Regulatory watch
Florida EVV requirements, track by track
- Section 409.9132 of the Florida Statutes (2026 edition)
- Rule 59G-4.132 of the Florida Administrative Code, effective February 22, 2017, with its rule history
- AHCA’s home health EVV page (undated)
- AHCA’s EVV report guide for SMMC plans, dated February 20, 2025
- APD provider advisories 2020-025, 2021-002, 2021-022 and 2022-009, and APD’s iConnect FAQ on EVV
Three EVV tracks, by payer and program
The payer and the program behind a visit decide which Florida EVV rules reach it.
| Layer | Date | What it says | Source |
|---|---|---|---|
| Statute | Pilot statewide July 1, 2012. | A Miami-Dade home health monitoring pilot goes statewide, except where AHCA finds it not cost-effective. | Section 409.9132 |
| Rule | Effective Feb. 22, 2017. | Fee-for-service home health staff verify each encounter at its start and its end in the vendor’s system. | Rule 59G-4.132 |
| Proposal | Aug. 9, 2021 to Jan. 14, 2022. | An amendment adding behavior analysis was noticed, challenged, then met a notice of change or withdrawal; the 2017 text is still the version shown. | Rule history |
| Fee-for-service | Oct. 1, 2024. | HHAeXchange at no cost, or a third-party system linked to it. | AHCA EVV page |
| Plans | Feb. 20, 2025. | The standard for each SMMC plan: at least 85 percent of home health and personal care visits verified, with no override and no hand entry. | SMMC report guide |
| APD iBudget | Dec. 10, 2020. | Personal Supports and Respite move onto APD iConnect in waves. | APD Advisory 2020-025 |
Dates are each source’s own effective, notice or issue date; the sources were checked October 13, 2026.
What the statute and the rule say
Section 409.9132 of the Florida Statutes is still titled a pilot project in its 2026 edition. It told AHCA to take a Miami-Dade home health monitoring pilot statewide effective July 1, 2012, except in counties where the program is not cost-effective, and to hire a vendor that checks visits and runs electronic billing. The administrative rule applies that to providers enrolled directly in Florida Medicaid who give home health visits, private duty nursing or personal care through fee-for-service. Under Florida Administrative Code rule 59G-4.132, effective February 22, 2017, direct service providers “must verify delivery of the service using the vendor’s system at the beginning and end of each home health service encounter,” and a provider that ignores the program is subject to claim denial, sanctions, fines, suspension or termination.
Fee-for-service: HHAeXchange or a linked system
AHCA’s home health EVV page names HHAeXchange as the vendor for fee-for-service visits from October 1, 2024, at no cost to agencies, and calls the setup an open vendor model: an agency may keep a third-party EVV system instead, as long as it feeds the state’s. Per AHCA’s Medicaid EVV page (read October 13, 2026), an agency on its own system still has to hold an HHAeXchange portal account. The same page limits the switch to fee-for-service and leaves managed care arrangements as they were. Lower down, it still describes an earlier Netsmart system with a smartphone app and a claims portal; the notice at the top dates the HHAeXchange change to October 1, 2024.
Managed care plans and the 85 percent line
For members in Statewide Medicaid Managed Care, AHCA’s Medicaid guidance to the plans, an EVV report guide dated February 20, 2025, says each plan shall ensure that at least 85 percent of home health and personal care visits are verified by EVV without overriding exceptions or entering the claim by hand. The same guide lists six data points for the EVV record: the service type, the member, the date, the place, the caregiver, and the start and end times. Plans report those counts to AHCA monthly. The guide names no vendor; it asks each plan to report the one it uses.
APD’s iBudget track and its live-in exemption
APD runs EVV for two iBudget waiver services, Personal Supports and Respite, on its own system, APD iConnect, which APD Provider Advisory 2020-025, effective December 10, 2020, rolled out to providers in waves. APD Provider Advisory 2021-002, effective March 9, 2021, says EVV does not apply when the person lives in a licensed residential facility and gets the service there, or when the caregiver lives on the premises seven days a week with no other home, lives, works and sleeps there five days in a row for 120 hours or more, or spends five nights in a row there. Services that meet that exemption are still documented in APD iConnect. When a caregiver cannot clock in or out on the mobile site, APD Provider Advisory 2022-009 points the provider to a manual EVV entry, and under APD Provider Advisory 2021-022, effective December 1, 2021, the provider’s EVV manager justifies each flagged visit in APD iConnect.
