First Support EMR › First Support EVV by state
Electronic Visit Verification · all 50 states and DC
EVV is federal. How you prove it is decided by your state.
The 21st Century Cures Act requires every Medicaid personal-care visit to be electronically verified. Each state then chose how to receive the proof: on the claim, in a file, through an API, or through a vendor's aggregator. This map says which, for every jurisdiction, and where First Support Homecare stands in each. What the federal rule actually requires · the vocabulary.
Ninety seconds: clock-in, the client's confirmation, the reason code, and the record your state receives.
Four models
Every state fits one of four patterns
5
Direct to the state
EVV goes to the state on the claim, in a file or by API. No vendor, no certification.
38
One aggregator
One aggregator company per state; the software is certified with it once.
6
Several aggregators
Several aggregators, routed by payer, or a heavier state process.
2
Closed system
The state's own closed system; no third-party software can submit.
Available now, no certification
States that take EVV from the agency directly
No aggregator to register with, no certification to pass — the obligation is a correct claim, file or API call, and that is built. One page per state.
Virginia
Claims-based — EVV fields on the 837P. DMAS MES / each Cardinal Care MCO.
Home care software in Virginia →
Utah
State portal — CSV upload. Utah Medicaid UEVV portal.
Home care software in Utah →
Washington
Claims-based — EVV on the social-service claim. HCA ProviderOne.
Home care software in Washington →
Oregon
Monthly file — e-mailed to OHA. OHA Health Systems Division.
Home care software in Oregon →
New York
Choice Model — provider sends to the state API. eMedNY EVV aggregator.
Home care software in New York →
Aggregator states
Built for your state's EVV system. Final approval happens with your agency.
In these states the software sends visits into the aggregator the state contracted (Sandata, HHAeXchange, CareBridge, Netsmart, Therap, AuthentiCare, or the state's own). The connector is built to each company's published specification; the certification the state requires is completed with the first agency in that state as the sponsoring provider, at no cost to that agency. One page per state.
AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaGeorgiaHawaiiIdahoIllinoisIndianaKansasKentuckyLouisianaMaineMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNorth DakotaOhioRhode IslandSouth CarolinaSouth DakotaTennesseeVermontWest VirginiaWisconsinWyoming
How each system works: Sandata · HHAeXchange · CareBridge · Netsmart · Therap · AuthentiCare.
The map
All 51 jurisdictions
Model, aggregator and status per state, from each state's own EVV pages as of 2026-11-04. Aggregator states (Sandata, HHAeXchange, CareBridge, Netsmart, Therap, AuthentiCare, Texas TMHP) have their connectors built and enter vendor testing one state at a time; ask about yours on the call.
| State | Model | How EVV is received | Aggregator / system | First Support EVV |
|---|---|---|---|---|
| AlabamaAL | One aggregator | Provider choice — state-run aggregator | Alabama Medicaid (monthly sFTP file) | Built — no vendor certification in this state |
| AlaskaAK | One aggregator | Open / hybrid | Therap | Built — final approval done with your agency |
| ArizonaAZ | One aggregator | Vendor choice (Alt EVV) — no state-sponsored capture app | AHCCCS Aggregator (state-run since Oct 1 2025) | Built — final approval done with your agency |
| ArkansasAR | One aggregator | Open / hybrid | AuthentiCare (Fiserv) | Built — final approval done with your agency |
| CaliforniaCA | One aggregator | Hybrid (CalEVV) — Phase II | Sandata (CalEVV aggregator) | Built — final approval done with your agency |
| ColoradoCO | One aggregator | Open / provider choice | Sandata | Built — final approval done with your agency |
| ConnecticutCT | One aggregator | Open vendor for personal care since May 2024 (Sandata-only before) | Sandata | Built — final approval done with your agency |
| DelawareDE | One aggregator | Open / hybrid | Sandata | Built — final approval done with your agency |
| District of ColumbiaDC | One aggregator | Open / hybrid | Sandata | Built — final approval done with your agency |
| FloridaFL | Several aggregators | Open for FFS home health; payer choice for SMMC plans | HHAeXchange (AHCA FFS, since Oct 2024); Plan-designated (HHAeXchange, Netsmart, others) | Built for HHAeXchange, HHAeXchange - final approval done with your agency |
| GeorgiaGA | One aggregator | Open vendor | Netsmart Mobile Caregiver+ | Built — final approval done with your agency |
| HawaiiHI | One aggregator | Open vendor | Sandata | Built — final approval done with your agency |
| IdahoID | One aggregator | Provider choice | Sandata | Built — final approval done with your agency |
| IllinoisIL | One aggregator | Open vendor (HFS; DoA/DRS also via HHAX) | HHAeXchange | Built — final approval done with your agency |
| IndianaIN | One aggregator | Open vendor | Sandata | Built — final approval done with your agency |
| IowaIA | Several aggregators | Provider choice; MCO-run aggregation | CareBridge (Wellpoint/Amerigroup & Iowa Total Care); Molina (check plan) | Built for CareBridge - final approval done with your agency |
