EVV orientation for PCA, HCBS, home health, and waiver providers

Understanding EVV and how Softiya supports it

Electronic Visit Verification (EVV) is used by many Medicaid and waiver programs to confirm that in-home services were delivered as billed. This page offers a high-level overview of EVV, common vendor models, and how Softiya fits into your state’s requirements. Always verify details with your state Medicaid agency, waiver manuals, and MCO contracts.

What EVV usually records

Who & for whom

Direct care worker identity and which member/client received the service.

When & where

Verified start and end times, plus visit location when required by your program.

What service

Covered service codes or tasks that match your waiver, personal care, or home health benefits.

Exact EVV data elements, timelines, and correction rules differ by state, program, and payer. Please verify with your official Medicaid and EVV documentation.

EVV vendor and aggregator models

State-mandated EVV

Some states require agencies to use a single, state-selected EVV system. Agencies usually log in directly or connect through an interface that follows the state’s specifications.

Aggregator model

Other states or MCOs allow multiple EVV vendors but use an “aggregator” to collect visit data. Softiya sends approved visits to the aggregator according to that state’s rules, while you continue to manage scheduling and documentation in one place.

Payer-specific EVV

Certain managed care plans or waivers may require their own EVV connections. Configuration is payer-specific and should be confirmed in each contract or provider manual.

Examples of EVV and aggregator vendors in the market include systems similar to Sandata, HHAeXchange, and others. Your state or payer will publish the official list and technical requirements. Please verify with them before configuration.

How Softiya supports EVV operations

Single schedule, multiple programs

Visits are scheduled once in Softiya, even if you run PCA, HCBS, home health, group home, or NEMT. The same visit record can be used for EVV export, billing, and payroll.

  • • Field staff clock in/out using EVV-ready visit flows.
  • • Supervisors review exceptions and missing punches.
  • • Approved visits become the source for billing files.

Exports & interfaces

Softiya can be configured to create visit files that match your state or payer templates. Where available, interfaces can be aligned with the aggregator or EVV vendor used in your state.

  • • Visit exports mapped to program codes.
  • • Separate files per payer or waiver, if required.
  • • Documentation kept in one system for audits.

Configuration options depend on your state, EVV vendor, and contracts. A short consultation is recommended before finalizing your EVV approach.

EVV by state and program

Use the links below to open your state’s overview page. These summaries highlight common home care and HCBS programs Softiya supports. EVV rules, vendors, and timelines are controlled by each state and may change, so confirm details with official guidance.

State EVV vendors and aggregators

This table summarizes the commonly used EVV vendor or aggregator for each state. Always verify with your state Medicaid agency, updated EVV bulletins, or payer manuals.

State EVV aggregator / system
Alabama HHAeXchange
Alaska Sandata
Arizona Sandata
Arkansas AuthentiCare
California Sandata (state EVV portal)
Colorado Sandata
Connecticut Sandata
Delaware HHAeXchange
Florida HHAeXchange (MCO-specific)
Georgia N/A (payer-direct EVV requirements vary)
Hawaii Sandata
Idaho Sandata
Illinois Sandata
Indiana Sandata
Iowa Authenticare
Kansas Authenticare
Kentucky Sandata
Louisiana Sandata
Maine Sandata
Maryland HHAeXchange
Massachusetts MassHealth EVV (AuthentiCare base)
Michigan Sandata
Minnesota HHAeXchange (2024+)
Mississippi HHAeXchange
Missouri Authenticare
Montana Sandata
Nebraska Sandata
Nevada Sandata
New Hampshire Sandata
New Jersey HHAeXchange
New Mexico Sandata
New York HHAeXchange
North Carolina Sandata
North Dakota Sandata
Ohio Sandata
Oklahoma Authenticare
Oregon Sandata
Pennsylvania HHAeXchange
Rhode Island Sandata
South Carolina HHAeXchange
South Dakota Sandata
Tennessee Authenticare
Texas Authenticare
Utah Sandata
Vermont Sandata
Virginia HHAeXchange
Washington Sandata
West Virginia Sandata
Wisconsin Sandata
Wyoming Sandata

Vendors change frequently. Always verify with your state Medicaid agency, MCO, or EVV portal.

Plan your EVV, billing, and compliance strategy

Share your state, programs, and current EVV vendor. We will review how Softiya can support your configuration and outline next steps for setup, training, and Medicaid compliance.

This EVV overview is for general operational planning. It does not replace official state guidance, Medicaid manuals, waiver documents, or payer contracts. Requirements, vendors, and timelines can change. Please verify all EVV obligations and technical specifications with your state and payers before implementation.