Regulatory watch

Arkansas EVV requirements: Dec. 1 home health

By the LockProof Team · Last updated November 9, 2026

Below is an account of Arkansas DHS papers on electronic visit verification, meant to inform and never legal advice. Arkansas uses two state vendors, AuthentiCare for personal care and Sandata for home health, and the DHS enforcement paper has home health claims without EVV denied from December 1, 2026.
Arkansas DHS sources used here (all opened November 9, 2026):The enforcement paper, the memo and Section I carry the current rules; the 2020 bulletin and 2024 letter add history.

Arkansas EVV milestones

Each row names the DHS paper that gives its date:

StepDateWhat the paper setsDHS paper
Personal care agenciesJan. 1, 2021.Agencies asked to be on EVV by this date.Bulletin, July 2020
Self-directionApr. 1, 2021.EVV for IndependentChoices and ARChoices self-directed clients.DAABHS EVV page
Edit thresholdJuly 1, 2026.Ten percent threshold for edited or hand-entered visits over three months.Policy memo
Home health, soft startNov. 1, 2026.Claims without EVV still paid, one cycle late.Enforcement paper
Home health, full startDec. 1, 2026.Claims without EVV turned down.Enforcement paper
Home health monitoringJan. 1, 2027.Monitoring of the ten percent edit threshold begins, then ongoing.Enforcement paper

On small screens the right-hand columns are cut off; scroll the table to see them. Rows checked on November 9, 2026.

Which Arkansas visits fall under EVV

§ 145.100 of the Arkansas Medicaid Provider Manual, dated January 1, 2024 in its section header, describes an EVV system as “a telephone, computer, or other technology-based system” that verifies visits. It reaches personal care, attendant care, respite and home health given “during an in-home visit” under the State Plan, the PASSE plans, the ARChoices waiver or self-direction.

Six data elements and the settings outside EVV

The manual lists six elements: the service, the beneficiary, the date, the place, the worker, and when the visit began and finished. Services given to more than one person through a shift in a group home, assisted living facility, hospital, nursing facility or other congregate setting fall outside it, as do services to a student in a public school, and the home health FAQ says private duty nursing is not affected. No Arkansas paper read sets out a live-in caregiver rule.

Two vendors and the PASSE plans

Personal care runs on AuthentiCare; home health on Sandata, by way of HHAeXchange. The home health FAQ adds that the PASSE plans use their own vendors: HHAeXchange for Arkansas Total Care and Empower, and CareBridge for Summit and CareSource. Self-directed workers log visits in the Time4Care app or by phone, per the DAABHS self-direction page.

Edits, reason codes and corrective plans

The DMS EVV information page treats edited or hand-entered visits as falling short of EVV and as a fallback for times the usual methods are unavailable. The AuthentiCare quick reference guide, a vendor paper DHS posts, asks for a reason code on every edit and allows edits for 60 days after the service. The policy memo, effective July 1, 2026, asks a provider above the ten percent threshold for a corrective action plan.

What the Arkansas papers have not settled

The ten percent threshold appears in the July 2026 memo and the enforcement paper, but the memo says the manual section carrying it is still to be published, and the Section I copy read does not show it yet. The DHS manual edit calculation paper places the threshold in § 145.200(J), which in that copy is the clause on DHS review of EVV records. Personal care dates also differ: the July 2020 bulletin points to January 1, 2021, while an August 9, 2024 letter says personal care EVV reached all providers in 2022, and no paper read says which date governs. The Arkansas Register filing and the current Section II manuals went unread.

LockProof and Arkansas EVV, side by side

LockProof is not an EVV system. Arkansas agency visits go through AuthentiCare, Sandata or a third-party system that feeds them, self-directed visits through Time4Care, and no Arkansas claim relies on anything from LockProof. A LockProof photo is never an EVV record. The product keeps a separate photo log: a text message brings the worker a link that opens the phone camera live with no gallery picks, and our server stamps the arrival time on each photo. A location joins the photo only if the worker lets the phone share one, and an agency's own setting can keep a worker from sending until the phone gives a location reading. Altering the photo, the stamped time or a shared position at some later point means the SHA-256 seal can no longer be verified.

Under § 145.300 of the Arkansas Medicaid Provider Manual, dated January 1, 2024, a claim may be rejected or recouped when its visit was not verified by EVV. Families paying for care themselves, or relatives watching a parent’s aide, can still keep a photo log of visits with LockProof. Look over photo apps an Arkansas agency can pair with EVV, or follow one visit from link to sealed photo.

Arkansas and its neighbors

Fifty states and DC appear together in a table of EVV requirements by state. To the north, Missouri’s EVV page covers its Sandata aggregator, and to the west, Oklahoma’s page covers AuthentiCare there.

Common questions

Which EVV vendor does Arkansas use?

Two, one per service line. The DHS personal care EVV page describes an open vendor model with Fiserv’s AuthentiCare offered free as the state-selected system for personal care, attendant care and respite. The DHS home health EVV page names Sandata, contracted through HHAeXchange, as the free state-selected system for home health. An agency may use a third-party system instead, which then sends its data to AuthentiCare or to the Sandata aggregator.

When does home health EVV take effect in Arkansas?

The DHS Home Health EVV Enforcement Requirements give two dates. From November 1, 2026, claims sent without EVV still process, one payment cycle late. From December 1, 2026, the enforcement paper has claims for EVV services sent without it denied. The same paper starts threshold monitoring for manual edits on January 1, 2027. Earlier DHS papers, the August 9, 2024 letter and the undated home health FAQ among them, set 2025 target dates that passed.

Is GPS part of Arkansas EVV?

As one method among several. § 145.400 of the Arkansas Medicaid Provider Manual, dated December 1, 2020, lists telephony, GPS and fixed visit among the capture methods a third-party system reports. The undated DHS home health FAQ says location accuracy depends on the device and sets a distance exception at one eighth of a mile. A landline call stays an approved way to check in.

What happens when Arkansas visits are edited by hand?

The DMS EVV information page counts an edited or hand-entered visit as falling short of EVV, a fallback for when the app or phone methods are unavailable. The DHS memo on EVV policy enhancements, effective July 1, 2026, adds a ten percent threshold over a three-month period: a provider above it gets written notice and has fourteen calendar days to file a corrective action plan, with Section 150.000 sanctions possible after that. The Section I copy read on November 9, 2026 does not yet carry the threshold.

Can LockProof send Arkansas EVV data?

LockProof is not an EVV system. AuthentiCare, Sandata and the PASSE vendors never receive its photos, and Arkansas claims never pass through it. Its job is different: from an SMS link, the phone’s camera runs live, saved images stay locked out, and our server sets the time on every photo as it comes in. Changing a photo, that server time or a location the caregiver allowed later makes its SHA-256 seal fail.

Is this Arkansas page legal advice?

No. Its Arkansas material comes from the DHS pages, papers and manual sections named in the sources box, each read on November 9, 2026; its notes on LockProof come from how the product works. The Arkansas Register filing and the current Section II manuals were not read. Questions about one procedure code go best to the DHS EVV help desks or a lawyer.

Photo proof of Arkansas visits, kept on a separate log

LockProof is not an EVV system. Arkansas DHS, AuthentiCare and Sandata receive no data from it. Caregivers open a texted link to a live camera with the gallery switched off, and each photo is timed by our server as it is received. Should anyone touch up the picture, its logged arrival or a position the worker chose to share, its SHA-256 seal stops verifying. Arkansas DHS has not reviewed LockProof.