| KansasKS | One aggregator | Provider choice with state approval — restrictive | AuthentiCare (Fiserv) | Built — final approval done with your agency |
| KentuckyKY | One aggregator | Open (hybrid) | Therap (since Jan 2025; was Netsmart/Tellus) | Built — final approval done with your agency |
| LouisianaLA | One aggregator | State system with approved third-party integration | LaSRS (Statistical Resources Inc.) | Built — final approval done with your agency |
| MaineME | One aggregator | Open | Sandata | Built — final approval done with your agency |
| MarylandMD | Closed system | State-mandated closed system | LTSSMaryland ISAS (state-built) | No third-party path - the rest of the agency runs here |
| MassachusettsMA | One aggregator | Open (agency-based); MyTimesheet for PCA/ASAP | Sandata (MassHealth aggregator) | Built — final approval done with your agency |
| MichiganMI | One aggregator | Open vendor | HHAeXchange | Built — final approval done with your agency |
| MinnesotaMN | One aggregator | Hybrid / open | HHAeXchange | Built — final approval done with your agency |
| MississippiMS | One aggregator | Open vendor | HHAeXchange | Built — final approval done with your agency |
| MissouriMO | One aggregator | Open vendor | Sandata (EVV Aggregator Solution) | Built — final approval done with your agency |
| MontanaMT | One aggregator | Open vendor | Netsmart Mobile Caregiver+ | Built — final approval done with your agency |
| NebraskaNE | One aggregator | Open vendor | Netsmart Mobile Caregiver+ | Built — final approval done with your agency |
| NevadaNV | One aggregator | Open choice (Sandata since Jan 2024, replaced AuthentiCare) | Sandata | Built — final approval done with your agency |
| New HampshireNH | One aggregator | Open (alt-EVV) | AuthentiCare (Fiserv) | Built — final approval done with your agency |
| New JerseyNJ | One aggregator | Open vendor | HHAeXchange | Built — final approval done with your agency |
| New MexicoNM | Closed system | State-mandated closed system | AuthentiCare (Fiserv) | No third-party path - the rest of the agency runs here |
| New YorkNY | Direct to the state | Choice model — state API, no vendor approval | eMedNY EVV Aggregator (state); HHAeXchange / CareBridge (MCO-contracted alternatives) | Available — see the page |
| North CarolinaNC | Several aggregators | Open, but aggregator depends on payer | Sandata (NC Medicaid Direct); HHAeXchange (Standard Plans, Tailored Plans, LME/MCOs); CareBridge (Healthy Blue) | Built for Sandata, HHAeXchange, CareBridge - final approval done with your agency |
| North DakotaND | One aggregator | Open | Sandata (aggregator); Therap (state EVV system) | Built — final approval done with your agency |
| OhioOH | One aggregator | Open vendor | Sandata | Built — final approval done with your agency |
| OklahomaOK | Several aggregators | Hybrid; FFS vendor changing | AuthentiCare → Acumen/DCI (FFS, fall 2026); HHAeXchange (SoonerSelect MCOs) | Built for HHAeXchange - final approval done with your agency |
| OregonOR | Direct to the state | Split: home health = monthly file to OHA; I/DD = eXPRS; APD in-home agencies = own system per OAR 411-033 | OHA email template (home health); eXPRS Mobile-EVV (ODDS) | Available — see the page |
| PennsylvaniaPA | Several aggregators | Open; two aggregators | Sandata (DHS aggregator, FFS/ODP/OLTL); HHAeXchange (CHC MCOs) | Built for Sandata, HHAeXchange - final approval done with your agency |
| Rhode IslandRI | One aggregator | Open | Sandata | Built — final approval done with your agency |
| South CarolinaSC | One aggregator | Open (new model with HHAeXchange; replaced closed AuthentiCare/Care Call) | HHAeXchange | Built — final approval done with your agency |
| South DakotaSD | One aggregator | Open vendor (state approval required) | Therap | Built — final approval done with your agency |
| TennesseeTN | One aggregator | Open (since Aug 1 2025; single aggregator for all 3 MCOs) | CareBridge | Built — final approval done with your agency |
| TexasTX | Several aggregators | Hybrid — state vendor + Proprietary System Operator (PSO) program | TMHP EVV Aggregator (state); HHAeXchange (state-provided vendor) | PSO approval not yet obtained |
| UtahUT | Direct to the state | Provider choice — no aggregator | None (EVV record accompanies the claim) | Available — see the page |
| VermontVT | One aggregator | Open | Sandata | Built — final approval done with your agency |
| VirginiaVA | Direct to the state | Provider choice — claims-based, no aggregator | None: EVV data elements on 837P (PCS) / 837I (HH) claims to DMAS FFS or each MCO | Available — see the page |
| WashingtonWA | Direct to the state | Provider choice — EVV fields on ProviderOne claims | ProviderOne (state MMIS) — social-services claim fields | Available — see the page |
| West VirginiaWV | One aggregator | Open / hybrid | HHAeXchange | Built — final approval done with your agency |
| WisconsinWI | One aggregator | Open (alternate EVV) | Sandata | Built — final approval done with your agency |
| WyomingWY | One aggregator | Open vendor | CareBridge | Built — final approval done with your agency |
Tell us your state. We will show you your file.
Twenty minutes on a screen-share, end to end, in your state's format. No obligation.
Tell us where to reach you
Thank you.We will call to set a time, usually within one business day. Or pick one yourself now.