Maryland EVV: Aggregator, Model, and Provider Portal
Last verified 2026-05-09
- Aggregator
- FEi Systems (LTSSMaryland / ISAS)
- Model
- State-mandated aggregator
- Telephonic backup
- Yes
- State provider portal
- health.maryland.gov ↗
Maryland operates a closed/state-mandated EVV model through its LTSSMaryland platform, which uses the In-Home Supports Assurance System (ISAS) built and maintained by FEi Systems. Providers are required to use the LTSSMaryland EVV mobile app; third-party EVV tools may not substitute for Medicaid compliance. A telephonic IVR (Interactive Voice Response) system serves as the backup when the mobile app is unavailable. Maryland Medicaid required all providers to transition to the mobile app by 2024.
What is EVV?
Electronic Visit Verification is the federal requirement (under the 21st Century Cures Act §12006) that personal-care and home-health visits paid by Medicaid be electronically captured at the point of care — who provided the service, who received it, where, when it started, and when it ended. CMS pushed enforcement to the states, which is why the day-to-day experience varies so much.
What "state-mandated aggregator" means in Maryland
Every Medicaid-billing provider in this state must use the contracted aggregator. Visits captured in any other system have to be forwarded to the state aggregator before they can be billed.
How does Caregiver Scheduling integrate?
Caregiver Scheduling captures the six required EVV data points on every visit (caregiver, recipient, start time, end time, location, service type) with GPS-stamped clock-in and clock-out, and telephonic backup for caregivers without a smartphone. In open-model states, our visits are EVV-compliant on their own. In mandated-aggregator states, we forward verified visits to the state system on a nightly schedule so payroll and Medicaid billing stay in sync without double-entry.