Regulatory watch
Alabama EVV requirements: Provider Choice Model
- Alabama Medicaid’s EVV system page, undated
- EVV aggregator file transfer specification, version 1.0, cover-dated December 5, 2024, revised through June 23, 2025
- EVV attestation form of September 2024, from the provider enrollment forms library
- Provider manual chapter 17, Home Health, October 2025 (behind a license page; not linked)
- Administrative Code chapters 560-X-35 with 560-X-52, and the 2023 procurement archive
Alabama EVV in dated documents
Few Alabama texts carry dates; four dated points from the documents read:
| Point | Date | What it marks | Alabama text |
|---|---|---|---|
| Earlier state system | Oct. 2017. | The state’s former EVVM system goes into use. | Medicaid news post, Jan. 2018 |
| Procurement | Oct. 25, 2023. | A modular EVV request for proposals is released, later canceled. | 2023 procurement archive |
| Personal care and home health | Jan. 1, 2024. | One date for both services, credited to CMS. | Forms library entry |
| Aggregator file | Dec. 5, 2024. | Cover date of the monthly file specification. | Specification v1.0 |
Swipe the table on a small screen to see the Alabama text column. Rows were matched to those documents on November 3, 2026.
Alabama Medicaid, quoted
The program page states the model in one sentence: “Alabama Medicaid operates the Provider Choice Model.” The aggregator specification describes the state’s role in its own terms: “Alabama Medicaid will serve as the aggregator of all EVV visit data and integrate it with claims data” for reporting. Administrative Code rules 560-X-35-.02 and 560-X-52-.02 each say “A record of the Personal Care visit will be captured by an Electronic Visit Verification Monitoring System.”
Choosing a system, and paying for it
Alabama leaves the software decision to agencies. A third-party vendor may file visit data on an agency’s behalf, and the specification makes vendors responsible for those files. The October 2025 home health chapter of the provider manual tells home health agencies to secure their own EVV system before enrollment, and says that failure to complete the EVV attestation form will result in denial of the application. None of the texts read here sets a price or lists approved vendors.
Location in the monthly file
Every visit row carries clock-in and clock-out addresses. Latitude and longitude are a separate matter: the aggregator specification, cover-dated December 5, 2024, leaves all four coordinate fields optional and ties them to a time “confirmed by GPS.” The attestation form of September 6, 2024, which covers PDN, home health and TA Waiver providers only, reads differently, listing clock-in and clock-out lat/lng with the other items a system collects and verifies. This page reports both and does not reconcile them.
Hand-entered and overridden times
Each clock time in the file is tagged with how it was taken. The specification’s three codes are “E = Electronic (captured via mobile device),” “M = Manual (manually entered, no device)” and “O = Overridden (was electronic, later manually changed).” Alabama publishes no reason-code list and no cap on manual entries in the documents read.
The system Alabama used before
A 2017 Alabama Medicaid FAQ describes an earlier, state-contracted system, AuthentiCare Alabama, delivered by First Data. Rules 560-X-35-.02 and 560-X-52-.02 say a Personal Care visit record will be captured by an Electronic Visit Verification Monitoring System, and a January 9, 2018 Alabama Medicaid news post to home care providers says that EVVM system was implemented in October 2017. The current program page describes the Provider Choice Model instead. A 2023 request for proposals for a modular state EVV system was canceled, according to the procurement archive, so its contractor terms are not rules.
Not found, or not reached
No Alabama text read here gives a date when EVV-related claim denials begin. The latest provider manual index sits behind a license click and was not read. No Alabama statute on EVV turned up, which is not proof none exists, and the home health chapter of the administrative code, 560-X-12, has no EVV text.
Where LockProof fits in Alabama
The EVV system an Alabama agency picked holds the visit record that Alabama Medicaid sees. A LockProof photo serves readers outside that loop, like a son checking on his mother from Birmingham or a family paying privately. Related reading: photo apps Alabama agencies can run beside EVV; also LockProof’s caregiver record, piece by piece.
Reading date
These Alabama documents were read November 3, 2026, and Alabama Medicaid updates them without a public change log. Other states appear on the state EVV hub; Georgia, Alabama’s eastern neighbor, is covered in a Georgia summary.
Common questions
What EVV model does Alabama use?
A Provider Choice Model. On the Alabama Medicaid EVV page, as read November 3, 2026, the agency says it operates that model: each provider picks an EVV system, provided it meets the requirements Alabama Medicaid has set, and sends the visit data to the Alabama Medicaid EVV aggregator. No current Alabama Medicaid text read here names a state-supplied vendor, and the agency itself serves as the aggregator.
When did Alabama home health go on EVV?
The Alabama Medicaid forms library, in the entry beside its EVV attestation form, gives January 1, 2024 as the EVV date for home health and personal care alike, and credits that date to CMS. Chapter 17 of the Alabama Medicaid provider manual, October 2025 edition, tells home health agencies to have their own EVV system in place before they enroll. No Alabama text read for this page gives a date on which claims start to be denied for missing visit data.
Does Alabama EVV use GPS?
Latitude and longitude are optional in the file Alabama Medicaid takes in. Its aggregator specification, cover-dated December 5, 2024, marks each latitude and longitude field optional, for use when a start or end time is confirmed by GPS, and it accepts a time entered by hand with no device. The attestation form of September 6, 2024, a form scoped to private duty nursing (PDN), home health and TA Waiver providers, lists clock-in and clock-out latitude and longitude among what a system collects. This page reports both texts as written.
How does EVV data reach Alabama Medicaid?
Once a month, by secure file transfer. The Alabama Medicaid aggregator specification, cover-dated December 5, 2024, sets the 5th of each processing month, 5:00 PM CST, as the deadline for a provider or its vendor, covering visits billed the month before. Files with errors come back with codes for correction, and the agency compares the visit data with paid claims to find providers that sent none.
Can an Alabama agency send LockProof records to the aggregator?
Not into the monthly upload. LockProof is not an EVV system. Alabama Medicaid receives nothing from it, and its records fit no file in the aggregator format. Agencies keep recording visits in the EVV system they chose. LockProof sits beside that: a visit photo for families and private-pay clients, whose arrival time comes from our server. Its SHA-256 fingerprint would show a later change to the picture, that time or any location the caregiver chose to share from the phone.
Is this Alabama EVV page legal advice?
No. It restates Alabama Medicaid pages, forms, the aggregator specification, a provider manual chapter and two administrative code rules in the versions read November 3, 2026, and Alabama Medicaid revises these documents without notice. The provider manual’s current index sat behind a license page and was not read. Questions about a single agency’s enrollment or claims belong with its lawyer or Alabama Medicaid.