Provider Notice issued 02/10/2026

Update to HFS Electronic Visit Verification (EVV) – Policy for State Plan HHCS Providers

This Provider Notice applies ONLY to Home Health Care Services (HHCS) provider agencies billing State Plan (fee-for-service) Medicaid, HealthChoice Illinois (HCI) Managed Care Organizations (MCOs), and Illinois Fully Integrated Dual Eligible Special Needs Plan (FIDE SNP) MCOs. Updated EVV policies pertaining to HHCS and Personal Care Services (PCS) providers serving the following populations are forthcoming and will be communicated to impacted providers by the respective Home and Community-Based Services (HCBS) Waiver Operating Agency (OA): University of Illinois Chicago (UIC) – Division of Specialized Care for Children (DSCC), Illinois Department of Human Service (DHS) – Division of Developmental Disabilities (DDD), DHS – Division of Rehabilitation Services (DRS), and Illinois Department on Aging (IDoA). Providers with questions regarding OA EVV policies should communicate with the respective OA. 

Background

All State Plan HHCS providers enrolled in the Illinois Medicaid Program Advanced Technology (IMPACT) system were required to begin using the State-selected EVV vendor, HHAeXchange (HHA), or transmitting visit data to HHA from a different qualified EVV vendor of their choice by December 31, 2023. Service codes in scope for EVV are included in both the State’s Home Health Fee Schedule and outlined in the “Services in Scope” section of HHA’s Illinois Information Hub.

Highlights of Updated EVV Policy for State Plan HHCS Providers

• State Plan HHCS provider agencies may access the updated EVV policy via the left-hand menu on the HFS EVV website. 

• The policy will become effective on April 1, 2026. 

• State Plan HHCS provider agencies are required to use either HHA’s or a third-party EVV vendor’s mobile application for visit verification, capturing GPS location at the start and end of service delivery. Capturing location of service delivery is both a State and Federal requirement. 

• The Department will monitor State Plan HHCS provider agency compliance per State Fiscal Year (SFY) quarter. 

• State Plan HHCS provider agencies must minimally meet the State threshold of 75% each quarter. Overall compliance percentage is measured based on visit data from the start to the end of each SFY quarter and does not roll over from one quarter to the next.

• State Plan HHCS provider agencies that fail to meet the 75% compliance threshold, to use EVV for HHCS claims submitted, to use HHA or EDI vendor mobile applications for EVV, or to track full caregiver Social Security Numbers (SSNs) (*see 07/26/2024 HFS Provider Notice) during an SFY quarter will be subject to the following penalties:

• First quarterly non-compliance occurrence - provider agency administrator(s) required to complete HHA Learning Management System (LMS) modules within 30 days of receiving the notice of non-compliance. 

• Second quarterly non-compliance occurrence – a Compliance Action Plan (CAP) required for submission to HFS.EVV@illinois.gov within 10 business days of receiving the notice of non-compliance. 

• Third quarterly non-compliance occurrence – the provider agency will be referred to the HFS Office of Inspector General (OIG) for investigation. 

For questions regarding this notice, please email HFS.EVV@illinois.gov.  

Laura Phelan, Administrator 
Division of Medical Programs