A caregiver app that captures every visit, an aggregator connection that sends it to HHAeXchange, and a compliance rate you can see during the month instead of on the 25th of the next one.
Since January 1, 2026 every Minnesota provider of in-scope personal care and home health services must be enrolled with HHAeXchange and submit data for every visit, and since July 1, 2026 at least 80 percent of billed visits must be EVV compliant. DHS sends corrective action notices to agencies below the line and can escalate to recoupment and payment suspension.
Trustora treats EVV as the front of the billing process rather than a separate system. The visit the caregiver verifies on the app is the visit that becomes the claim, so the compliance rate and the cash cycle rise together.
Built on the rules
The requirement, where it comes from, and how Trustora handles it. The guides further down explain each rule in detail.
| Requirement | Source | In Trustora |
|---|---|---|
| Enroll with HHAeXchange regardless of the EVV system used | DHS, effective January 1, 2026 | Trustora sends visits to the HHAeXchange aggregator through its integration; the agency keeps its HHAeXchange enrollment |
| Capture the six Cures Act elements for every visit | 21st Century Cures Act § 12006 | Type of service, individual, date, location, caregiver, and start and stop times are captured at clock-in and clock-out |
| At least 80 percent of billed visits EVV compliant | DHS EVV compliance requirements, July 1, 2026 | Month-to-date compliance rate by worker, client, and cause; manual entries require a reason code and supervisor approval |
| Submit all visits, including noncompliant ones | DHS EVV compliance requirements | Every visit is transmitted; exceptions are documented, not hidden |
| Claims must match verified visits under pre-payment review | DHS pre-payment review of PCA/CFSS | The pre-claim gate blocks a line whose visit, units, worker, or authorization do not match |
What is included
Caregivers see only the clients scheduled for the day, tap in and out, and capture the client's signature on the phone.
Visits are captured offline and sync when the connection returns, so rural visits are not lost.
Manual entries and edits require a reason from a fixed list and route to a supervisor, creating the approval trail DHS asks for.
See the month-to-date rate, the workers and clients generating noncompliant visits, and the cause categories to fix.
A scheduled visit with no clock-in the same day is flagged before it becomes a manual entry.
Verified visits are the source of units on the 837P, so what HHAeXchange has and what MHCP is billed agree.
FAQ
Guides
Minnesota EVV requirements in 2026: the 50% and 80% compliance thresholds, mandatory HHAeXchange enrollment, covered services, and the DHS enforcement timeline.
EVV compliance checklist for Minnesota home care agencies: measure your rate, fix the causes of manual visits, set edit policies, and answer a DHS notice.
HHAeXchange Minnesota guide: mandatory enrollment since January 1, 2026, the free state system vs the aggregator path for third-party EVV, data flows, and MCOs.
EVV reason codes in Minnesota: what makes a visit noncompliant, the DHS edit and missed-visit code lists, who may edit, and how edits count toward 80%.
PCA timesheet requirements under § 256B.0659, subd. 12 and CFSS time sheets under § 256B.85, subd. 15: fields, signatures, EVV, five-year retention, audits.
Also for Minnesota agencies