What New York requires
Jan 2021 / Jan 2023
EVV became required for personal-care services (January 2021) and home health care services (January 2023).
Source: NYS DOH EVV program
Choice Model
New York lets providers select and fund their own EVV system; records flow to the state Data Aggregator maintained by GDIT inside eMedNY.
Source: NYS DOH / eMedNY EVV technical guidance
Comptroller audit
The State Comptroller found Medicaid paid $14.5 billion for 82 million personal-care services and $97.6 million for 400,000+ home-health services with no matching EVV record — match rates of just 56% (PC) and 11% (HHC).
Source: Office of the NYS Comptroller audit
Since Jan 1, 2025
Agencies have been expected to reach 90% EVV compliance, per NYSDOH expectations reported in provider guidance.
Source: NYSDOH compliance expectations (reported)
Edit-rate / usage rule
New York publishes no numeric edit ceiling; the requirement is that EVV-applicable claims have a matching record in the aggregator — and the Comptroller has now measured exactly how far the market is from that.
What the Choice Model really means for you
Flexibility cuts both ways: you pick and pay for your own EVV system, and you own the responsibility for getting records into the state aggregator in a format eMedNY can match. There is no free state-provided collection tool to fall back on. When a claim doesn't match, the diagnosis starts at your own vendor's export feed.
The Comptroller's 56%/11% match finding is best read as a warning label: New York has quantified the gap publicly, which is historically what happens shortly before a state starts denying. Agencies that close their own gap before enforcement arrives skip the cliff entirely.
Getting ahead of the match rate
Run the same match the state runs: every billed visit should have an aggregator record agreeing on client, caregiver, service, date, and time. Sampling a week of claims against aggregator records — the exercise our free X-Ray automates for the 835 side — tells you your true match rate before eMedNY tells you theirs.
What are New York 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 New York 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 New York'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.