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Certified Home Healthcare Agencies (CHHAs)

Overview

A Certified Home Health Agency (CHHA) is a licensed home health organization that provides short-term, skilled care to members under a physician-approved Plan of Care (POC).

CHHAs oversee services such as skilled nursing, therapy, and home health aide support. If you are a Licensed Home Care Services Agency (LHCSA) contracted with a CHHA, you are delivering personal care services to members under the CHHA’s direction and authorization.

Unlike Medicaid-only plans, CHHAs often serve members covered under Medicare or other insurance types.

Because of this, some workflows, documentation requirements, and member identifiers may differ from what you experience with MLTCs.

What This Means for You as a Provider

When you work with a CHHA:

  • You receive member placements and authorizations directly from the CHHA
  • You must follow the authorized schedule and the member’s Plan of Care (POC)
  • Visit and billing submissions are reviewed for compliance before payment
  • Member ID formats and billing guardrails may differ from Medicaid workflows

CHHAs maintain close oversight of scheduling, services delivered, and billing compliance prior to approving invoices.

How HHAeXchange Supports You

HHAeXchange is the platform your CHHA uses to manage placements, authorizations, compliance, and billing.

Through HHAeXchange, you can:

  • Receive and manage CHHA placements
  • View authorized schedules and POC requirements
  • Submit visit data for review
  • Track invoice statuses (Pending, Approved, Billed)
  • Ensure compliance with CHHA-specific billing requirements

Our goal is to provide a standardized, streamlined experience that feels familiar while supporting the unique compliance and oversight requirements of CHHAs.

Resources

The resources below are designed to help you get started using HHAeXchange for your Certified Home Health Agency (CHHA) contract.

These guides provide step-by-step instructions based on how your organization accesses the HHAeXchange platform.

Please review the guide that applies to your organization to ensure you are set up correctly and actively managing your CHHA-linked contract.

Payer-Sponsored (Sponsored Portal) Providers

If you access HHAeXchange through a payer-sponsored portal, this guide will help you:

  • Complete initial setup for your CHHA-linked contract
  • Begin scheduling and submitting visits using EVV
  • Ensure compliance with CHHA authorization and billing requirements

Access the Sponsored Portal Provider Guide 

Enterprise Providers (HHAeXchange Platform Users)

If your agency is on our Enterprise solution this guide will help you:

  • Understand how to manage your new CHHA-linked contract
  • Provide instructions for merging existing members (if applicable)
  • Review CHHA EVV workflows for POC, Scheduling and billing

Access the Enterprise Provider Guide 

Understanding Alt EVV (EDI)

If your agency uses a third-party Agency Management System or EVV system, you may continue using that system for scheduling and visit confirmation.

However, in order to remain compliant with your CHHA-linked contract, your confirmed and billed visit data must integrate successfully with HHAeXchange.

This process is referred to as Electronic Data Interchange (EDI) or Alt EVV integration.

How the Integration Works

As part of the integration process:

  • The CHHA sends member and authorization information to HHAeXchange
  • HHAeXchange generates a unique member identifier within the system
  • That member data must align with the visit data you transmit from your EVV/Agency Management System
  • Confirmed and billed visits are sent to HHAeXchange according to EDI file specifications
  • HHAeXchange validates the data for compliance under your linked CHHA contract

To ensure successful processing, your integration must follow HHAeXchange’s file layout and submission requirements.

Getting Started with EDI

If you plan to use a third-party EVV or Agency Management System, you must complete the EDI integration process before submitting visits under your CHHA contract.

In order to integrate between your Agency Management System and HHAeXchange, you will need to create the EDI files corresponding to the HHAeXchange specifications.

These  Knowledge Base sections will help you successfully integrate with HHAeXchange:

  • V5 Flat File – Includes EDI code tables, EDI Payer Configuration and Requirements Tables, the EDI File Format Validation Portal, and more.
  • Getting Started with EDI – Covers requesting your EDI setup, completing vendor testing, getting production credentials, and monitoring rejected visits to keep your integration running smoothly.

We have also created a Getting Started Guide to help you successfully navigate integration setup.

Access My CHHA EDI Getting Started Guide 

This guide will walk you through:

  • Setting up your HHAeXchange portal so your team can manage data flows between your EVV system and HHAeXchange.
  • Coordinating with your third-party EVV vendor to send the proper EDI files and meet HHAeXchange specifications.
  • Opening a support ticket and completing testing and configuration for your EDI integration so visit data can begin flowing.

But wait! This is important…

Visit data cannot be processed or billed under your CHHA contract until your EDI integration is successfully configured and validated.

If you are unsure whether your agency is integrated, please review the guide above or contact support.

Need Support?

Linking to a CHHA cannot be initiated by the provider. The CHHA is required to submit and confirm the linking request.

If you still need to be linked, please contact your CHHA representative and request that they reach out to HHAeXchange to initiate the process.

For questions and support all providers can use our Client Support Portal to find answers to questions and create support requests.