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States · Missouri

Missouri EVV and Medicaid home care, in plain words.

Missouri sends all EVV visits to a state system called EAS. You can pick your own EVV app, as long as it sends visits to EAS, and you should check EAS every week.

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Missouri at a glance

EVV, Medicaid and billing in Missouri.

Medicaid agencyMO HealthNet Division (Department of Social Services) pays claims; Missouri Medicaid Audit and Compliance (MMAC) enrolls providers; the Department of Health and Senior Services, Division of Senior and Disability Services (DSDS), authorizes in-home and waiver services for older adults and adults with disabilities.
EVV modelOpen model: agencies choose an EVV vendor, and that vendor sends visit data to the state’s EVV Aggregator Solution (EAS).
State EVV systemEVV Aggregator Solution (EAS), run by Sandata (state login at evv.sandata.com; support MOAltEVV@sandata.com).
Your own EVV vendor allowed?Yes. Any EVV vendor can be used if it sends visit data to EAS. Agencies must log in to EAS at least weekly to check that visits arrived and are correct.
Services that need EVVMedicaid personal care and home health care services. Phase 1 hard launch covers EVV services authorized by DSDS (provider types 26 and 28).
Where you billeMOMED (MO HealthNet provider web portal).

Dates that matter: Claims validation soft launch began early 2026. Hard launch phase 1 started 1 Apr 2026 (MO HealthNet Bulletin 48-52): claims for DSDS-authorized EVV services under provider types 26 and 28 are denied with no matching visit in EAS.

Licensing: In-home services agencies must be enrolled with MMAC and contracted/certified with DHSS for DSDS-authorized services; home health agencies are licensed by DHSS.

Managed care: Fee-for-service for personal care and DSDS waiver services, per the old page and Missouri program structure; confirm (see verify).

Programs that pay for care at home

Missouri EVV, from the state

Same rules, same tangle

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

The caregiver taps in. The visit goes to your state’s EVV system. 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, Missouri 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 Missouri

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

Are my claims being denied for missing EVV now?

If you bill in-home services authorized by DSDS under Medicaid billing types 26 or 28, yes. Since April 1, 2026, those claims are denied when no matching visit is in the state EVV system, EAS. Other services may follow in later phases. Check MO HealthNet bulletins for your type.

Can I choose my own EVV vendor in Missouri?

Yes. Missouri lets you pick your EVV vendor. The vendor must send your visits to EAS. You are expected to log in to EAS at least once a week to confirm visits arrived and are correct, and to work with your vendor to fix anything missing.

Who do I contact with EVV questions?

For policy and program questions, email Ask.EVV@dss.mo.gov. For enrollment and compliance, email MMAC.EVV@dss.mo.gov. For EAS login or technical problems, use the support line listed on the state EVV page. MO HealthNet Provider Communications is (833) 222-7916.

How do I get set up to serve Missouri Medicaid clients at home?

Enroll your agency with Missouri Medicaid Audit and Compliance (MMAC). For in-home and waiver services for older adults and adults with disabilities, the Division of Senior and Disability Services authorizes care. You bill MO HealthNet through eMOMED.

Sources for this guide

Checked 28 Oct 2026. State rules change. Confirm with the MO HealthNet Division (Department of Social Services) pays claims; Missouri Medicaid Audit and Compliance (MMAC) enrolls providers; the Department of Health and Senior Services, Division of Senior and Disability Services (DSDS), authorizes in-home and waiver services for older adults and adults with disabilities. before you act.

You take the bravo. We take the work.

Find out what the tangle costs your agency.

Four minutes. Works for any Missouri agency today.

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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