The Home Health Care EVV Mandate by State and the Technology Solutions

State-by-State Guide to EVV Software Systems

As the home healthcare industry grows more complex, technology continues to play a crucial role in its evolution. The Electronic Visit Verification (EVV) mandate stands as a landmark decision in home health care, aiming to streamline processes and guarantee the delivery of high-quality care. The crux of this mandate lies in adopting robust EVV system that seamlessly integrates with the agency workflow. This article will explore the EVV mandate by state and discuss the pivotal role that well-integrated EVV software plays for home health care agencies.

EVV Aggregators by State

As per the Electronic Visit Verification (EVV) system introduced under the 21st Century Cures Act, each state in the United States is required to select an EVV model, and most states have chosen an open model with an EVV aggregator. These aggregators are essentially data intermediaries that collect information from various EVV vendors and submit it to the state. They provide a singular channel for the state to manage and monitor data, ensuring compliance with the EVV mandate. The chosen EVV aggregator varies from state to state, each providing a unique set of functionalities tailored to the specific needs and compliance requirements of the respective state.

Ohio EVV

Ohio Medicaid (ODM) has chosen Sandata as its EVV aggregator.  Ohio EVV Systems vendors are to transmit the EVV data to the Sandata aggregator.  Alora is an alternate EVV system for Sandata.  Agencies may consider an Ohio home health software that integrates EVV for OH and agency workflow in one system to bring operational efficiency.

Florida EVV

Florida Medicaid (AHCA) involves multiple EVV aggregators chosen by health plans.  The FL aggregators include HHAeXchange and Tellus/NetSmart. Agencies having one Florida EVV System that can capture EVV and transmit to both HHAeXchange and Tellus/NetSmart will simplify clock-in & clock-out process for caregivers and bring efficiency to the agency.  Alora is an alternate EVV system for HHAeXchange.  Alora is also an alternate EVV system for Tellus.  Agencies may consider a Florida home health software that integrates EVV for FL, including all FL aggregators, and agency workflow in one system to bring operational efficiency.

Pennsylvania EVV

Pennsylvania Medicaid (DHS) payers use HHAeXchange and Sandata aggregators based on the health plan.  Pennsylvania EVV Systems from alternate vendors need to transmit EVV data to HHAeXchange or Sandata  aggregator, based on a patient's insurance.  Agencies may consider a Pennsylvania home health software that integrates EVV for PA, including all PA aggregators, and agency workflow, all in one system to bring operational efficiency.

Indiana EVV

Indiana Medicaid (IHCP) has chosen Sandata as the EVV aggregator.  An alternate Indiana EVV system needs to transmit the EVV information captured for Indiana Medicaid patient visits to the Sandata aggregator.  Agencies wishing to bring operational efficiency may choose an Indiana home health software that integrates EVV for IN and agency workflow in one system.

Virginia EVV

Virginia Medicaid (DMAS) has chosen an open model for EVV.  A Virginia EVV System needs to transmit EVV data as part of an Electronic Claim File.  However, Anthem health plan in Virginia has chosen Tellus/NetSmart as their EVV aggregator.  Alora is an alternative EVV system for NetSmart.  Because EVV data needs to be transmitted as part of an electronic claim file, agencies need to choose a complete Virginia home health care software that integrates EVV, billing, and agency workflow in order to attain operational efficiency.

 California EVV

California Medicaid (DHCS) has chosen Sandata as the EVV aggregator.  Alternate California EVV systems need to transmit EVV data to Sandata aggregator.  Good California home health software that integrates EVV and the rest of the agency workflow in one system can bring operational efficiency to agencies.

Georgia EVV

Georgia Medicaid has chosen Tellus/NetSmart as the EVV aggregator.  Alternate EVV systems for Georgia need to transmit captured EVV information to NetSmart.  Agencies may choose a Georgia home health care software that integrates EVV and the rest of the agency workflow in one system, in order to attain higher operational efficiency.

Colorado EVV

Colorado Medicaid has chosen Sandata as the EVV aggregator.  The alternate EVV system for Colorado needs to transmit EVV data captured to the Sandata aggregator. Choosing Colorado home health software that integrates EVV, billing, scheduling, documentation and the rest of the agency workflow in one system can help agencies achieve high operational efficiency.

 Maryland EVV

Maryland Medicaid has chosen a closed model for EVV.  Even though agencies may use an efficient Maryland home health care software to manage operations, because of the closed model, agencies are required to use the state mandated system called In-home Supports Assurance System (ISAS) for EVV.

Minnesota EVV

Minnesota Medicaid (DHS) has chosen HHAeXchange as the EVV aggregator.  Alternate EVV systems for Minnesota need to capture and transmit EVV data to HHAeXchange.  In order to bring operational efficiency agencies should choose a Minnesota home health care software that integrates EVV with the rest of the agency workflow.

