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States · Michigan

Michigan EVV and Medicaid home care, in plain words.

Michigan uses HHAeXchange to collect EVV visits, but you can use your own EVV system if it sends visits there. Since April 1, 2026, the state checks your EVV every quarter.

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Michigan at a glance

EVV, Medicaid and billing in Michigan.

Medicaid agencyMichigan Department of Health and Human Services (MDHHS). MI Choice waiver services are coordinated by local waiver agencies; Home Help is authorized through local MDHHS offices.
EVV modelOpen vendor model: agencies can use the state EVV system or their own system that sends data to the state aggregator (MDHHS bulletin MMP 26-10).
State EVV systemHHAeXchange (state EVV system and aggregator; it also produces the monthly EVV compliance reports).
Your own EVV vendor allowed?Yes. Your own EVV system must send data to the state aggregator. Agencies still complete the HHAeXchange onboarding so visits can be matched.
Services that need EVVPersonal care services and home health care services from agency providers (including fiscal intermediaries and FMS providers), fee-for-service and managed care. Programs named: Medicaid, CHCP, MI Choice, MI Coordinated Health, Behavioral Health, Home Help.
Where you billCHAMPS (Community Health Automated Medicaid Processing System) for enrollment and fee-for-service claims.

Dates that matter: EVV compliance policy (MMP 26-10) effective 1 Apr 2026: at least 85% of each quarter’s verified visits must have no manual edits, measured separately for each payer. MI Health Link ended 31 Dec 2025; MI Coordinated Health (a dual-eligible plan) started 1 Jan 2026.

Licensing: Michigan is not known to license non-medical home care agencies; Medicaid enrollment in CHAMPS and MDHHS program approval are required. Home health agencies are licensed and Medicare-certified separately.

Managed care: Mixed. Home Help is fee-for-service. MI Choice runs through regional waiver agencies. Medicaid Health Plans and MI Coordinated Health plans cover some home health; EVV applies to both fee-for-service and managed care.

Programs that pay for care at home

Same rules, same tangle

In Michigan, the visit still gets typed four more times.

The caregiver taps in. The visit goes to HHAeXchange. Then someone in your office carries it by hand into payroll, into billing, into the chart, and to the family on the phone. Every carry is a chance for the numbers to drift. When they do, Michigan denies the claim, and you find out weeks later. That is Tangleware™: good tools, and an owner in the middle.

How one tap at the door runs the whole agencyThe mechanism, the nine agents, and Cary®

CareBravo® in Michigan

Running an agency in Michigan? Tell us.

CareBravo works with the EVV systems states use, including Sandata, HHAeXchange and Netsmart. Each state approves its own connection, and each program has its own rules, so we confirm what is in place for Michigan and your programs before you switch anything. If we are not running in Michigan yet, we will make you an offer to start now while we build it.

Run the Calculator, or ask for the demo and tell us your state.

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Five promises, written like promises.

  1. Nothing stops. Your current system keeps running while CareBravo runs beside it for two weeks on your real data. The Parallel Promise™
  2. 99%, in writing. On Managed Billing, at least 99% of your claims go out without a mistake we caused. If we make one, we fix it free. We cannot promise what a payer decides. Read the guarantee
  3. The floor, stated up front: $250 a month, no seats, no per-user fees, no implementation fee — and corrections never billed twice.
  4. Thirty days’ notice, either way.
  5. Nobody calls unless you ask.

What Michigan owners ask.

What is the 85% EVV rule in Michigan?

Since April 1, 2026, at least 85% of your verified visits each quarter must have no manual edits. A manual edit includes a missing clock-in or clock-out, a missing caregiver, missing GPS or phone data, or a changed time. Each payer is measured on its own, so one plan can pull you below the line.

What happens if my agency falls below 85%?

MDHHS or the health plan can require staff retraining, training sessions, a compliance plan, or a progress meeting. Ongoing problems can lead to more action. New agencies, and agencies new to a program, get a grace period through the next full quarter. Monthly compliance reports show where you stand.

Can I use my own EVV app instead of the state one?

Yes. Michigan uses an open model. Your EVV system must send visit data to the state aggregator, HHAeXchange. Confirm the connection is live and test it before you rely on it, because visits that never arrive count against you.

MI Health Link ended. What replaced it?

MI Health Link closed on December 31, 2025. On January 1, 2026, Michigan started MI Coordinated Health, a plan for people who have both Medicare and Medicaid. EVV rules still apply to its home care services. Check that your authorizations and claims use the new program.

Sources for this guide

Checked 28 Oct 2026. State rules change. Confirm with the Michigan Department of Health and Human Services (MDHHS). MI Choice waiver services are coordinated by local waiver agencies; Home Help is authorized through local MDHHS offices. before you act.

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We email you the highlights the moment you ask. No call. Nobody calls unless you ask.

See What’s Draining Your Agency →View the demo