New York EVV Compliance Info Center
Overview
What Is the NYS DOH EVV Mandate?
The New York State Department of Health (DOH) mandate is a new requirement for all health plans operating in New York to report on their Electronic Visit Verification (EVV) compliance data.
It’s a major shift in homecare compliance requirements aimed at reducing fraud, waste, and abuse.
If you are a home care provider delivering services to members of a New York-contracted health plan, this mandate sets new expectations for how visits are captured, verified, and reported.
As part of this mandate, health plans must submit quarterly reports on EVV compliance across their provider networks.
DOH Mandate Compliance
- EVV visit records must match paid claims for visits during the reporting period
- If a claim line has multiple visits, every visit MUST have a compliant EVV record
- Provider EVV compliance within each health plan’s network is determined by these matching records
Quarterly Reporting Periods
| SFY 2027 Q1 | April 1, 2026 – June 30, 2026 – Response due by July 30, 2026 |
| SFY 2027 Q2 | July 1, 2026 – September 30, 2026 – Response due by October 30, 2026 |
| SFY 2027 Q3 | October 1, 2026 – December 31, 2026 – Response due by January 30, 2027 |
| SFY 2027 Q4 | January 1, 2027 – March 31, 2027 – Response due by April 30, 2027 |
Requirements
- Your payer is now required to report EVV compliance data to the DOH
- Visits that are not EVV-compliant may be flagged in your payer’s compliance report
- HHAeXchange is the platform your payer uses to collect, track, and report EVV data
- Providers who have a portal but are NOT linked to your payer in HHAeXchange, please contact TCC to request linking
- Providers who are linked to the payer in HHAeXchange but are still using an internal contract, please make sure to start merging your member records to the linked contract for EVV compliance
- Already-linked providers should review their visit capture practices to make sure they reach full EVV compliance
How HHAeXchange Supports You
HHAeXchange is the platform New York health plans use to manage EVV compliance and helps you, as a provider, get a full picture of your compliance journey so you can know what’s working (and what’s not).
Using HHAeXchange, you can:
- Capture EVV-compliant visits in real time using the mobile app or telephony
- View and manage your linked payer contracts and authorizations
- Manage visit conflicts and exceptions that could affect your compliance report
- Access your provider-facing EVV compliance report once available from your payer
- Take advantage of HHAeXchange training and support resources specific to the New York mandate
Don’t forget! We’re here to help you navigate this change with clarity and confidence from the very start.
Provider Training & Resources
Live and On-Demand Training
HHAeXchange offers an abundance of live and on-demand trainings to help New York providers understand and meet their EVV compliance numbers.
Watch on-demand:
- Watch Now | New York EVV Compliance: What’s Changing (and How to Stay Ahead) : Stay compliant in 2026 with New York’s new EVV requirements. Discover the tools, habits, and success metrics you and your agency can use for full compliance.
Here’s what’s on the calendar:
- EVV Made Simple: How to Stay Compliant Every Day July 9, 2026 at 2:00 PM ET (virtual training session)
Resources
Let’s get started using HHAeXchange under your New York payer contract. You can find your organization’s provider type for resources and information below.
But first, watch this 5-minute video on New York EVV Compliance: Building a Proactive Workflow to discover:
- Best practices for monitoring compliance
- How to address common compliance roadblocks
- How to maintain strong EVV performance
Sponsored Portal (Standard / Professional App) Providers
If you access HHAeXchange through a payer-sponsored portal, this guide will help you:
- Complete the initial setup for your linked payer contract
- Start scheduling and submitting visits using EVV
- Comply with payer authorization and billing requirements
- Start using the the Conflict Management dashboard to quickly resolve visit exceptions (if applicable for your payer)
Alt EVV (Third Party EDI) Providers
If your agency uses a third-party EVV system, you can connect that system to HHAeXchange through an Electronic Data Interchange (EDI) integration. This allows visit data from your existing EVV system to be shared with HHAeXchange to support payer and state EVV requirements.
