EVV Compliance

Indiana’s provider-first Medicaid EVV solution for smarter operations and better margins

Go beyond clinical and operational compliance. Unify scheduling, field care, exception clearance, and billing on one platform built to protect your bottom line.

Updated: October 1, 2026

Indiana providers need more than EVV compliance. They need a connected workflow that protects authorized hours, reduces write-offs, and keeps claims moving. When EVV, scheduling, documentation, and billing work together, agencies improve margin and cash flow while staying compliant.

EVV compliance made easy

While EVV follows the same core framework across Medicaid programs, each state can differ in its model, aggregator, covered services, and reporting requirements. The section below outlines key EVV details for Indiana based providers.

EVV model Open
EVV aggregator Sandata
AlayaCare EVV solution Ready

AlayaCare delivers a provider-first Alternate EVV platform for Indiana’s open-vendor Medicaid model. Caregivers capture visit times, locations, services, and other required details in a mobile workflow, while AlayaCare’s API integration sends visit data to the Sandata Aggregator in accordance with FSSA/IHCP specifications.

By surfacing visit exceptions and connecting EVV with scheduling, documentation, billing, and payroll workflows, AlayaCare helps agencies resolve issues earlier, reduce administrative rework, and support cleaner claims from intake through reimbursement.

Service types mandated to use EVV

  • Personal Care Services (PCS): Assistance with Activities of Daily Living (ADLs) such as bathing, dressing, toileting, and feeding.
  • Home Health Services: Skilled nursing, home health aide services, and therapy services (physical, occupational, and speech therapy) provided in the home.
  • Specific Service Codes: Services covered under Indiana Health Coverage Programs (IHCP) including, but not limited to, nursing services (e.g., 99600, TD, TE), home health aide services (G0151-G0156), and therapy evaluations (e.g., 92521-92524, 97161-97167).
Top EVV flags
  • Dependence on Sandata plus MCO‑specific rules
  • Providers with weak EVV controls risk more denials as payers tighten
  • Out‑of‑state acquirers standardizing workflows may squeeze local agencies that lag in EVV performance

CMS is sunsetting the front‑end iQIES user interface that home health agencies use to manually create assessments, effective April 1, 2026.
For operators in Indiana, that means:

  • You can no longer type OASIS assessments into iQIES for on or after Apr 1, 2026
  • OASIS with target dates from Jan 1, 2025 to Mar 31, 2026 will still go through until Dec 31, 2026
  • After that, all new OASIS data must be sent as an electronic file in the right format. No more direct typing.

Caregiver-friendly EVV guardrails

With AlayaCare’s EVV-enabled mobile app, caregivers can clock in and out only when they are within the approved radius of the client’s home during the scheduled visit. This gives agencies reliable proof-of-visit while replacing paper timesheets and manual phone calls with real-time, point-of-care verification.

EVV is fully integrated into AlayaCare’s mobile experience and agencies’ operations, unifying schedules, client information, visit documentation, and billing in a single intuitive platform instead of forcing staff to juggle multiple tools.

By design, AlayaCare supports EVV and compliance requirements without making caregivers feel tracked or mistrusted, embedding GPS verification and audit-ready documentation into everyday workflows while keeping the focus on delivering safe, person‑centered care.

Take a tour of AlayaCare's Mobile App

All-in-one platform to meet EVV compliance thresholds, protect revenue, and operate with confidence in Indiana

When EVV is hard on caregivers, it creates downstream problems for the whole agency: missed check-ins, more manual follow-up, disconnected documentation, and more cleanup before billing or audits. AlayaCare is designed to make EVV part of the broader care delivery workflow, helping agencies reduce friction for caregivers while improving accuracy, visibility, and operational control.

