Hit 85% clean visit threshold with Michigan's trusted Medicaid EVV solution
AlayaCare is the EMR software designed for home-based care agencies to meet Michigan's EVV standards, compliance threshold, and operational care delivery needs.
Updated: May 27, 2026
Michigan 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 Michigan based providers.
AlayaCare provides a comprehensive Electronic Visit Verification (EVV) solution that supports Medicaid and state compliance, automates visit documentation, and integrates directly with scheduling, billing, and payroll workflows.
Service types mandated to use EVV
- Personal Care Services (PCS)
- Home Health Care Services (HHCS): skilled nursing & home health aide
- Home Help program (agency & individual providers)
- FFS Medicaid
- Behavioral Health
- MI Choice Waiver
- Managed Care / Medicaid Health Plans
- Michigan Health Link
- PIHP/CMHSPs
Applies to all PCS and HHCS agency providers (FFS + each MCE separately).
MDHHS and MCEs use HHAeXchange monthly compliance reports; reviewed quarterly (Jan, Apr, Jul, Oct).
Jan 1, 2026: Hard cutover for Managed Care services.
Apr 1, 2026: Comprehensive final enforcement + threshold monitoring begins.
Grace period: Newly enrolled providers exempt from 85% threshold for enrollment quarter + following full quarter.
Consequences for non-compliance: Corrective action plans, mandatory training, additional oversight, potential impact on provider status/payments.
Low connections area? → Wi-Fi Hotspot Map
The Michigan Public Service Commission (MPSC), in partnership with other State of Michigan agencies and Connected Nation Michigan, released a publicly available statewide Wi-Fi hotspot map to assist residents who currently lack internet access at home.
Issued Feb 27, 2026 → Bulletin MMP 26-20
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 Michigan
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 |
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Juggling multiple apps and logins just to get through a visit
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Documentation that takes time away from providing care
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Arriving at visits without the full picture – outdated client information leading to confusion and extra calls to the office
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Paper timesheets and manual EVV workflows – increasing errors, back‑office workload, and compliance risk
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Fragmented EVV tools that don’t talk to core systems – multiple vendors, duplicate work, and messy audits
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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
Choosing the right EVV approach in Michigan can be complex — especially with evolving requirements and aggregator changes. Below are answers to common questions from Michigan providers evaluating EVV solutions and preparing for compliance.
Michigan EVV frequently asked questions
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Yes. Michigan requires Electronic Visit Verification (EVV) for Medicaid-funded personal care and home health services in line with the federal 21st Century Cures Act, meaning providers must use an EVV-compliant system to document eligible visits.
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In Michigan, EVV applies to Medicaid-funded personal care services and home health care services, and providers should confirm specific requirements with their Medicaid program or managed care organization.
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Michigan EVV systems must capture key federally required data elements including service type, member and caregiver identification, date of service, visit location, and start and end times.
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Yes. Michigan uses an EVV aggregator model to collect visit data from providers and vendors, and systems must be able to integrate with the state’s requirements for submitting EVV data.
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Yes. Providers can use their own EVV vendor as long as it meets Michigan’s compliance requirements and successfully integrates with the state aggregator. Many agencies use platforms like AlayaCare to streamline EVV alongside scheduling, documentation, and billing in a single system.
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Non-compliance with EVV requirements in Michigan can lead to claim denials, delayed payments, increased audit exposure, and potential financial penalties.
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Agencies can prepare by maintaining accurate visit documentation, training staff on EVV processes, proactively resolving exceptions, and using a compliant system such as AlayaCare to support real-time monitoring and reporting.
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Electronic Visit Verification (EVV) software pricing in Michigan 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 Michigan.
Awards & Recognitions
Be EVV ready
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