MedicaidAdministrativeHigh impact
Electronic Visit Verification (EVV) Compliance Threshold Updates
Arkansas Medicaid·AR · Physical Therapy, Occupational Therapy, Palliative Care +1 more·Claims & Billing
Effective date
Sep 1, 2026
We identified it
Sep 2, 2026
Summary
Arkansas Medicaid is implementing a new Electronic Visit Verification (EVV) compliance threshold effective September 1, 2026. Providers must now keep edited or manually entered visits below 10% of total submissions over each three-month period; those exceeding this threshold must submit a corrective action plan within 14 days or face sanctions.
Action Required
By September 1, 2026: Billing team must audit current EVV submission methods and establish tracking system to monitor the percentage of edited/manually entered visits versus EVV-compliant submissions (mobile app or IVR) on a quarterly basis. Beginning Q4 2026 (October-December period), track compliance metrics to ensure edited/manual visits do not exceed 10% of total visits. Providers must be notified of this requirement and trained on approved EVV methods. Establish internal process to respond within 14 calendar days if written notice of noncompliance is received. Document all corrective action plans and track implementation to avoid sanctions per Section 150.000 of the provider manual.