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.
When you work with a CHHA:
CHHAs maintain close oversight of scheduling, services delivered, and billing compliance prior to approving invoices.
HHAeXchange is the platform your CHHA uses to manage placements, authorizations, compliance, and billing.
Through HHAeXchange, you can:
Our goal is to provide a standardized, streamlined experience that feels familiar while supporting the unique compliance and oversight requirements of CHHAs.
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.
If you access HHAeXchange through a payer-sponsored portal, this guide will help you:
Access the Sponsored Portal Provider Guide
If your agency is on our Enterprise solution this guide will help you:
Access the Enterprise Provider Guide
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.
As part of the integration process:
To ensure successful processing, your integration must follow HHAeXchange’s file layout and submission requirements.
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:
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:
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.
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.