First Support Homecare and HHAeXchange, side by side
In many states HHAeXchange is the state's EVV aggregator, so you deal with it either way. The question is which system runs the rest of your agency.
HHAeXchange plays two roles. In several states it is the aggregator the state or its managed care plans contract to receive EVV, with a state-sponsored portal for agencies. It also sells its own agency platform, by demo and quote. Choosing different agency software does not take you away from HHAeXchange as an aggregator: your software sends its visits there.
| First Support Homecare | HHAeXchange | |
|---|---|---|
| Role | Agency software: scheduling, caregiver app, EVV, claims, payroll exports | State or plan EVV aggregator, and agency software |
| How it is priced | Per active client, in blocks of 10 clients; call for a quote | Demo and quote |
| Works with HHAeXchange as aggregator | Yes: HHAeXchange connector built to the published specification; certified with your agency | - |
| Private-pay clients in the same system | Yes, with invoices and a family portal | Not checked |
| AI for Medicaid forms and faxes | Optional add-on | Not checked |
HHAeXchange details are from its own website (hhaexchange.com/solutions/providers), checked November 14, 2026. If anything here is out of date, tell us at [email protected] and we will correct it.
Who should stay where they are
If HHAeXchange runs your agency well and your claims are paid, switching costs more than it saves. The case for looking is a specific one: you want simple per-client pricing in blocks of 10, AI that fills Medicaid forms, or one system for private pay and Medicaid.
What a switch looks like
Four weeks: export and import, configure and train, run both for a week, go live. See the plan, or see the prices.