Kentucky EVV requirements: Therap open model

Kentucky EVV, dated

Five points in time, each from a DMS paper above:

The last two columns sit partly off-screen on a phone; drag the table to read them. Every row was compared with its paper on November 4, 2026.

DMS in its own words

The EVV page opens its provider section with the model: “Kentucky uses an open model solution, which means the provider may choose to use the state sponsored system or a third-party system. Therap is the state sponsored system.” Of the state system it says “There is no cost to the provider” and that it “automatically transfers data to the Therap Aggregator.” The October 6, 2025 Medicaid notice, addressed to the ABI (PT 17), HCB (PT 42 and 43), and MPW and SCL (PT 33) provider types, puts the claims rule for them in one line: “Effective January 1, 2026, any claim without a corresponding visit documented using EVV will be denied.”

Programs on the list

The Medicaid Services EVV page, read November 4, 2026, says personal care and home health delivered in a home or community setting must be electronically verified, along with covered 1915(c) waiver services. It names ABI, ABI Long-Term Care, Home and Community Based, Model II, Michelle P., Supports for Community Living, CHILD, Private Duty Nursing (PDN) and Home Health. Respite given in a congregate setting, such as adult day health care, is left out, according to the affected services list of August 24, 2023. The EVV page names six data elements: the day of the visit, where it was delivered, what kind of service it was, who gave it, who received it, and its start and end.

Therap, or a vendor of your own

An agency on Therap pays nothing for it. An agency that picks another vendor carries the cost, and that vendor has to meet the Cures Act standards and integrate with the Therap Aggregator, per the Medicaid Services EVV page as read November 4, 2026. The home health bulletin of November 22, 2024 tells agencies on a third-party system that DMS wants visits sent over promptly, and within 24 hours of the visit at the outside.

Waiver visits: location at the start and the end

The one-pager for waiver participants lists six things a caregiver’s app records, location among them, and takes location only at the beginning and the close of the service. The Google Maps guide adds that the state sponsored system checks those two locations for waiver services against Google Maps, so a home missing from the map causes trouble. For home health and PDN visits, the DMS EVV page lists location of service delivery among the six elements, and no DMS text read says when or how it is taken. Neither paper names GPS, a distance limit, a landline or a fixed device.

Signatures and exception codes

The November 22, 2024 bulletin asks the member to review each visit and sign it, in writing or by voice in Therap, with a representative signing when the member cannot. Under that Department for Medicaid Services bulletin of November 22, 2024, when no signature is possible, the caregiver enters an exception code at check-out, and an “other” code needs a comment. Agencies also review their EVV user list every 90 days, per the Medicaid Services EVV page read November 4, 2026.

Earlier vendors

The January 12, 2021 waiver policy letter refers to “the Tellus EVV system,” and the affected services list mentions Netsmart in August 2023. The one-pager of February 10, 2025 says the company Kentucky Medicaid uses for EVV changes from February 2025. Today the DMS EVV page names Therap.

What these papers leave open

No DMS text read gives a start date or a denial date for home health or private duty nursing; a vendor’s blog offers one, but it is not a DMS paper, so it stays off this page. The DMS service code list and Therap’s Kentucky help pages could not be opened when this page was written. Regulations 907 KAR 1:030, 7:010 and 12:010 were read and contain no EVV text.

LockProof next to Kentucky EVV

Therap, or the vendor an agency chose, holds the visit record DMS checks against claims. A LockProof photo has its audience outside it, like a son in Cincinnati watching over his mother in Lexington, or a family that pays out of pocket. More on visit-photo tools that sit alongside EVV in Kentucky; LockProof’s own record is explained in a walk through its caregiver visit record.

Checked on

The Kentucky papers above were read November 4, 2026, and DMS adds letters without a change log. For other states, go to the EVV hub, state by state; Tennessee, across the southern border, is in a TennCare EVV summary.