Home care software for Florida Medicaid EVV.
Florida routes EVV by payer: HHAeXchange (AHCA FFS, since Oct 2024); Plan-designated (HHAeXchange, Netsmart, others). First Support Homecare captures every Medicaid visit once, with GPS clock-in and clock-out, and sends it to the aggregator each payer uses where a connector is built.
Which aggregator depends on the payer
Florida agencies answer to more than one EVV aggregator, depending on who pays for the visit. The software captures each visit once and routes it, so caregivers never clock twice.
HHAeXchange
Used for: AHCA FFS, since Oct 2024. First Support's HHAeXchange connector is built to the published specification; certification in Florida is completed with your agency as sponsor.
Plan-designated
Used for: HHAeXchange, Netsmart, others. First Support's HHAeXchange connector is built to the published specification; certification in Florida is completed with your agency as sponsor.
What the state requires
HHAeXchange EDI integration for FFS; each managed care plan sets its own EVV vendor/aggregator — check plan contracts. Sunshine Health denies unconfirmed EVV claims since Jan 30 2025.
The six EVV elements in Florida
Every element the state names, the record it comes from in the app, and where it lands.
| Element | Where the app gets it | Where it lands |
|---|---|---|
| Type of service | The service code from the client's authorization | The payer's aggregator, through the matching connector |
| Individual receiving the service | The client's Medicaid ID | The payer's aggregator, through the matching connector |
| Date of service | The visit date | The payer's aggregator, through the matching connector |
| Location of service | GPS at clock-in and clock-out, against the client's address | The payer's aggregator, through the matching connector |
| Individual providing the service | The caregiver's unique ID | The payer's aggregator, through the matching connector |
| Time the service begins and ends | Server-stamped clock-in and clock-out | The payer's aggregator, through the matching connector |
Watch a visit go from the door to the state
Your first month in Florida
Want to see this on your own visits? Twenty minutes on a screen-share, in Florida's format. EVV is one tab — see what else the software does.
Book the demoQuestions Florida agencies ask
Which EVV system does Florida use?
HHAeXchange (AHCA FFS, since Oct 2024); Plan-designated (HHAeXchange, Netsmart, others). HHAeXchange EDI integration for FFS; each managed care plan sets its own EVV vendor/aggregator — check plan contracts. Sunshine Health denies unconfirmed EVV claims since Jan 30 2025.
Can First Support Homecare send our Florida EVV visits?
HHAeXchange, HHAeXchange built. Connectors built to the published specification: HHAeXchange, HHAeXchange. None is certified in Florida yet; certification is completed with the first Florida agency as sponsoring provider, before any production visit is sent.
Which Florida services need EVV?
Home health visits (FFS), PCS under SMMC LTC plans. Every Medicaid personal care and home health visit falls under the 21st Century Cures Act EVV rule.
What does the rest of the software do?
Scheduling, caregiver onboarding and credentials, visit notes, payroll exports and Medicaid claims - one system for the agency, whichever EVV route the state uses.
Sources Medicaid.gov — EVV under the 21st Century Cures Act · First Support EVV — every state's EVV model · First Support EVV — the Cures Act EVV requirement, explained · First Support EVV — how HHAeXchange EVV works · First Support EVV — how HHAeXchange EVV works
See how a Florida agency would run on it.
Twenty minutes on a screen-share, with Florida's EVV route in mind. If it is not a fit you will know in five.