What Michigan requires
Mar 2023
MDHHS awarded HHAeXchange a five-year contract to provide the state EVV system — data collection, aggregation, and a pre-billing module.
Source: MDHHS contract announcement
Sep 3, 2024
Soft launch: EVV required for managed-care home-health service codes, for dates of service on or after this date.
Source: MDHHS EVV implementation policy
Jan 1, 2026
Hard cutover: all home-health service billing must be transmitted via HHAeXchange. Missing or incomplete EVV records prevent a claim from even being created.
Edit-rate / usage rule
Michigan pairs a 15% manual-edit expectation with something stricter than a denial: from 2026, an incomplete EVV record means the claim cannot be created at all.
Claim-creation gating changes the failure mode
In most states, an EVV mismatch produces a denial you can see, work, and resubmit. Michigan's 2026 model moves the gate earlier: billing flows through the state EVV system itself, so a visit with missing or incomplete EVV data never becomes a claim. The failure is silent — no remittance code, just revenue that never bills.
That makes the discipline states like Missouri preach mandatory in Michigan: reconcile visits to Verified status before your billing cycle, every cycle, because the system will no longer let unverified work even enter the queue.
Using the soft-launch window
The period since September 2024 has been Michigan's practice window — the same function Missouri's N363 alerts and Ohio's MyCare warnings served. Every visit that needs manual completion today is a claim that won't exist in the hard-cutover world. Fixing clock-in behavior and exception backlogs now is the whole game.
What are Michigan EVV denials costing you?
The free X-Ray reads your Medicaid 835 in your browser and shows the EVV denials. The file never leaves your computer.
Run the free Denial X-RayStop the Michigan denials, not just measure them
The X-Ray tells you what EVV is costing you. These fix it. Flat monthly fee — never a percentage of what you collect, which federal Medicaid rules forbid (42 CFR 447.10).
Monitor
$99/mo
Same-day missed-punch alerts, a monthly caregiver exception scorecard, and an edit-rate watch set to Michigan's line. You upload, we flag. Starts immediately.
Denial Desk
from $995/mo
A named US-based coordinator works your exceptions and drafts every correction with its reason code and evidence snapshot. A person signs off, not a bot.
Cancel anytime, no contract. We sign a BAA before touching any Medicaid or client data.