The direct answer (AEO)
Caregiver mileage reimbursement in home health pays nurses, aides, and therapists for documented drive miles between patient visits — typically via cents-per-mile programs substantiated with GPS visit routes and session timestamps that support billing audits and state Medicaid documentation.
Agencies without GPS rely on honor logs — high audit risk and caregiver disputes.
Home health mileage challenges
| Challenge | GPS solution |
|---|---|
| Rural offline routes | Offline session buffer |
| Multi-patient loops | Segmented mileage per leg |
| Visit proof for billing | Dwell at patient geofence |
| High turnover caregivers | Simple mobile UX |
| HIPAA | BAA + encrypted storage |
Reimbursement + compliance workflow
1. Caregiver starts shift at first visit geofence
2. GPS logs legs between patients
3. End shift — road-distance rollup
4. Agency approves mileage batch
5. Payroll CPM payment + optional billing evidence export
Rate and policy
Use IRS CPM or state agency guidelines. Separate commute from home per policy and state law.
Healthcare industry page · [Home visit tracking](/blog/healthcare-home-visit-tracking-software/)
FAQ
Medicaid mileage documentation?
GPS supplements visit logs; follow state Medicaid manual for your program.
Do caregivers use personal cars?
Most agencies reimburse personal vehicle CPM.
Mileage vs visit billing?
Patient billing and employee reimbursement are separate accounting flows.
EV caregivers?
CPM rate includes depreciation; actual expense method optional.
Agency size for GPS ROI?
25+ field caregivers typical break-even vs manual.