Regulatory watch
Louisiana EVV requirements and LaSRS
- The LDH EVV page, undated
- EVV Policy and Procedures, revised March 9, 2026 (its first page reads March 6)
- Home health EVV FAQ, December 15, 2023, and Informational Bulletin 25-29, October 7, 2025
- Data bridge elements, updated January 16, 2026, with the third-party integration process
- Service location memo, November 3, 2023, and the Administrative Code, Title 50 (downloads a Word file)
Louisiana EVV by date
Five dated points from the LDH papers listed above:
| Point | Date | What happened | LDH text |
|---|---|---|---|
| In-home personal care | Feb. 19, 2018. | Final rollout date of EVV for in-home personal care. | LDH memo, Mar. 1, 2018 |
| Edited records | Jan. 1, 2022. | Partial and edited records start counting toward the 20% allowance. | Policy and Procedures, Mar. 2026 |
| Non-EVV records | Dec. 1, 2023. | Manual records carry a “home” or “other” location. | Service location memo |
| Home health | Jan. 1, 2024. | Home health added to EVV; the FAQ of Dec. 15, 2023 set no threshold then. | Home health FAQ |
| Claim matching | Dec. 1, 2025. | Fee-for-service home health and EPSDT claims checked against EVV records. | Bulletin 25-29 |
Narrow screens: swipe the table to reach the LDH text column. Dates confirmed against each paper on November 4, 2026.
LDH and the Administrative Code, quoted
The policy document names the system plainly: LDH “implemented the state sponsored EVV system, Statistical Resources, Inc. (SRI)’s Louisiana Service Reporting System (LaSRS).” The integration process describes the model as “open” and says agencies “may elect to use the State EVV system at no charge, or procure a third party EVV system at their cost.” Section 12909(E) of Title 50, Part XV, read November 4, 2026, says reimbursement “may be withheld or denied” when an LT-PCS provider does not use the EVV system.
Who is covered
The Department of Health guidance revised March 9, 2026 lists the services that must use an EVV system: OCDD supported employment and center-based services, adult day health care, in-home personal care attendants under OAAS and OCDD (self-direction included), nursing or therapy in the home, and behavioral health and EPSDT personal care. Home health came in on January 1, 2024, per the LDH home health FAQ, for services Medicaid pays first, and the same FAQ puts hospice outside it.
The 80% share and the 20% allowance
Louisiana counts an EVV record only when both the clock-in and the clock-out came through EVV. Under the Department of Health guidance revised March 9, 2026, in-home providers must reach 80% over a rolling 90 days, and units entered or edited beyond the 20% allowance are blocked until they do. Three cases sit outside the count: a home with no signal, documented by a supervisor’s connectivity test form; a worker’s first 30 days; and service given before the prior authorization reached LaSRS.
Location at clock-in and clock-out
The data bridge file on the Department of Health EVV page, updated January 16, 2026, lists the device’s latitude, longitude and accuracy as required fields on an unedited check-in or check-out, with a separate field for where an edit was made. The policy document says LaSRS does not “track” people and reads the device location only at clock-in and clock-out. A manual record instead carries a “home” or “other” choice under the November 3, 2023 memo. No text read sets a distance from the home.
Manual entries and edits
Each manual entry, per the Department of Health guidance of March 9, 2026, must carry the participant, the service, the exact times, the worker and a specific reason, backed by supporting documentation such as a timesheet signed by the worker and a supervisor or designee. The same document says verbal confirmation of missing time is not acceptable, and that LDH may refer suspected fraud to Program Integrity or the Attorney General’s office.
Gaps in what was read
The home health FAQ of December 15, 2023 set no utilization threshold for home health and said guidance would follow. The policy revised March 9, 2026 sets 80% for providers of in-home services and names only EPSDT and behavioral health personal care as exempt; it does not say in its own words how that share applies to home health, and no LDH text read gives a home health figure. The personal care and waiver provider manuals on lamedicaid.com sat behind a network filter, and eight older LDH memos are scanned images that could not be read. A health plan’s home health policy gives a denial date of its own; it is not an LDH text, so this page does not repeat it.
Where LockProof fits in Louisiana
LaSRS, or the vendor feeding it, keeps the visit record LDH reviews. The people a LockProof photo helps sit outside that system: a daughter in Houston checking on her father in Lafayette, or relatives paying privately for extra hours. See also photo apps Louisiana agencies can run beside EVV, or the pieces of a LockProof visit record.
Date read, and nearby states
Every Louisiana text here was read November 4, 2026, and LDH reissues its EVV papers with little notice. Neighboring and distant states alike sit in a state-by-state EVV index; Texas, to the west, has its own summary.
Common questions
Which EVV system does Louisiana use?
LaSRS, the Louisiana Service Reporting System, run for LDH by its contractor Statistical Resources, Inc. (SRI). LDH calls its model "open": an agency may use LaSRS at no charge or buy a third-party system, which then sends its visits to LaSRS through a data bridge. The home health EVV FAQ says SRI hosts the state system and aggregates the data from third-party systems, and the LDH vendor setup paper is titled the LaSRS/LDH EVV Data Aggregator Onboarding Process.
What is the 80% EVV threshold in Louisiana?
A share of in-home visits counted through EVV rather than entered by hand. The LDH EVV Policy and Procedures, revised March 9, 2026, sets 80% for in-home providers and lets manual or edited entries make up the other 20%; units over that allowance are blocked until a 90-day average climbs back to 80%. The same document exempts EPSDT and behavioral health personal care from the threshold and reviews them monthly.
When did Louisiana home health start EVV?
January 1, 2024, according to the LDH home health EVV FAQ of December 15, 2023, which says every home health service delivered in the home is covered when Medicaid is the primary payer. That FAQ adds that no utilization threshold applied on that date. Informational Bulletin 25-29, dated October 7, 2025, says that beginning December 1, 2025, LDH would validate fee-for-service home health claims against EVV records.
Does Louisiana EVV record GPS location?
Yes, at clock-in and clock-out. The data bridge file on the Department of Health EVV page, updated January 16, 2026, lists the device latitude and longitude as required on an unedited check-in or check-out record, and the policy document of March 9, 2026 says LaSRS takes the device location only at those two moments. No LDH text read here compares that reading with the home address or sets a distance limit.
Can LockProof stand in for LaSRS?
No, and nothing LockProof records reaches LaSRS. LockProof is not an EVV system. Because no LDH data integration review has covered it, Louisiana agencies go on clocking visits in LaSRS or a third-party system that has met the LDH integration requirements. LockProof does a separate job: a visit photo for relatives or private-pay clients, with its arrival time taken from our server. A SHA-256 seal breaks if the picture, that arrival time or any location sent from the caregiver’s phone is altered later.
Does this Louisiana page give legal advice?
No. The page restates what LDH pages, memos, bulletins and data files said when read on November 4, 2026, along with the EVV paragraphs of Louisiana Administrative Code Title 50. LDH revises these papers over time. Its provider manuals sat behind a network filter and were not read. An agency deciding how a rule applies to its own services should ask its counsel or LDH.