To learn more about EDI integrations and how they work, visit the Third Party EVV Integration Knowledge Base
Important
EDI requirements can vary by payer and state.
You should review the HHAeXchange Info Hub for each payer you work with to understand any specific integration, onboarding, or compliance requirements that may apply. You can locate your payer in the Provider Info Center.
Enterprise Providers (HHAeXchange Platform Users)
As an HHAeXchange Enterprise provider, you have specific workflows, requirements, and best practices to follow as this mandate is rolled out.
This New York Info Hub will serve as your go-to resource for Enterprise Provider information, including:
- Guidance on linked contracts
- Record management
- Compliance
- Visit maintenance
And more.
In the meantime, you can always review the essentials in our Getting Started guide, as well as Training Videos, step-by-step Troubleshooting, and FAQs.
We will continue to add resources and update information as changes occur.
Be sure to check back regularly for the latest guidance and tools to help your agency successfully navigate upcoming changes.
Your Quarterly Department of Health (DOH) Reporting Requirement
The New York State DOH now requires health plans to submit quarterly EVV compliance reports.
These reports measure paid claims against the percentage of home care visits that meet EVV verification standards across each plan’s provider network.
These reports contain:
- Total paid claims per provider by Line of Business
- Total EVV-compliant visits per provider
- Provider MMIS number, NPI, and name
- Line of business / program code
- Paid claims data matched to visit records
Quarterly Reporting Periods
| SFY 2027 Q1 | April 1, 2026 – June 30, 2026 – Response due by July 30, 2026 |
| SFY 2027 Q2 | July 1, 2026 – September 30, 2026 – Response due by October 30, 2026 |
| SFY 2027 Q3 | October 1, 2026 – December 31, 2026 – Response due by January 30, 2027 |
| SFY 2027 Q4 | January 1, 2027 – March 31, 2027 – Response due by April 30, 2027 |
How HHAeXchange Supports Your Reports
HHAeXchange is building provider and payer-facing compliance reports to help both parties meet the DOH requirement.
Here is what’s in the works:
| For Payers
A quarterly summary-level EVV compliance report per plan in a DOH-approved format. Reports will include EVV compliance rates by provider and line of business. |
For Providers
A provider-facing version of the compliance report in HHAeXchange. Providers will be able to see the data their payers are reporting on their behalf and make corrections as needed. |
| Provider reports will be rolled out on a per-payer basis as each plan’s data is validated.
Keep an eye out for communications from HHAeXchange and your payer when your report becomes available. |
What Providers Can Do Now
While payer-specific reports are being finalized, providers can still take action today by asking these questions:
- Are all visits being captured using EVV (mobile app or telephony)?
- Are you linked to each payer you are contracted with in HHAeXchange?
- If you received authorizations from a payer in HHAeXchange, did you use your linked contract for visit entry and billing?
- If you are an Enterprise provider using internal contracts, are you working with your payer CSM to transition to linked contracts?
- Are you reviewing and resolving open visit conflicts in the Conflict Management dashboard?
It’s a lot to manage, but full compliance is within reach! For live guidance and Q&As with our expert training, save your seat at one of HHAeXchange’s upcoming New York EVV compliance webinars.
New York Payers
| Choose any of the payers you are contracted with below to access their payer-specific info hub.
Each payer page includes resources tailored to that plan’s requirements, workflows, and provider expectations. Note: For payers currently onboarding, please see the “Payers Coming Soon” section below. |
Existing NY Payer Info Hubs
See below for your payer’s dedicated Info Hub page on HHAeXchange.com. Each page includes payer-specific guidance, training resources, and support contacts.
Coming Soon! More Payers.
The following health plans are currently onboarding with HHAeXchange. Their dedicated payer info hub pages will be made available as they progress. Providers contracted with these plans will receive onboarding instructions and resources once their payer’s implementation is underway.
| Payer | Status |
| Village Care Max | Coming Soon — In Implementation |