If you run a PCA, CFSS, or home health agency in Minnesota, October is when the 80% EVV rule starts showing up in your mailbox. DHS is reviewing July through September visit data right now, and agencies below the Minnesota EVV compliance threshold will receive corrective action notices in their MN ITS mailbox.
You still have time to protect this quarter. September visits and corrections are due by October 14, and most agencies that fall short do it for a few fixable reasons: manual entries, a missing provider ID, or a handful of caregivers who never got comfortable with clock-in.
This guide covers what the 80% rule measures, how DHS calculates your score, what happens if you miss, and a checklist you can work through this week.
Since July 1, 2026, at least 80% of your EVV visits must be verified in real time by an approved method (mobile app, telephony, or FOB). Manual entries and corrected visits count against you. DHS sends its first 80% notices in October 2026, and repeated misses lead to a corrective action plan (CAP), payment withholds, and possible loss of MHCP enrollment.
What the Minnesota 80% EVV rule means?
Since July 1, 2026, every Minnesota provider delivering EVV services must keep an EVV compliance rate of at least 80%. That replaced the 50% minimum that applied from January 1, 2026.
The detail many agencies miss is that DHS measures compliant visits, not submitted visits. The two are different:
- A confirmed visit has the required EVV data and is available for claims review.
- A compliant visit is a confirmed visit that was also verified in real time by an approved method: a mobile app, telephony (IVR), or a fixed object device (FOB).
Manually entered visits, corrected visits, and visits not verified during the shift all count as noncompliant. When a caregiver forgets to clock in and the office fixes it afterward, you end up with a billable record that still hurts your score.
The math: for every 10 visits, no more than 2 can be EVV manual entries or corrections. An agency with 1,200 visits in a quarter can absorb about 240 before it drops below the line. If you already know your office fixes more than a couple of visits a day, it’s worth pulling your numbers now.
Who the Minnesota EVV requirements apply to?
MN EVV requirements for 2026 cover personal care services (PCA and CFSS) and home health services, including home health aide, skilled nursing, and therapy visits. The compliance policy also applies to financial management services (FMS) providers and managed care organization (MCO) network providers. MCOs must enforce the same DHS thresholds across their networks, so managed care is not a way around the rule.
Minnesota uses a hybrid EVV model. You can use the state-selected HHAeXchange (HHAX) system at no cost, or a third-party EVV system that connects to HHAX. Either way, every EVV visit flows through HHAX, and every provider must be enrolled there.
More services are on the way. DHS plans to require EVV for some EIDBI services starting July 1, 2027, or upon federal approval, whichever is later.
How DHS calculates your EVV compliance rate?
Four details trip up agencies more than anything else:
- It’s measured at the tax ID level. DHS combines every NPI and UMPI under your tax ID. A strong main location won’t protect you if a second provider ID is lagging.
- Missing provider IDs freeze your score. If an NPI or UMPI isn’t enrolled correctly, DHS labels you “Noncompliant – Missing provider IDs” and won’t calculate your percentage until it’s fixed. Clean NPI UMPI EVV enrollment is step zero.
- You must submit every visit, including noncompliant ones. Holding back bad visits to protect your percentage is itself a violation.
- The 14th is a hard cutoff. All EVV data, including corrections, is due by the 14th of each month. DHS doesn’t use data submitted after that date for compliance decisions.
Two things don’t count against you. Signatures aren’t required for EVV and don’t affect compliance. Properly flagged live-in caregiver visits are excluded from the calculation, but live-in visits that aren’t flagged correctly are counted like any other manual entry.
What happens if you fall below 80%: the EVV corrective action plan ladder?
DHS reviews compliance every quarter and sends results to your MN–ITS mailbox. Its corrective actions are progressive, so each missed quarter raises the stakes:
Quarterly review result | What DHS requires |
First time below threshold | Raise your compliance by the next quarterly review |
Noncompliant again | Submit a standard EVV corrective action plan (CAP) within 30 days of the notice |
Still noncompliant after the CAP | Take part in comprehensive interventions, such as meetings with DHS or a comprehensive CAP |
CAP not submitted, or interventions skipped | Payment withhold until DHS lifts it |
Continued noncompliance | Possible recovery of payments or termination of MHCP enrollment |
Choosing EVV software that helps you stay above 80%
Software can’t make a caregiver clock in, but it decides how easy clock-in is and how fast you spot a problem. Whether you stay on the free HHAX portal or use a third-party EVV system in Minnesota, ask four questions:
- Does it offer an approved verification method for every caregiver, including telephony for workers without a smartphone?
- Can you see noncompliant visits by caregiver before the 14th, rather than waiting for the monthly report?
- Does it document why each manual edit was made?
- If it’s third-party, how quickly does it surface HHAX import rejections?
Caretap is a Minnesota-based home care platform listed on DHS’s page of third-party EVV systems that have successfully integrated with HHAeXchange Minnesota. Its iOS and Android app records GPS location, date, time, and service for each visit, offers a landline telephone option, and syncs in real time with scheduling, billing, and the rest of the Caretap platform.
That means your office sees a missed clock-in the same day, while there’s still time to coach the caregiver, instead of finding it in next month’s report.
Worried about your July-September numbers? Book a free Caretap demo and walk through your latest HHAX compliance report with a team based right here in Minnesota. We’ll show you where your noncompliant visits are coming from and how to fix them before the next review.
Book My Free EVV Review
The bottom line on the 80% rule
Minnesota EVV compliance now comes down to real-time verification on at least 8 of every 10 visits, clean provider IDs, and data in by the 14th. Agencies that fix those three things this month go into the next review with room to spare.
If you’d like help finding where your noncompliant visits come from, book a Caretap demo and bring your latest HHAX report. Our Minnesota team will walk through it with you.