Arizona EVV

Arizona Medicaid has chosen Sandata as the EVV aggregator.  Alternated EVV systems for Arizona need to transmit EVV information to Sandata.  Agencies wanting to improve operational efficiency should choose Arizona home health software that has built-in EVV functionality. 

Wisconsin EVV

Wisconsin Medicaid has chosen Sandata as their EVV aggregator.  Any third-party EVV system for Wisconsin needs to transmit EVV data captured to Sandata.  A Wisconsin home health care software that integrates EVV and all other agency functions in one system would be an ideal choice for agencies.

Michigan EVV

Michigan Medicaid (MDHHS) is implementing an “Open Vendor Model.” and has chosen HHAeXchange as the EVV aggregator.  MDHHS plans to begin transitioning providers to EVV in early 2024. Implementation will be staggered to allow adequate time for training and adoption by the stakeholders.  Agencies may choose Home Health Software for Michigan that considers integrating with HHAeXchange aggregator by early 2024.

Oklahoma EVV

Oklahoma Medicaid has chosen AuthentiCare as the EVV solution and data aggregator. Oklahoma may be allowing an open vendor system in which other EVV solutions may be used, as long as they feed into AuthentiCare’s data aggregator. Oklahoma Home Health Software vendors may consider integrating with Authenticare.

Wyoming EVV

Wyoming Medicaid has chosen CareBridge as their EVV aggregator.  Wyoming EVV systems need to transmit EVV data to CareBridge.  Alora is an alternate EVV system for CareBridge.  Having a good Wyoming home health software that integrates CareBridge EVV and the rest of the agency functions in one system would be an ideal choice for Wyoming agencies.

New Jersey EVV

New Jersey Medicaid involves two different EVV aggregators – HHAeXchange and CareBridge – depending on who the managed care payer is.  A good EVV System for New Jersey should be capable of transmitting EVV data to both HHAeXchange and CareBridge.  With multiple EVV aggregators operating in the state, good New Jersey home health care software that integrates EVV and the rest of the agency functions in one system can make agency operations simpler. 

North Carolina EVV

North Carolina Medicaid involves multiple EVV aggregators, namely, Sandata, HHAeXchange and CareBridge.  A good North Carolina EVV system should be able to transmit EVV data captured to any of these three EVV aggregators, based on the patient’s insurance plan.  North Carolina home health software with built-in EVV functionality that can handle the rest of the agency workflow can help North Carolina home care agencies operate with higher efficiency.

Illinois EVV

Illinois Medicaid has chosen Sandata as the EVV aggregator.  EVV system for Illinois should transmit data captured to the Sandata aggregator. Agencies may choose an Illinois home health software that integrates EVV solutions in order to simplify agency operations.

New York EVV

The New York State Department of Health (NYSDOH) is providing statewide EVV aggregation through the New York Medicaid Management System (MMIS) known as eMedNY. In addition, HHAeXchange serves as the EVV aggregator for one or more MCOs in New York.  Any New York EVV system should ideally have the capability to transmit the EVV data to eMedNY as well as HHAeXchange in order to cover most patient insurance types.  A New York home health care software that incorporates EVV, billing, scheduling, documentation, and the rest of the agency workflow into one integrated system can bring a lot of operational efficiency to New York home care agencies.

Utah EVV

Utah Medicaid has an open model for EVV systems.  Agencies can choose any Utah EVV system that is capable of capturing the required EVV information and is able to create an EVV file according to the format specified by Utah Medicaid.  Agencies may utilize a Utah home health software that integrates Utah EVV solution with the rest of the EMR/agency management functions.

 Missouri EVV

Missouri Medicaid has an open model for EVV and has chosen Sandata as the aggregator.  Any Missouri EVV system that captures EVV information needs to transmit the data to Sandata aggregator.  A good Missouri home health software system that integrates with EVV and capable of transmitting to Sandata improves efficiency for agency staff.

Tennessee EVV

Blue Care of Tennessee has chosen an open model with Sandata as the EVV aggregator.  Alternate Tennessee EVV systems should have the capability of not only capturing EVV during clock-in and clock-out but also transmitting the data to Sandata aggregator.  Tennessee home health care software systems that offer built-in EVV solutions would make agency operations far easier than utilizing two different systems – one for agency management and another for EVV.

 Technology is moving EVV Forward

The EVV mandate has not only revolutionized the documentation process for home health care services but also acted as a catalyst for agencies to embrace digital transformation. A well-integrated EVV system is more than a compliance tool; it's an operational powerhouse that brings efficiency, accuracy, improved care coordination, and quality assurance to the home healthcare realm.

Related blogs:

How do I choose an EVV software?

Choosing EHR software for my home health agency

The value of an EMR for home health