Home care software built for District of Columbia Medicaid EVV.
District of Columbia routes EVV through Sandata (OpenEVV Alt-EVV). First Support Homecare captures every Medicaid visit with GPS clock-in and clock-out, coded reasons and an audit trail, and its Sandata connector is built to the published specification — the certification is completed with your agency as the sponsoring provider, at no cost to you.
AI does the paperwork: faxed referrals become client records and any PDF form becomes fillable in minutes. Your staff checks and signs, so a small office keeps up without another hire.
DC's claim matching and what it counts as personal care
The DC Department of Health Care Finance (DHCF) chose Sandata for EVV and offers its system to every DC Medicaid provider free of charge. An agency can use an alternate system instead, at its own expense, as long as it meets the DC technical specification and addendum and integrates with the Sandata aggregator. DHCF has connected its claims system (MMIS) to that aggregator, so every personal care claim is matched against the EVV record for that visit.
DC defines personal care broadly for EVV: Personal Care Aide services, periodic Supported Living, In-Home Supports and Respite - whether authorized under the State Plan, the Elderly and Persons with Disabilities (EPD) waiver or the Intellectual and Developmental Disabilities (IDD) waiver. Since December 1, 2021, DHCF denies any of those claims that cannot be matched to EVV data.
| When | What changed in District of Columbia |
|---|---|
| October 18, 2021 | DHCF Transmittal 21-45 makes EVV a condition of payment for personal care. |
| December 1, 2021 | Personal care claims with no matching EVV record in the Sandata aggregator are denied (dates of service on or after). |
Four services count as personal care
Personal Care Aide, Supported Living (periodic only), In-Home Supports and Respite - across the State Plan, EPD and IDD waivers.
Alternate systems start with Sandata
An agency contacts Sandata's alternate EVV team, confirms its vendor meets the specification and DC addendum, requests credentials for the vendor, and works through Sandata's testing checklist.
The agency owns the schedule
DHCF puts it on the agency to make sure its vendor keeps to the published testing schedule.
Registration is required
Agencies using an alternate system register through DHCF's Alternative EVV New Provider Registration Form.
One aggregator: Sandata's OpenEVV interface
District of Columbia agencies live inside two sets of rules: DC Department of Health Care Finance (DHCF)'s, and Sandata's. The software was built to both — the state's EVV requirements in the visit record, Sandata's interface in the connector — so the agency does the work once and the aggregator gets it in its own format. Open / hybrid model — DHCF Third Party EVV Addendum v3.2.
Three endpoints, one order
Clients, then employees, then visits, each posted as JSON and polled to completion before the next — the appendix's own rule. The software does exactly that, and reads each record's verdict back into the visit.
Certified once per state
A vendor registers with Sandata, receives UAT credentials under a sponsoring provider in the state, passes the interface test, and is then on file for every later agency in that state.
The addendum decides the codes
Which identifier a caregiver is known by (SSN or a custom ID), which the client is, the payer and program IDs, the reason-code table and the ID formats all come from the state's addendum — and live on the account, not in code.
Everything Sandata requires is the same in every Sandata state - the element-by-element requirements, the onboarding steps and the common questions are on one page. How Sandata EVV works.
Book the demoWatch a visit go from the door to the state
Questions District of Columbia agencies ask
When did DC start denying claims without EVV?
For personal care claims with dates of service on or after December 1, 2021 that cannot be matched to EVV data in the Sandata aggregator.
Is Sandata free in DC?
Yes. DHCF makes the Sandata system available to all DC Medicaid providers at no charge. An alternate system is at the provider's expense.
Which District of Columbia programs does this cover?
Personal care under the state plan and the EPD waiver, home health and IDD waiver services — every service DC Department of Health Care Finance (DHCF) requires EVV for. Vendor credentialing and testing with Sandata against the OpenEVV Alt-EVV specification and the DC addendum v3.2; the provider notifies DHCF of its alternate-EVV intent. DC identifies caregivers by SSN and wants the caregiver's NPI on fee-for-service and EPD personal-care visits.
Is there a free trial for District of Columbia agencies?
Yes. District of Columbia agencies that bill Medicaid and sign up by December 31, 2026 get 90 days free with no limit on clients: scheduling, the caregiver EVV app, documents, billing and the family portal. AI features are not part of the trial. Private-pay-only agencies get 15 days.
EVV in nearby states Maryland EVV · Virginia EVV
Sources DHCF — Alternate (3rd party) EVV · DHCF - Transmittal 21-45: Payment for Services Subject to EVV · DHCF - Electronic Visit Verification · Medicaid.gov — EVV under the 21st Century Cures Act · First Support EVV — the Cures Act EVV requirement, explained
Also on Sandata California, Colorado, Connecticut, Delaware, Hawaii, Idaho, Indiana, Maine, Massachusetts, Missouri, Nevada, North Dakota, Ohio, Rhode Island, Vermont, Wisconsin · How Sandata EVV works
See a visit go from clock-in to the Sandata queue.
Twenty minutes on a screen-share: clock-in, clock-out, and the Sandata record for that visit. If it is not a fit you will know in five.