Massachusetts (EOHHS) Resources

In this help topic, we've collected resources to assist you with EVV in the state of Massachusetts. Click on any of the dropdowns to learn more.

Welcome to the Massachusetts Executive Office of Health and Human Services (EOHHS) Electronic Visit Verification (EVV) Program. EOHHS contracts with Sandata to provide an EVV solution for Massachusetts providers.

  • To access Sandata EVV:

    1. If you have not already done so, download the Agency-based Electronic Visit Verification (EVV) System and Data Aggregator User Request Form (URF). Complete and send using the instructions on the form.

    2. Log in to the Virtual Gateway.

    3. Click Business Log In.

    4. Click Create an Account.

    5. Create your MyMassGov account and set up multifactor authentication (MFA).

    6. Once you have created your MyMassGov account and set up your MFA, log in to the Virtual Gateway with your MyMassGov email and password.

    7. Click Log In.

    8. Click Sandata EVV.

    9. Once you are signed into EVV, you see your EVV account (STX) number in the upper righthand corner of the screen. It is important to document the STX number, especially if you provide or manage services under more than one account as an agency staff member or if you record visits both as an independent provider and as an agency employee.

      The Creating a Business Account on MyMassGov to Access Virtual Gateway Applications Reference Guide assists first-time provider users who need to create a MyMassGov account and set up multifactor authentication (MFA) to access their applications on the Virtual Gateway.

  • All agency users can access the training required to get started with the system through the self-enrollment link on SandataLearn. This training will guide you and your staff in managing client and employee records, scheduling and managing visits, and more.

    Please share this link to the Sandata EVV Enhanced courses with all agency staff members to get started in training.

  • You are currently on the Sandata Knowledge Base, which contains many support and education tools, including video. Please keep in mind that the in-system and much of the Knowledge Base information is general to the Sandata EVV application.

  • Visit Electronic Visit Verification for Agency-based Providers to view updated information on the EOHHS program, including the full list of services that require EVV by service code.

  • If you have specific questions regarding the program policies, please contact EOHHS via email at EVVfeedback@Mass.gov.

  • To open a support ticket, see Contact and Support.

Massachusetts EOHHS Alternate EVV Technical Specification V1.9 Updates

The following Release Note is a companion to the Massachusetts EOHHS Alternate EVV Technical Solutions V1.9 update that was published on November 7, 2025. This Release Note outlines in greater detail the changes made to the V1.9 Specifications and provides information about effective change dates.

Outlined Changes: The changes outlined below are in the order they appear in the Specification document.

  1. Segment: Multiple

    Field: Multiple

    Effective Date: 11/07/2025

    Change: Replacing references to Executive Office on Aging & Independence of EOEA to AGE.

  2. Segment: Multiple

    Field: Multiple

    Effective Date: 11/07/2025

    Change: Clarifying language for the use of Client Medicaid ID or Client AGE Consumer ID was added throughout the document to provide precise direction to AltEVV Providers and Vendors as to the format and expected use for both client identifiers.

  3. Segment: VisitGeneralInformation – Required

    Field: BypassReason

    Effective Date: 8/28/2025

    Change: Clarifying language was added to the Expected Value and Rules column for the BypassReason field. Previously, when conditional rules were met indicating BypassReason was required, visits meeting conditional criteria were being imported successfully without a BypassReason provided. Effective 8/28/2025, when conditional criteria are met as outlined in the Expected Value and Rules column, and BypassReason is not provided, the visit will be rejected.

  4. Segment: Calls – Conditional

    Field: ClientIdentifierOnCall

    Effective Date: 12/17/2025

    Change: ClientIdentifierOnCall field will no longer be a required field effective 12/16/2025. Prior to this date, AltEVV Providers and Vendors may send any 10-digit value in this field.

  5. Section: 6.1 Payers (Table 4: Payers)

    Effective Date: 1/1/2026

    Change: Two (2) new One Care Health Plans are added. One (1) new Senior Care Options (SCO) Health Plans are added. Visits containing the below Payer IDs will not be accepted for dates of service 12/31/2025 and earlier.

