Choice, Control, and Flexibility in Long-Term Services and Supports (LTSS)


Choice, Control, and Flexibility in Long-Term Services and Supports (LTSS)

Keep participants in the driver’s seat.

Simplify Self-Direction Management With Our Powerful, Data-Driven Platform

HHAeXchange offers robust software for home and community-based services (HCBS) providers, helping people who are aging or have disabilities thrive in their homes and communities.

A Leader in Self-Direction

Founded in 2008, HHAeXchange is the national leader in self-direction software. Serving thousands of self-directing individuals in more than 40 states, our solutions power organizations to grow.

Support, Guide, and Simplify Self-Direction

  • Manage participant enrollment with compliance workflows and status checks
  • Create and approve participant budgets viewable in real-time
  • Coordinate timesheets and invoice processing
  • Bill Medicaid, fee-for-service, managed care, Veterans Health Administration, and other payers with powerful electronic claims, using batch electronic files including 837i and 837p
  • Record location only at clock-in and clock-out with an EVV solution purpose-built for self-direction
  • Stay connected with a cloud-based, HIPAA-secure system that’s accessible from anywhere

Learn more about how HHAeXchange can streamline your self-direction management process.

Who We Help

HHAeXchange has helped all types of organizations build and expand their self-direction programs, including:

  • Fiscal/employer agent
  • Agency with choice
  • Fiscal intermediary
  • Fiscal support entity
  • Intermediary service organization
  • Co-employment service
  • Financial management services agency (FMSA)
  • Consumer-directed services agency

Additionally, our software has supported the following programs:

  • Consumer direction
  • Self-direction
  • Participant direction
  • Cash and counseling
  • Veterans-directed care
  • Community living programs
  • Money follows the person
  • Home and community-based services
  • Consumer-directed services
  • Consumer-directed care
  • Consumer-directed option

Learn more about our leading self-direction solution.

Facts on Self-Direction

The self-direction movement is said to have officially begun in 1953, when Los Angeles County discovered that it could care for its 158 iron lung users with polio at a cost of only $10 per day using personal assistants, rather than paying $37 a day for inpatient care at the Rancho Los Amigos Medical Center.

Deep Expertise Rooted in Self-Direction

The HHAeXchange team is always listening and learning so we can continue to help providers support the increasing number of people who wish to self-direct. We know the ins and outs of policies and stay on top of changing state and federal regulations so we can ensure all clients meet compliance requirements.

Hear From Our Clients

Enrollment looks friendly, logical, and easy to use. We appreciate the time-saving features, like taxes being automatically charged on budgets and wage thresholds being automatically calculated.

Bay Aging

Thanks for listening to the needs of the business and working to define a solution that meets short-term needs but also positions us for the future in keeping with standard processes and correct data.


I would definitely recommend HHAeXchange to other agencies. Homecare is a complex industry. You have caregivers, patients, payers, and what sets HHAeXchange apart is that it incorporates all those pieces together in one place to help you run an efficient business.

Bryan Madden
General Counsel, Bryan Skilled Home Care

By far, the biggest win with the new software is increased speed and time savings! We can queue up multiple functions at the same time and easily save over 500 hours in staff overtime compared to before.


Are you ready to simplify your self-direction management process?