MedicaidAdministrativeMedium impact
Managed Care Entity Bulletin 137: Electronic Visit Verification Requirements for Managed Care Entities
MassHealth·MA · Physical Therapy, Occupational Therapy, Wound Care·Managed Care
We identified it
Jun 18, 2026
Summary
Massachusetts requires Managed Care Entities (MCEs) to implement Electronic Visit Verification (EVV) for in-home personal care and home health services through a three-phase rollout. MCEs must ensure network providers use either the state-provided Sandata system or registered alternate EVV systems, with non-compliance potentially resulting in corrective action or financial sanctions.
Action Required
Immediately: Managed Care Organizations, ACPPs, One Care Plans, and SCO Plans must ensure all network providers delivering in-home personal care and home health services register for EVV through either Sandata or approved alternate systems. Review EVV service code list at mass.gov and register providers at evv-registration.sandata.com. Monitor upcoming implementation phases and contract amendments. Failure to comply may result in corrective actions or financial sanctions.