Documented and reported
Every date and figure above comes from the state’s own texts. One item is reported only: HHAeXchange’s own Florida page lists a Molina and Children’s Medical Services go-live of October 1, 2026, the date it gives for moving Children’s Medical Services patients to Molina. This page could not confirm that from an AHCA text and does not rely on it.
Gaps this page does not close
The body of the January 14, 2022 notice on the proposed amendment did not load, so this page says only that the 2017 rule is still the version the state’s rules site shows. The SMMC model contract, each plan’s EVV terms, the list of billing codes under EVV, and any AHCA or APD notice issued after these sources were not read.
Where LockProof sits next to Florida EVV
EVV answers to AHCA, the plans and APD. A LockProof photo answers a family member, or someone paying privately, who wants to see that a visit took place. Readers weighing the two can look at visit photo apps that sit beside EVV, and at what a single caregiver visit photo holds.
Limits of this summary
Every source in the list above was opened on October 13, 2026, and AHCA’s EVV page and APD’s FAQ carry no revision date, so a later change may not show. For other states, see the EVV state-by-state index, which includes Texas and its quarterly usage score.
Common questions
Does Florida tie EVV to GPS?
Not in any Florida text read for this page. Rule 59G-4.132, effective February 22, 2017, has fee-for-service home health staff verify each home health service encounter through the vendor’s system at its beginning and end, and AHCA’s EVV page lists the place of service among the data checked without naming a technology. An APD advisory effective December 1, 2021 mentions GPS on its own iConnect mobile site; that describes one agency’s software, not a duty for every Florida provider.
Which EVV system does a Florida agency use?
That turns on the payer and the program. For fee-for-service home health, AHCA’s EVV page names HHAeXchange, free to agencies since October 1, 2024, or a third-party system linked to it. Statewide Medicaid Managed Care plans keep their own EVV arrangements, which the same AHCA page leaves as they were. Providers of APD’s iBudget Personal Supports and Respite record visits in APD iConnect, rolled out in waves under APD Provider Advisory 2020-025 of December 10, 2020.
What is the 85 percent EVV standard in Florida?
It is a target set for the health plans rather than for agencies. Under AHCA’s Medicaid guidance for SMMC plans, a report guide dated February 20, 2025, each plan shall ensure at least 85 percent of home health and personal care visits are verified by EVV without overriding an exception or keying the claim in by hand. Plans send AHCA the counts every month. How a plan passes that target down to the agencies it pays lives in plan contracts this page did not read.
Are live-in caregivers exempt from EVV in Florida?
For APD’s iBudget waiver, in set cases. APD Provider Advisory 2021-002, effective March 9, 2021, says EVV does not apply to Personal Supports or Respite given in a licensed residential facility where the person lives, or when the caregiver lives on the premises seven days a week with no other home, stays there five straight days for 120 hours or more, or spends five nights in a row there. The AHCA texts read for this page state no live-in exemption either way for fee-for-service or plan visits.
Does LockProof count as EVV anywhere in Florida?
In Florida, LockProof is not an EVV system for any payer: it is not HHAeXchange, not a linked third-party system and not APD iConnect, it sends nothing to AHCA or to a plan, and no Florida Medicaid claim rests on it. Agencies that use it keep a visit photo for a relative, or a family paying out of pocket, who asks to see that a caregiver came.
Is this summary legal advice for a Florida agency?
No. It reports what Florida’s statute, AHCA’s rule and pages, and APD’s advisories say, each read October 13, 2026. Applying it to one agency, plan contract or member is a question for a lawyer, the health plan, AHCA or APD, and a later notice from any of them could change the picture.