HHAeXchange and Electronic Visit Verification (EVV)

HHAeXchange is the Electronic Visit Verification (EVV) system used by the State of Michigan to document caregiver visits and meet Michigan Medicaid requirements.

EVV helps confirm:

✓ Who provided care

✓ Who received care

✓ Date of service

✓ Time services began and ended

✓ Type of service provided

This information helps ensure accurate documentation, compliance with Medicaid regulations, and timely payment for approved services.


Electronic Visit Verification Methods

Federal law requires EVV for Medicaid-funded personal care services.

The purpose of EVV is to:

  • Verify visits are completed as scheduled

  • Improve accountability and transparency

  • Reduce documentation errors

  • Support accurate billing and payroll

  • Ensure services are delivered to the individuals who need them

Note: Eligible live-in caregivers may qualify for an exemption from EVV requirements. Supporting proof of residency must be submitted with the BPHASA-2421 form for review and approval.

How do caregivers record visits?

Depending on the situation, caregivers may use one of several approved methods:

Mobile App

Caregivers use the HHAeXchange mobile app to clock in and out of visits directly from their smartphone.

Caregiver arrives, opens the HHAeXchange app, clocks in, and GPS confirms location. Then, once services are complete, the caregiver clocks out when leaving.

Benefits:

✓ Easy to use

✓ Real-time visit documentation

✓ Schedule access

✓ Secure communication tools

Telephone Check-In (IVR)

In some situations, caregivers may clock in and out using the client’s telephone through an automated phone call system.

Caregiver uses the client’s phone and calls a special number. The IVR system records the phone number, time, and then clocks in. The caregiver does the same thing to clock out.

This option can be useful when:

  • Smartphone access is limited

  • Internet service is unavailable

  • Alternative EVV methods are needed