MedicaidAdministrativeHigh impact
BT2024129: IHCP reminds providers about EVV and rounding units
Indiana Medicaid (IHCP)·IN · Physical Therapy, Occupational Therapy·Provider Bulletin
We identified it
Jun 19, 2026
Summary
Indiana Health Coverage Programs reminds providers that EVV systems are required for personal care and home health services, and clarifies rounding rules for billing units. Providers cannot bill partial units and must follow specific rounding thresholds - 8+ minutes for 15-minute therapy units, and 29+ minutes for nursing service hours.
Action Required
Immediately: Home health and personal care service providers must ensure EVV system compliance and verify billing software follows proper rounding rules. Do not adjust clock-in/clock-out times in EVV system - let Sandata Aggregator handle automatic rounding. Billing team must verify that therapy visits under 8 minutes are not billed, and nursing visits follow the 29-minute threshold rule for first hour billing. Contact inxixevv@gainwelltechnologies.com for EVV questions.