MedicaidAdministrativeMedium impact
Update to HFS Electronic Visit Verification (EVV) – Policy for State Plan HHCS Providers
Illinois Medicaid - HFS·IL·Medical Policy
Effective date
Apr 1, 2026
We identified it
Jun 16, 2026
Summary
Illinois Medicaid Home Health Care Service providers must use Electronic Visit Verification (EVV) mobile applications with GPS tracking for visit verification and maintain 75% quarterly compliance or face escalating penalties including training requirements, compliance plans, and OIG investigation.
Action Required
Before April 1, 2026: Home health agencies must implement EVV mobile applications (HHAeXchange or qualified third-party vendor) with GPS location capture for service delivery start and end times. Billing team must ensure 75% quarterly compliance threshold is met and track full caregiver SSNs for all HHCS claims. Monitor quarterly compliance reports to avoid penalties including mandatory training, compliance action plans, or OIG investigation.