STATE MEDICAID PROGRAMS
Build a Strong, Connected Care Network
Elevate health equity statewide by using HHAeXchange to connect with providers and MCOs, uncover disparities, and ensure consistent service delivery across every community.
Delivering Quality Care By Advancing Program Management
HHAeXchange’s EVV Aggregator for Medicaid programs captures accurate visit data regardless of providers’ EVV tools while maintaining a supportive and provider-friendly approach. We help state Medicaid programs overcome barriers created by disparate, outdated technology using one platform to seamlessly connect the entire ecosystem. With decades of experience serving Medicaid home- and community-based services (HCBS) populations, our national scale and ongoing investments best position us to deliver transformative technology to meet the growing market needs.
Key Benefits
Manage your Network
Collaborate more effectively with provider agencies and streamline your operations. HHAeXchange connects your network, aggregating visit data from any EVV source—supporting efficiency, compliance, and stronger relationships across your network.
Program Integrity Analytics
Tap into real-time analytics to monitor performance, spot emerging trends, and flag potential fraud, waste, and abuse (FWA) issues. Our dashboards are built to identify issues before payments go out—enhancing audit readiness and payment integrity.
Empower Care Initiatives
Strengthen care coordination and improve member outcomes through greater transparency. With HHAeXchange you can leverage caregivers’ in-home visits to detect changes in condition and coordinate interventions that support member health.
Business Intelligence Dashboards
Turn existing data into actionable insights with dashboards built specifically for homecare teams. Organize data by key operational areas — including CMS KPIs, EVV, authorizations, and more — so you can focus on the metrics that matter most.
EVV Compliance
Simplify compliance and streamline operations with integrated EVV and compliance tools. Transition from paper-based processes to automated workflows that connect caregivers, agencies, and payers in one seamless system.
Claims Validation
Our solution leverages an enhanced claims matching and editing process to validate homecare claims against EVV data before those claims are adjudicated, significantly reducing the need for subsequent recovery expenses. Say goodbye to “pay and chase.”
Why States Work With HHAeXchange
Trusted by states, providers, and national and regional MCOs, HHAeXchange is committed to delivering transparency and transformative technology. The Centers for Medicare & Medicaid Services (CMS) has certified the HHAeXchange EVV system as an official EVV Aggregator, underscoring our dedication to compliance and innovation.
State Medicaid Programs Contracted with HHAeXchange and Sandata
hear from our customer
It was important to New Jersey that we implement EVV in compliance with federal requirements, and that we do so with a strong and enthusiastic stakeholder process. HHAeXchange worked hand-in-hand with us to achieve broad public support, timely implementation, and CMS certification.
Jennifer Langer Jacobs
Assistant Commissioner of Medical Assistance and Health Services, New Jersey Department of Human Services
CMS Certification Awarded to HHAeXchange
Centers for Medicare & Medicaid Services (CMS) granted certification of the HHAeXchange EVV system as the EVV Aggregator for Minnesota, New Jersey, West Virginia, and Texas.
Your Trusted Industry Partner
As states continue to expand and tighten Electronic Visit Verification (EVV) requirements, the Office of Inspector General (OIG) is stepping up audits to ensure EVV systems meet all federal and state requirements. To help states proactively prepare for increasing federal scrutiny, HHAeXchange is launching EVV HealthCheck—a comprehensive annual review designed to ensure EVV systems meet CMS and OIG standards. We’ll assess whether your EVV program:
- Accurately verifies home visits for personal care services (PCS) and home health care services (HHCS)
- Complies with the 21st Century Cures Act
- Helps prevent improper Medicaid payments
- Supports strong oversight, including provider audit frequency, use of alerts or flags, and corrective actions taken
- Maintains a robust error resolution process for providers
Frequently Asked Questions
What is an “EVV aggregator,” and how does it differ from other EVV systems?
An EVV aggregator collects and consolidates visit verification data from multiple EVV tools or vendors, allowing the state Medicaid office to view consistent, centralized data regardless of which EVV tool a provider uses.
How does HHAeXchange ensure compliance with federal and state regulations?
HHAeXchange supports 21st Century Cures Act compliance, adheres to HITRUST CSF standards, and works with states to align its solutions with state-specific Medicaid rules. We are certified by CMS in certain states as an EVV Aggregator,
What types of homecare services does HHAeXchange support?
The platform supports a spectrum including Personal Care Services (PCS), Home Health Care Services (HHCS), and self-directed services (direct care workers).
What is the process for implementing HHAeXchange in our state? What kind of timeline and resources are required?
Implementation involves stakeholder engagement, discovery process, training, data integration, setup of reporting and oversight. Timelines vary based on state complexity.
Better tools, better care, better outcomes
Let’s work together to achieve superior results for members, providers, and your organization.
