Electronic Visit Verification Claims Validation Hard Launch begins April 1, 2026
Provider Types 26 and 28: Beginning April 1, 2026, any claim for services that requires Electronic Visit Verification (EVV) and is authorized by the Department of Health and Senior Services, Division of Senior and Disability Services (DSDS) (provider types 26 and 28 that provide personal care, advanced personal care, consumer directed services, homemaker, chore, and respite), will be denied if there is no matching visit in the EVV Aggregator Solution (EAS).
All Home and Community-Based providers are expected to routinely (at least weekly) log into the EAS to confirm the accuracy and completeness of all recorded visits.
Possible claim denials may occur for several reasons, including:
- Claims are submitted before the provider’s EVV vendor sends the visit data to the EAS, or the provider’s EVV vendor is not sending the required visit data at all (Verified Visit not found for the procedure code and date range)
- EVV is not being used for every required service for each participant (Participant DCN does not match)
- The Provider ID on the claim does not match a Provider ID in the EAS (Provider ID does not match)
- A visit exists, but the recorded units do not match the units billed (Unmatched Units)
Provider Types 58 and 85: Upcoming phases of the hard launch will impact claims requiring EVV for Home Health Care Service providers (provider type 58) and Department of Mental Health, Division of Developmental Disabilities (DDD) (provider type 85). The timeline for these phases will be provided in the future.
For information regarding the EVV claims validation process, visit the EVV website. For questions, contact Ask.EVV@dss.mo.gov.
For additional resources, refer to the Education and Training Resources page and/or sign up for a live webinar by accessing our Provider Training Calendar. Email MHD.Education@dss.mo.gov for more information.