sandata’s Technical Customer Care (TCC) team.
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Sandata Learn is now HHAeXchange University. This upgraded version features a modern design, enhanced functionality, and more intuitive navigation to make finding support videos and materials easier.
- Sandata on Demand, now known as Sandata Knowledge Base, features a virtual assistant (Caree) for instant answers and training resources.
Sandata’s TCC team is still here to help – and you can reach them the same way you always have.
Sandata EVV providers can call 855-805-3505 or email ODMCustomerCareEmail@Sandata.com.
Sandata Alternative EVV providers can call 844-289-4246 or email OHAltEVV@Sandata.com.
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Ohio Medicaid will host the next EVV Stakeholder Workgroup meeting virtually from 2:30 to 4 p.m. on Monday, June 22. To join us, make sure to register online.
You also can review the March 23 presentation to stay on top of the latest developments with EVV programs.
Remember, we value your input and feedback. You can send in a list of topics that you would like to be discussed by emailing InteragencyPolicy@medicaid.ohio.gov.
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Date
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System
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Update
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Description
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4/1/2026
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EVV
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Future Status fields added to Recipient record
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When a recipient’s program status is set with a future date in the “Program Effective Date” field, you will now see “Future Status” and “Future Status Date” in the Program Details section of the recipient record.
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4/1/2026
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EVV
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Updating Display Options in Visit Maintenance causing users to be logged out
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Sometimes when a user updated his or her view in the Visit Maintenance screen, the user would be logged out of the system. This has been fixed.
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4/29/2026
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EVV
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EVV Bill Units not calculating correctly when visit calls are recorded in different time zones
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Bill Unit calculations have been adjusted to accommodate when Call Ins and Call Outs are recorded in different time zones.
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4/29/2026
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EVV
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Adding a service to a pending Recipient record that starts prior to the creation date of the recipient
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You can now add a service to a recipient record if the service has a Start Date that is before the recipient Created Date.
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4/29/2026
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EVV
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New warning when navigating away from Edit Schedule page without saving
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Users previously did not get a warning that changes would be lost when navigating away from the Edit Schedule screen without pressing Save. Users now will receive an “All changes you made will be lost. Are you sure you want to cancel?” message.
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4/29/2026
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SMC
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Map and Direction buttons respond with errors (Android)
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Some Android SMC app users experienced an error screen when clicking the Directions and Map buttons. This has been fixed.
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5/27/2026
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Aggregator
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Authorizations Maintenance Privilege Added to Aggregator User Roles
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The Authorizations Maintenance privilege will allow users to see authorizations attached to Verified visits when using Visit Review.
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5/27/2026
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EVV
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User Login Report now shows user’s own IP address
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Previously, the report may have shown a Sandata IP address, or ‘Unknown.’ An update to the User Login report will now show the user’s own IP address for their device.
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5/27/2026
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EVV
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Fix to Navigate Modules “Search” at top of left Sidebar in Sandata EVV
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Previously, you could only search once when using the Navigate Modules “Search” field at the top of the left sidebar in Sandata EVV. Users can now search more than once to find modules.
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5/27/2026
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EVV
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Missing “Cancel” button when viewing the calendar on Recipient and DCW/Employee Records
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When a user views a schedule on a Recipient or DCW/Employee record, there was no “Cancel” button on the calendar pop-up window. A “Cancel” button has been added as an action, as an alternative to “Apply.”
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5/27/2026
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EVV/
Aggregator
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New “Created Date” field added for SMC Offline Visits
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When a visit is created in Offline Mode using the SMC app, Visit Maintenance or Visit Review will show a “Created Date” in on the visit Call Log tab in Sandata EVV and Aggregator.
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5/27/2026
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EVV
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Manual Call time no longer defaults to current time
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When creating a manual call or visit in Visit Maintenance, the time fields no longer will show the user's current time; instead, the field must be populated by the user.
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Ohio Medicaid and HHA Exchange (formerly Sandata Technologies) are ready to assist providers and agencies in meeting claims validation requirements and more. We’ve got a list of contacts to break down who to contact for your specific needs.
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