Skip to Main Content

Sunshine Health Announces Important Electronic Visit Verification (EVV) Change

Date: 08/22/25

Sunshine Health will deny all electronic visit verification (EVV) claims that are not electronically verified or are missing the appropriate exception reason code. This is an important change Sunshine Health is making to fully comply with the 21st Century Cures Act.

To prevent reimbursement delays, providers are encouraged to reduce and eliminate EVV exceptions, including visit times that are manually adjusted.

21st Century Cures Act

The federal 21st Century Cures Act requires providers delivering personal care services, homemaker, companion, attendant care, respite, participant direction option (PDO) services, and private duty nursing (PDN) services for Medicaid patients to electronically validate these services and submit the claims for these services through a compliant EVV system effective January 1, 2019.

Providers should be aware that the Florida Agency for Health Care Administration (AHCA) has directed health plans to reduce exceptions pertaining to the use of EVV.

EVV Resources

Sunshine Health has many resources to help providers with EVV:

EVV Training

Sunshine Health Training: Visit Provider Training to view recordings of past EVV Town Hall training sessions. Select the following link to register for the upcoming in-person session in Orlando.

HHAeXchange Support Center: Access training via the Client Support Portal. For more information, email contact HHAeXchange by emailing support@hhaexchange.com.

Questions?

Sunshine Health has a wealth of resources available to help answer your questions and address your concerns:

SH_9460