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States · Mississippi

Mississippi EVV and Medicaid home care, in plain words.

Mississippi uses HHAeXchange for EVV. You can use the state’s free portal or your own EVV system if it connects.

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Mississippi at a glance

EVV, Medicaid and billing in Mississippi.

Medicaid agencyMississippi Division of Medicaid (DOM), part of the Office of the Governor. Some waivers are run day to day with the Mississippi Department of Rehabilitation Services and the Department of Mental Health.
EVV modelOpen choice: agencies use the free state EVV portal, or keep a third-party EVV system that sends visit data in by EDI. Waiver agencies may also use fixed in-home devices (FOBs).
State EVV systemHHAeXchange, partnered with FEI Systems for the Division of Medicaid.
Your own EVV vendor allowed?Yes, through EDI integration with the state system.
Services that need EVVWaiver personal care, in-home respite and other HCBS (Elderly & Disabled; TBI/SCI and Independent Living; ID/DD; Community Support Program); state plan private duty nursing and personal care; home health.
Where you billMESA (Medicaid Enterprise System Assistance) provider portal; claims for EVV services go through the EVV system first.

Dates that matter: Waivers live 1 Aug 2023; state plan PDN/PCS and home health 11 Dec 2023; MississippiCAN plan contracts 1 May 2025; claims for EVV services must be submitted through the EVV system from 1 Dec 2025; claim edit 712 suspends direct MESA claims for EVV services from 1 Jan 2026.

Licensing: Home health agencies are licensed by the Mississippi State Department of Health. Waiver personal care agencies must meet DOM provider rules; check the Administrative Code (Title 23, Part 208).

Managed care: Mostly fee-for-service for HCBS waivers. MississippiCAN health plans (Magnolia, Molina, UnitedHealthcare) cover some home health and state plan services and use the same EVV system.

Programs that pay for care at home

Mississippi EVV, from the state

Same rules, same tangle

In Mississippi, 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, Mississippi 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 Mississippi

Running an agency in Mississippi? 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 Mississippi and your programs before you switch anything. If we are not running in Mississippi 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 Mississippi owners ask.

Can I still bill EVV services straight through MESA?

Not for EVV services. Since December 1, 2025, those claims must be submitted through the state EVV system. Since January 1, 2026, a claim edit holds direct MESA claims for EVV services. Bill other services in MESA as usual.

Do I have to use the state’s EVV portal?

No. You can use the free state portal, or keep your own EVV system if it sends visits by EDI integration. Waiver agencies can also use small in-home devices for clients without a phone signal. Test your connection before your next billing cycle.

Which Mississippi programs need EVV?

Waiver personal care and in-home respite in the Elderly and Disabled, TBI/SCI, Independent Living and ID/DD waivers, plus state plan personal care, private duty nursing and home health. Check the Division of Medicaid’s notices for exact service codes.

Do health plans use the same EVV system?

Yes. Since May 2025, the MississippiCAN health plans have been connected to the state EVV system. You still bill each plan directly for its members, but the visit records come from the same system, so one clean set of check-ins serves the state and the plans.

Sources for this guide

Checked 28 Oct 2026. State rules change. Confirm with the Mississippi Division of Medicaid (DOM), part of the Office of the Governor. Some waivers are run day to day with the Mississippi Department of Rehabilitation Services and the Department of Mental Health. 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