    Plan Type New PayerID Payer Name
    One Care MAGBH Mass General Brigham Health One Care
    One Care MASWH Molina One Care
    SCO MAGBS Mass General Brigham Health SCO

  6. Section: 6.1 Payers (Table 4: Payers)

    Effective Date: 12/31/2025

    Change: End-date added for one Senior Care Option Health Plan. Visits for dates of service 1/1/2026 and later will not be accepted for this Payer for any Program and Service combination.

    Plan Type PayerID Payer Name
    SCO MASHN Wellsense Senior Care Options

  7. Section: 6.3 Payer Program Mapping (Table 6: Programs)

    Effective Date: 1/1/2026

    Change: Three new Payers were added to the PCA (Consumer Directed Only) Program. Visits for dates of service 12/31/2025 and earlier will not be accepted for this Payer and Program combination.

    Payer ID Program
    MAGBH PCA (Consumer Directed Only)
    MASWH PCA (Consumer Directed Only)
    MAGBS PCA (Consumer Directed Only)

  8. Section: 6.3 Payer Program Mapping (Table 6: Programs)

    Effective Date: 12/31/2025

    Change: End-date added for one Senior Care Option Health Plan. Visits for dates of service 1/1/2026 and later will not be accepted for this Payer for any Program and Service combination.

    Payer ID Program
    MASHN HH, GAFC, SCBMC, SCCCA, SCFAL, SCSWH, SCTUF, SCUNI, SDABI (Consumer Directed Only), SDMFP (Consumer Directed Only)

  9. Section: 6.3 Payer Program Mapping (Table 6: Programs)

    Effective Date: 11/30/2024

    Change: ASAP Payers were previously missing from and therefore added to the Payer Program Mapping section.

  10. Section: 6.4 Procedure Codes (HCPCS Codes) (Table 7: Procedure Code Listing)

    Effective Date: 1/1/2026

    Change: Added 3 New One Care and SCO Payers to PCA Program and T1019 service code in the Procedure Code Table.

    Payer ID Program HCPC Code Modifier Service Description
    MAGBH PCA T1019   Personal Care 15 min
    MASWH PCA T1019   Personal Care 15 min
    MAGBS PCA T1019   Personal Care 15 min

  11. Section: 6.4 Procedure Codes (HCPCS Codes) (Table 7: Procedure Code Listing)

    Effective Date: 1/1/2026

    Change: Added 5 new service codes to SDABI and SDMFP Programs

    Payer IDs Programs HCPC Code Modifier Service Description
    MAFAH, MABFH, MAFAC, MAWGB, MABHP, MABNH, MATCH, MATUM, MAWBI, MAWBC, MAWCR, MAWCA, MAWMA, MAWSA, MAWSC, MATFT, MAWEM SDABI, SDMFP H0038 UB SDABI-SDMFP – Peer Support
    MAFAH, MABFH, MAFAC, MAWGB, MABHP, MABNH, MATCH, MATUM, MAWBI, MAWBC, MAWCR, MAWCA, MAWMA, MAWSA, MAWSC, MATFT, MAWEM SDABI, SDMFP H2014 UB SDABI-SDMFP – ISCH 
    MAFAH, MABFH, MAFAC, MAWGB, MABHP, MABNH, MATCH, MATUM, MAWBI, MAWBC, MAWCR, MAWCA, MAWMA, MAWSA, MAWSC, MATFT, MAWEM SDABI, SDMFP S5120 UB SDABI-SDMFP - Chore
    MAFAH, MABFH, MAFAC, MAWGB, MABHP, MABNH, MATCH, MATUM, MAWBI, MAWBC, MAWCR, MAWCA, MAWMA, MAWSA, MAWSC, MATFT, MAWEM SDABI S5125 U4 SDABI – Adult Companion
    MAFAH, MABFH, MAFAC, MAWGB, MABHP, MABNH, MATCH, MATUM, MAWBI, MAWBC, MAWCR, MAWCA, MAWMA, MAWSA, MAWSC, MATFT, MAWEM SDMFP S5125 U8 SDMFP – Adult Companion

  12. Section: 6.4 Procedure Codes (HCPCS Codes) (Table 7: Procedure Code Listing)

    Effective Date: 12/31/2025

    Change: Payer MASHN is not available for visits with dates of 1/1/2026 and later for any programs or services.

