HHAeXchange Alternative in Michigan: Third-Party EVV Vendors
Compare a third-party EVV vendor with Michigan's state-sponsored HHAeXchange system for personal care: the open vendor model and the 85% rule.
Resources
State-Sponsored HHAeXchange or a Third-Party EVV Vendor?
Sagar Kumar, COO and Co-Founder, Verveware
Looking for an HHAeXchange alternative in Michigan? MDHHS uses an open vendor model. Homecare agencies can use the state-sponsored HHAeXchange system, or a third-party EVV vendor that sends visit data to HHAeXchange as the state aggregator. Either path still ends at HHAeXchange. The state system focuses on EVV data collection, aggregation and a pre-billing module. These aren't listed among its features in the official Michigan sources we reviewed:
Full agency billing and claims workflows for every payer you serve
Payroll hours export
Care notes and document storage
Private-pay clients
Training tracking
Verveware puts EVV with scheduling, case notes and related agency tools in one system.
Which Michigan Homecare Services Need EVV
Per the MDHHS caregivers and providers FAQ, EVV applies to Medicaid personal care and home health care services that begin or end in the home. For non-medical home care agencies, the programs that matter most are:
Home Help personal care services
MI Choice comprehensive community support (H2015) and unskilled respite (S5150)
Behavioral Health community living supports (H2015) and respite (T1005) when the visit starts or stops in the home
MI Coordinated Health (MICH) personal care and related PCS codes
Live-in caregivers can be exempt when the required attestation and residency proof are on file. New to EVV? See what an EVV system is.
What the State-Sponsored System Covers
MDHHS contracted HHAeXchange for data collection, data aggregation and a pre-billing module. Caregivers can verify visits with the HHAeXchange+ mobile app or Interactive Voice Response (IVR) on a landline. Manual entry is allowed, but it counts against the compliance threshold below.
HHAeXchange consolidates visit data whether you use the state-sponsored tools or a third-party system. Your agency is still responsible for approving timesheets and keeping caregiver and client records straight outside EVV capture.
The 85% EVV Threshold Starting April 2026
Under MMP 26-10, effective April 1, 2026, MDHHS expects agency providers (including FI/FMS) to hit a quarterly threshold of 85% of verified EVV visits with no manual edits.
How it's calculated: verified visits with no manual edits ÷ all verified visits received that quarter. If you serve fee-for-service and managed care, or more than one managed care entity, you must clear 85% with each payer—there is no blended agency-wide average.
MDHHS defines a manual edit broadly. Missing clock-in or clock-out, missing caregiver, missing GPS on mobile or phone number on IVR, or changing an electronically logged time all count. HHAeXchange emails a monthly Compliance Report to Admin portal users; MDHHS and MCEs use those reports for the quarterly review. Falling short can trigger retraining, mandatory training, a compliance plan or a formal meeting. Clean clock-ins are a payment and enrollment issue, not only paperwork.
What You Still Do by Hand
None of these are listed among the state system's core EVV features.
Billing and claims. *By hand:* you still build and submit claims to each payer, work rejections and match payments to visits—beyond what the pre-billing module covers in the state tools.
Private-pay clients. *By hand:* private-pay clients need their own scheduling, records and invoicing outside the Medicaid EVV path.
Payroll hours. *By hand:* every pay period, you pull visit hours, check them and re-key them into your payroll system.
Care notes and documents. *By hand:* notes and files live in shared drives, on paper or in another app.
Training records. *By hand:* you track when each caregiver took a training, when the next one is due and where the certificate is.
None of this is a criticism of HHAeXchange. The state system is built for EVV and aggregation. The question is who handles the rest.
How a Third-Party EVV Vendor Connects in Michigan
Per Michigan's MDHHS EVV FAQ, providers may use a third-party EVV system that meets HHAeXchange technical and business requirements. The third-party path includes:
Complete the Third-Party EVV Attestation Form.
Meet HHAeXchange's technical specifications and business requirements.
Submit an EDI ticket so the integrations team can start onboarding.
Send visit data (JSON API) so it appears in HHAeXchange for compliance and reporting.
Caregiver records are sent before visits. Near real-time submission is expected. MDHHS and HHAeXchange aren't responsible for third-party implementation costs, so factor those into your decision.
For the same open-model comparison in another state, see our HHAeXchange alternative in Illinois and HHAeXchange alternative in New Jersey posts. If you're planning a switch, see how implementation works.
What a Third-Party EVV Vendor Adds
Ask yourself:
How many hours go into claims, rejections and payroll prep?
Can you see your EVV compliance rate before the monthly report lands?
Do you serve private-pay clients alongside Medicaid?
Verveware's EVV software includes:
Real-time EVV compliance-rate tracking, so you can see where visits stand against thresholds like Michigan's 85% rule
A caregiver mobile app for EVV clock-in and clock-out
Scheduling and case notes in one place
Document storage
Billing for Michigan payers
Payroll hours export to ADP, Paylocity and QuickBooks. Verveware exports the hours; your payroll provider processes pay
Verveware will connect to Michigan's HHAeXchange aggregator, so your visit data flows to the state without a second EVV app.
These tools support your records. They don't replace documentation required by MDHHS or your managed care entities.
FAQ
Do I Have to Use HHAeXchange for EVV in Michigan?
No. MDHHS uses an open vendor model. You may use the state-sponsored HHAeXchange system or another EVV system that meets HHAeXchange technical and business requirements and sends visit data to the HHAeXchange aggregator.
Is the HHAeXchange EVV System State-Sponsored in Michigan?
Yes. MDHHS selected HHAeXchange to provide EVV data collection, aggregation and a pre-billing module. Providers who choose a third-party EVV system pay their own implementation and integration costs.
What Is Michigan's 85% EVV Requirement?
Effective April 1, 2026, MMP 26-10 expects agency providers to keep at least 85% of verified EVV visits without manual edits each quarter. The rate is calculated per payer. Missing or changed clock times and similar gaps count as manual edits.
Which Michigan Programs Require EVV for Personal Care?
Per MDHHS, EVV applies to personal care in Home Help, MI Choice, Behavioral Health (when the visit starts or stops in the home), and MI Coordinated Health, among other programs. Home-delivered meals are not in scope. Confirm current codes on the MDHHS EVV FAQ.
Are Live-In Caregivers Required to Use EVV in Michigan?
Approved live-in caregivers can be exempt when documentation is on file. Once marked live-in in HHAeXchange, those visits are excluded from the 85% compliance calculation. Follow the attestation process for your program.
See Verveware With Your Michigan Workflow
Request a Verveware demo to see EVV, scheduling, case notes and payroll hours export together for your agency. Book a demo.
