MedicaidAdministrativeHigh impact
North Carolina Medicaid: State upholds EVV requirements for PCS providers
UnitedHealthcare·NC·State news
We identified it
Jun 13, 2026
Summary
North Carolina Medicaid has upheld Electronic Visit Verification (EVV) requirements for Personal Care Service (PCS) providers. Providers must use HHAeXchange for data transmission and will have claims denied if EVV data is not properly submitted through this vendor.
Action Required
Immediately: PCS providers must register with HHAeXchange using the North Carolina PHP HHAeXchange Provider Enrollment Form and complete HHAeXchange University training. Billing team must ensure all claims use taxonomy code 251E00000X and that EVV service codes transmitted to HHAeXchange exactly match prior authorization approvals. Stop submitting EVV data directly to UnitedHealthcare as claims will be denied without proper HHAeXchange transmission.