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New York, New Standards. We’re Here to Help. | HHAeXchange

New York, New Standards. We’re Here to Help.

The New York Department of Health (DOH) is raising the bar on homecare accountability with new requirements for compliance and reporting.

We’re here to help you meet these new standards with features and integrations built with New York in mind.

Where are you in your HHAeXchange journey?

*Covering changes from September to November 2026

Viewing: Existing provider

What is the New York DOH Mandate?

The New York State Department of Health is rolling out a new mandate requiring all health plans to report Electronic Visit Verification (EVV) compliance data.

For the first time in New York’s history, there will be a formal, enforceable standard for how payers and providers meet EVV compliance requirements across the state.

Learn More About the NY DOH Mandate Reporting Requirements

What’s Changing for Me?

There are 5 key changes rolling out from September to November 2026. Explore your available resources and learn more below ↓

ArchCare Senior Living, Hamaspik Managed Care, and VillageCareMAX have joined HHAeXchang’s linked payer network. Those providers should capture EVV through HHeXchange only starting October 1. Joining them is MetroPlusHealth, with a go-live of November 1.

Is your payer listed? Then here’s what you need to do:

What you need to do
  • Review and accept new patient placements from your linked contract (if you’re multi-office)
  • Match records with a Bulk Patient Merge
  • Review your List of Patients Report to make sure everything is correct. (Something wrong? Contact your payer directly)

Learn everything you need in our on-demand training session, NY Getting Started: Enterprise Linked Contract Management.

What you need to do
  • Review and accept new patient placements from your linked contract (if you’re multi-office)
  • Review your List of Patients Report to make sure everything is correct. (Something wrong? Contact your payer directly)

Learn everything you need to get started with our on-demand training session NY Getting Started: Sponsored Provider Contract Management.

What you need to do
  • Review your List of Patients Report to make sure everything is correct. (Something wrong? Contact your payer directly)
  • Submit a support ticket to request your integration

Learn everything you need to get started with our on-demand training session EDI Connection Walkthrough.

To standardize and streamline how agencies manage their caregiver information, caregivers will now need a registry number in their profile and on every claim.

You need to add the correct ID numbers to your caregiver profiles by October 1, 2026. Some payers may reject claims without a correct caregiver ID.

What do I need to do?
  • Add the HHAeXchange Registry number to caregiver profiles for home health aides
  • Add the Added/Checked Registry Date

Caregivers are switching to the brand-new HHAeXchange+ mobile app from our legacy Caregiver Mobile App (CMA). Caregivers rate it over 4 ⭐ in the app store!

How to Switch to HHAeXchange+

  • Your current caregivers will get a pop-up notification in their CMA app when it’s time for them to make the switch
  • New caregivers will download the app directly
What you need to do
  • Explore your HHAeXchange+ Mobile App Guide for resources and FAQs
  • Watch Welcome to HHAeXchange+! on-demand to see how caregivers will switch

New hard billing edits are coming through for payers in the NY market.

Use our billing checklist and tools to find and fix common billing mistakes before they cause a claim rejection.

Then, attend a virtual training session in October to master billing from start to finish.

What you need to do
  • Download your billing & claims readiness checklist
  • Bill through HHAeXchange by each plan’s effective date

New Virtual Training Sessions on Billing Edits

Does your payer have a scheduled hard edits go-live? Watch our virtual training on billing for NY providers now!

Are you an EDI provider? Save your seat for an EDI-focused virtual training October 6 at 11:00 AM ET.

“Is my payer rolling out billing edits?”

United Healthcare Community Plan of NY (UHC) and Fidelis Care have dates set. Aetna Better Health of NY will have dates set soon, and there will be more payers setting dates in the near future.

Key Billing Hard Edits Dates:

  • Oct 1 – United Healthcare Community Plan of NY
  • (You must bill out of HHAeXchange starting Oct 1, 2026)
  • Nov 1 – Fidelis Care
  • TBD – Aetna Better Health of New York

Agencies need to carefully document EVV in HHAeXchange for full compliance. This is because your health plans now need to report that EVV data to the state every quarter.

This report will have the same EVV data that you’re already tracking via your payer contract and billing workflows.

What you need to do
  • Generate the NY DOH Agency Report to prepare and submit your EVV compliance data
  • Complete and submit your Q3 report by Oct 31, 2026
What you need to do
  • Make a habit of reviewing the State & Health Plan EVV Compliance Report to monitor your payer-reported metrics

Quarterly Reporting Periods

SFY 2027 Q1April 1, 2026 – June 30, 2026 – Response due by July 30, 2026
SFY 2027 Q2July 1, 2026 – September 30, 2026 – Response due by October 30, 2026
SFY 2027 Q3October 1, 2026 – December 31, 2026 – Response due by January 30, 2027
SFY 2027 Q4January 1, 2027 – March 31, 2027 – Response due by April 30, 2027

Getting Started Hub

New to HHAeXchange? Tell us how you’re connecting and we’ll show you the right path. It takes you from getting connected to staying current.

How are you connecting?
1

Get connected

Understand your HHAeXchange setup and how your payer relationships work. This shapes almost everything else you’ll do in the system.

NY Getting Started: Sponsored Provider Contract Management
On-demand
Watch Now (23 min)
2

Get started with EVV

Scheduling and capturing visits is the foundation of everything downstream. Billing, compliance, and reporting all depend on getting this right.

New York Easy EVV: Scheduling & Visit Capture
Virtual Training
Watch Now
3

Manage your visits

Learn how to maintain visits and resolve issues before they become billing problems.

Teach Me Tuesdays: Visit Maintenance
Virtual Training
Register Now
4

Prepare for billing

Understand how billing works in HHAeXchange and what’s changing with hard billing edits across New York health plans.

What’s New in NY? Billing in HHAeXchange
Virtual Training
Watch Now
Want the full list of what’s changing across New York right now? .
1

Get connected

As an EDI provider, your data flows through your own system integration rather than the standard HHAeXchange workflows. This walkthrough shows how that connection works.

EDI connection walkthrough
On-demand
Watch
2

Prepare for billing

Once your integration is set up and visit data is flowing, this session covers the workflows you’ll need next. That includes how to bill out of HHAeXchange.

NY Alt EVV: Post-Integration Workflows
Virtual Training
Register Now
Want the full list of what’s changing across New York right now? .

We’re here to help.

We know New York providers are facing a lot of changes. That’s why our training team is available every day to help answer your questions, navigate new requirements, and take action.

Register for Daily Office Hours Today