  13. Section: 6.4 Procedure Codes (HCPCS Codes) (Table 7: Procedure Code Listing)

    Effective Date: 10/01/2024

    Change: Added additional Payers below to PCA Program and T1019 service code for consumer-directed only. Visits with dates of service will be accepted 10/01/2024 and later.

    Payer IDs Programs HCPC Code Modifier Service Description
    MACCA, MASCC, MASFA, MASTF, MASTU, MASW, MATHU, MAUCT PCA T1019   Personal Care 15 min (Consumer-Directed only)

Learn about the updates that were made to the MA EVV program for the October 22 release.

  1. In Visit Maintenance, four reason code descriptions were updated, and one was added.

    Reason Code Existing Description New Description
    100 Employee did not check in/out Employee did not check in/out or check in/out incorrect
    130 Member considerations Member considerations – more or less time needed
    170 Service was incorrect Program, Payer, or Service incorrect
    1130 Other Other - No Signature
    1140 n/a Member Verification not required for this service

  2. In Scheduling, three reason codes were removed from all MA Accounts. Any historical records utilizing the three visit codes below, will have the code updated to 888 – Other.

    Reason Code Description
    70 Blended Services Correction
    11 Client Emergency during scheduled visit
    29 Extended Shift

  3. In Scheduling, when canceling a schedule, reason code 210 was updated from Worker Cancelled to Employee Cancelled.

  4. For Visit Maintenance Reason Codes, an additional category now identifies where each specific reason code applies. Reason codes are now listed by category in Visit Maintenance, like this:

    Reason Code Category Description
    100 MA Standard Reason Codes Employee did not check in/out
    110 MA Standard Reason Codes Mobile device not available
    120 MA Standard Reason Codes Emergency
    130 MA Standard Reason Codes Member considerations
    140 MA Standard Reason Codes Technology Issue / EVV System Unavailable
    150 MA Standard Reason Codes Member ID was not available or incorrect
    160 MA Standard Reason Codes Employee ID was not available or incorrect
    170 MA Standard Reason Codes Service was incorrect
    180 MA Standard Reason Codes Location was incorrect
    190 MA Standard Reason Codes Services provided without Authorization
    200 MA Standard Reason Codes Group Visit
    210 MA Standard Reason Codes Overnight Visit
    220 MA Standard Reason Codes Other
    1100 No Signature Member Refused Verification
    1110 No Signature Member Unable to Verify
    1120 No Signature Employee Did Not Request Verification
    1130 No Signature Other
    1140 No Signature Member Verification not required for this service
    2100 Visit Did Not Occur Member Cancelled, No Show, or Refused Service
    2110 Visit Did Not Occur Employee Cancelled
    2120 Visit Did Not Occur Provider Organization Cancelled
    2130 Visit Did Not Occur Member is Displaced
    2140 Visit Did Not Occur Visit Did Not Occur
    3100 Reschedule Member is Unavailable or Displaced
    3110 Reschedule Employee is Unavailable

This specification is intended to document the requirements for using the Sandata Real Time Interface (part of the Open EVV Series of Interface) for receiving information from 3rd party EVV Vendors into the Sandata Aggregator. This interface is also referred to as the EVV Vendor Solutions Data Interface. A Third Party EVV Data Collection System will build one data pipe to the Aggregator and send synchronous data packages per defined provider agency.

This interface includes clients, employees, visits, and their associated calls as well as the ability to send data related to visit modifications.

Click here to view the specifications.

Reason codes are required when changing schedules in Sandata EVV. In the scheduling module, several reason codes are listed, but only certain codes require your attention.

When changing a schedule in the Scheduling module, you have the following MA-specific options:

  • 240 Employee Added or Changed

  • 250 Schedule Date/Time Change

  • 260 Program/Payer/Service Change

  • 270 Member Address or Information Change

  • 280 Other

    When changing a schedule in the Scheduling module, you have MA-specific options.