Caregiver frustrations with EVV How AlayaCare’s caregiver‑first mobile app solves them
Juggling multiple apps and logins just to get through a visit
  • Centralize clock-in and out, schedules, client information, visit documentation, and secure messaging in one mobile app
  • Reduce logins
  • Real‑time alerts for schedule changes and new visits
  • Includes an offline mode so caregivers can clock in/out even when they’re out of cellular or Wi‑Fi range
Documentation that takes time away from providing care
  • Use prompts to guide caregivers through required fields
  • Offer voice‑to‑form so caregivers can speak notes and have them structured automatically
  • Cut down on typing while still meeting clinical and compliance requirements
  • Record visit notes in offline mode and upload notes once back online
  • Reduce miscommunication with an app supporting more than 10 languages, including Spanish
Arriving at visits without the full picture – outdated client information leading to confusion and extra calls to the office
  • Surface visit safety information, client profile, real‑time care plans, and tasks to complete in the app
  • Access critical notes from the care team before and during the visit
  • Reduce phone calls by giving caregivers the context they need at the point of care
Paper timesheets and manual EVV workflows – increasing errors, back‑office workload, and compliance risk
Fragmented EVV tools that don’t talk to core systems – multiple vendors, duplicate work, and messy audits

EVV Overview for leadership

  • Gain real-time oversight with a clear view of EVV exceptions, manual edits, and missed clock events across locations
  • Spot early warning signs with dashboards that surface gaps before they trigger denials from payors, audit issues, or margin loss
  • Strengthen operational control with branch-level visibility into where teams need coaching, process fixes, or staffing
  • Improve accountability with audit trails and standardized workflows that show where breakdowns start and who needs to act
  • Target faster intervention with insight into the locations and caregivers driving the most EVV risk
AlayaCare dashboard showing EVV visit verification metrics, exception breakdown, and violations by employee.

Choosing the right EVV approach in Indiana can be complex — especially with evolving requirements and aggregator changes. Below are answers to common questions from Indiana providers evaluating EVV solutions and preparing for compliance.

Indiana EVV frequently asked questions

  • Indiana uses Sandata in an open EVV model, offering it free to participating agencies while allowing other EVV systems that integrate with Sandata, and requires EVV for PCS, home health skilled nursing and aide services, and therapies under IHCP‑covered service codes.

  • AlayaCare’s mobile app captures real‑time visit data and can be configured as the primary EVV front end while exporting Sandata‑ready files, so agencies keep one EVV workflow even if payers prefer the Sandata aggregator.

  • Yes—Indiana allows providers to choose other EVV systems as long as they integrate successfully with Sandata; AlayaCare can serve as the main EVV and care management system while feeding visit data to Sandata for state compliance.

  • Providers must record caregiver, member, specific IHCP service code, date, time in/out, and location; AlayaCare’s EVV links these details to GPS‑verified time stamps and code sets so exports align with Sandata and billing rules.

  • Indiana monitors compliance via the Sandata portal and payer‑specific rules; AlayaCare’s exception workflows and EVV reports help agencies identify missing or non‑compliant visits early, reducing denials as MCOs and FFS programs tighten EVV edits.

  • As large, out‑of‑state acquirers standardize efficient EVV workflows, AlayaCare helps local Indiana agencies match that level of process discipline with integrated scheduling, EVV, and QA so they can stay competitive on compliance.

  • AlayaCare’s EVV dashboards, visit vs. claim comparisons, and audit logs give Indiana agencies clear visibility into visit capture and data quality, making it easier to respond to payer reviews or IHCP oversight.

  • Electronic Visit Verification (EVV) software pricing in Indiana typically varies based on the size and complexity of your agency. Contact us to receive detailed pricing information tailored to your organization.

AlayaCare by the numbers

  • 700+ Customers
  • 10M+ Visits per Month
  • $250M Invested in R&D

*These figures reflect AlayaCare globally, not limited to Indiana.

Awards & Recognitions

  • Capterra Shortlist 2026
  • SelectHub Best-in-Class Clinical Management
  • Software Advice Frontrunners 2026
  • SelectHub Best-in-Class Schedule Management
  • SoftwareWorld Highly Recommended 2026
  • SelectHub Referral and Intake Management
  • G2 Spring 2025 Mid-Market Leader

Be EVV ready

Get a personalized demo and see how AlayaCare can help your Indiana agency meet EVV requirements.