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What Is EVV, and How Does It Actually Work?

EVV — Electronic Visit Verification — is the system Michigan requires every Home Help caregiver to use to record the date, time, and location of each paid visit, either through the HHAeXchange+ mobile app or a telephony line, before that visit can be paid.

Woman completing Home Help enrollment paperwork on a laptop with her mother nearby

EVV isn't optional and it isn't a Michigan-specific bureaucratic add-on — it's required nationwide for Medicaid-funded personal care services under the federal 21st Century Cures Act. Michigan implements it through the HHAeXchange+ platform, and every paid Home Help visit has to be logged through it.

What EVV actually records

Four pieces of information for each visit: who provided the service, who received it, the date and exact time it started and ended, and the location where it took place. That data is what gets matched against your approved hours before payment is released.

How to clock in and out

Most caregivers use the HHAeXchange+ smartphone app, clocking in when a visit starts and out when it ends. For caregivers without reliable smartphone access, a telephony option — calling in from the recipient's home landline or a designated number — is also available. Your CHAMPS enrollment paperwork includes setup instructions for whichever method you'll use.

What happens if you miss a clock-in

A missed or incomplete EVV entry is the single most common cause of payment delays — not fraud, not eligibility problems, just a forgotten clock-out. Most visits with a missed entry can still be manually corrected or documented after the fact, but it slows down payment and adds extra steps, so building the habit early matters more than it might seem.

Why EVV exists

It's a federal requirement designed to confirm that billed Medicaid visits actually happened, protecting the program from fraud and, in practice, protecting caregivers by creating a clean record of the hours they worked. It applies equally whether you're self-directed or working through one of our licensed agency partners. For the full pay mechanics EVV feeds into, see our 2026 pay guide.

Caregiver's hands using a smartphone to clock in for a visit

What Is EVV, and How Does It Actually Work — Quick Answers

Is EVV required for every Home Help visit in Michigan?+

Yes. Electronic Visit Verification is a federal requirement for Medicaid-funded personal care visits, and Michigan implements it through the HHAeXchange+ app or a telephony line. Every paid visit needs a clock-in and clock-out to be eligible for payment.

Forgetting to clock out at the end of a visit. It's the single most common cause of Home Help payment delays — the fix is usually a manual correction, but it slows down payment, so building a consistent clock-in/clock-out habit from day one is worth the effort.

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