New York EVV requirements under the Choice Model

How New York phased EVV in

New York chose one data hub and left the visit-capture tool to each agency.

Each date is the one its own source gives; all of the sources were opened again on October 20, 2026.

What the Department of Health writes

The Department of Health’s EVV guidance of April 14, 2022 says providers and fiscal intermediaries will be required to submit EVV data to the state aggregator, “where it will be aggregated for reporting and audit purposes.” On location, the member fact sheet tells families that the visit location “will be reported as either the word ‘home’ or the word ‘community,’” and that Medicaid will not collect the address. On GPS, the Department of Health’s FAQ of September 15, 2026 is short: “GPS is not currently required for EVV in New York State.” And on claims, the same FAQ says, “Currently, there is no automatic claim denial or pending if the claim does not match to an EVV transaction.”

One aggregator, many vendors

The aggregator sits inside eMedNY, the state’s Medicaid claims system, which the guidance says is run by the fiscal agent CSRA, part of General Dynamics Information Technology. An agency may send its own records or let a vendor, a third-party aggregator, a managed care plan or a verification organization submit them for it. The Department of Health’s FAQ of September 15, 2026 says the state will not endorse, approve or recommend a system, does not currently plan to certify one, and leaves agencies to pay for their own. Larger agencies face a separate check. Under the Department of Health’s EVV guidance of April 14, 2022, certain home health and personal care agencies with more than $15 million in Medicaid reimbursements must use a verification organization for a pre-claim review, but only once OMIG has told them so by certified letter.

Location, GPS and edited visits

The Department of Health’s FAQ of September 15, 2026 says start and end locations must be sent as Home or Community in place of a street address or a GPS reading. An agency may still use GPS in its own system; if it does, the readings stay with the agency for an audit, and OMIG can audit GPS-backed visits, which are reviewed case by case. Corrections are allowed. Under the same FAQ of September 15, 2026 from the Department of Health, an entry may be fixed before it goes to the aggregator, as when a caregiver forgot to clock in, but each fix must be approved by agency management, or by the consumer in consumer-directed care, and both the original and the edited record must be kept with the reason. When a visit could not be captured electronically at all, the April 14, 2022 guidance has the agency write down why, and it treats a religious holiday or observance that rules out the device as an allowed reason for a paper timesheet.

Managed care plans and claim matching

The Department of Health’s FAQ of September 15, 2026 says each EVV-applicable claim requires a matching EVV transaction, yet no claim is denied or held automatically when the match is missing; the state’s tool is a review of the agency, which can lead to an OMIG audit and recovery of overpayments. Plans are being drawn in. The Department’s technical-assistance page for plans, revised in October 2026, asks each plan for quarterly EVV reports through state fiscal year 2026–27 and leaves it to each plan whether to send EVV data to the aggregator for its providers. The same page lists the plan products EVV reaches: Medicaid Advantage Plus, partial-capitation managed long term care, PACE, mainstream Medicaid managed care, HIV SNPs and Health and Recovery Plans. For a shift that runs past midnight, it asks for two visit records, one for each calendar day.

Consumer-directed care and PPL

In the consumer-directed program, CDPAP, the Department of Health’s EVV guidance of April 14, 2022 has the fiscal intermediary pick the EVV system rather than an agency. The Department’s CDPAP page names Public Partnerships LLC, known as PPL, as the one statewide fiscal intermediary that every CDPAP recipient works with. None of the EVV texts read for this page names the timekeeping tool PPL gives personal assistants, so this page does not describe it.

Documented and reported

Every date, rule and quotation above comes from a Department of Health page or document. This page used no vendor page, news story or plan notice, so nothing here is reported second-hand.

What this page leaves open

No New York statute or regulation written for EVV was read; the program shown here rests on the Department’s guidance and FAQ. The Interface Control Document, the Technical User Guide, OPWDD’s own EVV notices and each plan’s contract terms were not read either. The program’s home page was last revised in October 2023, so a change announced only elsewhere may be missing.

Where LockProof stands beside New York EVV

EVV data goes to the Department of Health’s aggregator, where OMIG can audit it. A LockProof photo is for the family member, or the private-pay client, who wants to look. For the difference in more detail, see photo apps built to sit beside EVV tools, and what goes into each caregiver photo record.

Limits of this summary

Each Department of Health text listed above was read on October 20, 2026. Several show only a month of revision, so newer changes could be missing here. Other states are gathered in the state-by-state EVV index, including Pennsylvania and its manual-edit threshold.