There are also other reason codes that are formatted differently. These are standard Sandata EVV codes and do not require your attention. Here’s a tip: look for the reason codes with the Code number included in the Name. Those are the codes should use.

Sandata's EVV training teaches you and your staff how to use EVV, which helps you comply with the 21st Century Cures Act. If your agency is not compliant, your Medicaid reimbursements could be affected, so please get started today.

What training should my team take? Streamline your training with Sandata's Learning Pathways and EVV webinar courses. These courses can be accessed via HHAeXchange University. Watch Webinar replays for a great opportunity to follow along with an expert trainer to guide you through key workflows and Sandata EVV system functionality.

See the Learning Pathways table below to learn which courses you'll need to take based on your job duties.

Role Data Entry Visit Capture Visit Maintenance Scheduling Security Aggregator Mobile App  
Provider Agency Administrator ✔ ✔ ✔ ✔ ✔      
Staff - Intake ✔              
Staff - Maintaining Visits   ✔ ✔          
Staff Scheduler     ✔ ✔        
Agency Trainer ✔ ✔ ✔ ✔ ✔ ✔ ✔  
Employee             ✔  
Alternate EVV Agency           ✔    
State Sponsors           ✔    

For general questions about the MA EOHHS EVV program, please email EVVfeedback@Mass.gov.

Use the following links to watch training recordings or review the slide decks for the following topics:

System Overview

67 min.

EVV Data Entry

54 min.

Mastering Visit Maintenance

60 min.

Managed Care Entity Aggregator Training*

26 min.

Provider Compliance Training

34 min.

EVV Compliance Training

38 min.

Alt EVV Provider Information*

44 min.

MA-EOHHS is partnering with SandataTechnologies for the state-sponsored EVV solution. The following are discussed in this town hall:

  • EOHHS Program Updates

  • EVV Onboarding Steps

  • Alternate EVV Best Practices for Registration and Onboarding

  • Available Provider & Alt EVV Training

  • Next Steps

Click here to view the slide deck.

MA-EOHHS is partnering with Sandata Technologies for the state-sponsored EVV solution. The following are discussed in this town hall:

  • EOHHS Program Updates

  • EVV Onboarding Steps

  • Alternate EVV Specification Updates

  • Provider & Alt EVV Training

  • Next Steps

Click here to view the slide deck.

MA-EOHHS is partnering with Sandata Technologies for the state-sponsored EVV solution. The following are discussed in this town hall:

  • EVV Program requirements

  • Provider and Vendor Portal registration

  • Training opportunities

  • EVV onboarding requirements

  • Early Adopter Focus Group expectations

  • Q&A session

Click here to view the slide deck.

MA-EOHHS has teamed up with Sandata Technologies as the Commonwealth-sponsored Electronic Visit Verification (EVV) provider. This online Town Hall will focus on the provider self-registration process, the Alternate EVV technical specifications, provider training opportunities and the available customer support channels for the EVV program implementation.

Click here to view the Q&A from all town halls for additional helpful information. Questions and answers about the Massachusetts EVV policy can be viewed on the Massachusetts EVV website.

Click here to view the slide deck.

MA-EOHHS has teamed up with Sandata Technologies as the Commonwealth-sponsored Electronic Visit Verification (EVV) provider. This online Town Hall introduces the Sandata EVV system and provides more information on the upcoming EVV implementation.

Click here to view the Q&A from all town halls for additional helpful information. Questions and answers about the Massachusetts EVV policy can be viewed on the Massachusetts EVV website.

Click here to view the slide deck.

Click here to view the Town Hall transcript.

The MA-EOHHS EVV Focus Group kickoff meeting outlined initial launch expectations for provider agencies. It focused on outlining key areas where feedback is needed: onboarding process, training opportunities, customer support experience, Sandata Mobile Connect user experience, and insights on Sandata EVV and Aggregator. This input helps Sandata and MA-EOHHS improve the EVV program as we approach full launch later this year.

Click here to download the slides.