What does New York require for Electronic Visit Verification (EVV)?

New York uses the NY Medicaid EVV Data Aggregator (HHAeXchange + eMedNY) in an open model and requires EVV for PCA, CDPAS, home health aide services, skilled nursing and therapies, NHTD/TBI/OPWDD waivers, and children’s waiver services such as community habilitation and respite.

How does AlayaCare’s mobile EVV help New York providers stay aligned with the state EVV aggregator?

AlayaCare captures home care waiver visit data at the point of care and is designed to standardize those visits into EVV files that feed New York’s HHAeXchange/eMedNY aggregator for matching against Medicaid claims.

Can New York agencies use AlayaCare as their EVV system in the open EVV model?

Yes—New York allows providers to select their own EVV platform as long as it interfaces with the state aggregator; AlayaCare can be the primary EVV and care delivery management system while sending compliant visit data to the state.

What visit data do New York agencies need to capture, and how does the mobile app handle it?

Agencies must capture which worker delivered which covered service, to which member, where, and for how long; AlayaCare’s EVV ties these fields to GPS‑verified time stamps and documentation so exported data matches state and MCO expectations.

How does mobile EVV help New York providers address audit findings about missing EVV?

After the Comptroller found only a fraction of PCS and HHCS spending matched to EVV, AlayaCare’s exception handling, missing‑visit alerts, and EVV vs. claims reconciliation reports help agencies close gaps before they lead to recoupments or enforcement actions.

How does AlayaCare support New York providers under heightened fraud‑enforcement pressure?

With EVV now a fraud‑enforcement focus and New York’s gaps attracting oversight, AlayaCare’s audit trails, role‑based access, and detailed visit history make it easier for agencies to defend their EVV data during payer or state reviews.

How does mobile EVV help New York agencies coordinate across high managed‑care penetration?

Given New York’s heavy reliance on Medicaid managed care, AlayaCare lets agencies manage payer‑specific rules and edits on top of state EVV requirements so they can keep their different waiver billing workflows aligned with EVV data in one platform.

How much does EVV software cost in New York?

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

How is AlayaCare different from HHAeXchange in New York?

HHAeXchange is deeply embedded in many New York payer and MLTC workflows. AlayaCare’s value is that it gives providers a more complete, provider-first platform while still supporting HHAeXchange and eMedNY workflows needed in New York.

EVV Compliance

Smarter way to manage New York Medicaid EVV and multi-payer compliance

AlayaCare is the EMR software designed for home-based care providers to meet New York's EVV standards, clinical requirements, scheduling, and multi-program operational needs.

Updated: June 25, 2026

New York 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 New York based providers.

EVV model Open

EVV aggregator HHAeXchange + eMedNY

AlayaCare EVV solution Ready

AlayaCare gives New York home care agencies a comprehensive EVV and operations platform built for Medicaid compliance, with direct eMedNY submission and HHAeXchange workflows, automated visit documentation, and seamless connections across scheduling, authorizations, billing, and payroll.

Service types mandated to use EVV

Personal Care Aide (PCA) Services: Levels I & II
Consumer Directed Personal Assistance Services (CDPAS): Self-directed care programs
Home Health Aide (HHA) Services: Provided by Certified Home Health Agencies (CHHAs)
Skilled Nursing & Therapies: Home health services including nursing, physical, occupational, and speech therapy
Waiver Programs: Services under NHTD (Nursing Home Transition and Diversion), TBI (Traumatic Brain Injury), and OPWDD Comprehensive waivers
Children’s Waiver HCBS: Specifically Community Habilitation, Planned Respite, and Crisis Respite

Only 56% of PCS and 11% of HHCS services matched to EVV.

Comptroller audit (2024) found only 56% of PCS and 11% of HHCS services matched to EVV, with major control gaps; recommends stronger edits and oversight.

The State is structurally compliant but control weaknesses and large unmatched volumes could prompt CMS scrutiny or OIG attention if not remediated.

Top flags:

Huge volume of services (~$14.5B PCS, $97.6M HHCS) without matching EVV during 2021–23, with auditors pushing for edits and recoupments.
EVV now a fraud‑enforcement focus nationally; NY’s gaps attract oversight.
High managed‑care penetration magnifies payer‑level EVV compliance demands.

Caregiver-friendly EVV guardrails

With AlayaCare’s EVV-enabled mobile app and IVR solution, New York home care agencies can capture accurate, real-time visit verification at the point of care, helping confirm visits and reduce reliance on paper timesheets, manual callbacks, and disconnected systems.

Built into one unified platform, AlayaCare connects EVV with scheduling, authorizations, client records, documentation, billing, and payroll while also supporting New York workflows such as eMedNY submission and HHAeXchange-connected payer requirements.

The result is a more compliant, audit-ready process that supports caregivers in the field without adding unnecessary friction, so agencies can stay focused on delivering safe, person-centered care.

Take a tour of AlayaCare's Mobile App

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

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	Embed GPS‑enabled EVV directly into the mobile app Capture each caregiver’s clock‑in/clock‑out time, date, service type, and location at the client’s home Replace paper processes with reliable, audit‑ready proof of visit Interactive voice response (IVR) option available in multiple languages and dialects
Fragmented EVV tools that don’t talk to core systems – multiple vendors, duplicate work, and messy audits	Deliver fully integrated EVV as part of an end‑to‑end, cloud‑based EMR platform Apply configurable EVV QA rules and exception flags to streamline revenue cycle management Feed EVV data straight into reporting, billing, and compliance workflows from a single source of truth

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 New York can be complex — especially with evolving requirements and aggregator changes. Below are answers to common questions from New York providers evaluating EVV solutions and preparing for compliance.

New York EVV frequently asked questions

New York uses the NY Medicaid EVV Data Aggregator (HHAeXchange + eMedNY) in an open model and requires EVV for PCA, CDPAS, home health aide services, skilled nursing and therapies, NHTD/TBI/OPWDD waivers, and children’s waiver services such as community habilitation and respite.
AlayaCare captures home care waiver visit data at the point of care and is designed to standardize those visits into EVV files that feed New York’s HHAeXchange/eMedNY aggregator for matching against Medicaid claims.
Yes—New York allows providers to select their own EVV platform as long as it interfaces with the state aggregator; AlayaCare can be the primary EVV and care delivery management system while sending compliant visit data to the state.
Agencies must capture which worker delivered which covered service, to which member, where, and for how long; AlayaCare’s EVV ties these fields to GPS‑verified time stamps and documentation so exported data matches state and MCO expectations.
After the Comptroller found only a fraction of PCS and HHCS spending matched to EVV, AlayaCare’s exception handling, missing‑visit alerts, and EVV vs. claims reconciliation reports help agencies close gaps before they lead to recoupments or enforcement actions.
With EVV now a fraud‑enforcement focus and New York’s gaps attracting oversight, AlayaCare’s audit trails, role‑based access, and detailed visit history make it easier for agencies to defend their EVV data during payer or state reviews.
Given New York’s heavy reliance on Medicaid managed care, AlayaCare lets agencies manage payer‑specific rules and edits on top of state EVV requirements so they can keep their different waiver billing workflows aligned with EVV data in one platform.
Electronic Visit Verification (EVV) software pricing in the New York state typically varies based on the size and complexity of your agency. Contact us to receive detailed pricing information tailored to your organization.
HHAeXchange is deeply embedded in many New York payer and MLTC workflows. AlayaCare’s value is that it gives providers a more complete, provider-first platform while still supporting HHAeXchange and eMedNY workflows needed in New York.