Home care software built for Illinois Medicaid EVV.
Illinois routes EVV through HHAeXchange (EVV Data Aggregator API). First Support Homecare captures every Medicaid visit with GPS clock-in and clock-out, coded reasons and an audit trail, and its HHAeXchange 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.
Illinois: a staggered rollout across three agencies
The Illinois Department of Healthcare and Family Services (HFS) selected HHAeXchange as its EVV vendor and aggregator in March 2022. Illinois is a hybrid state: an agency can use any qualified EVV system, but the visit data must still reach HHAeXchange, so an outside system has to be compatible with HHAeXchange's EDI process.
What makes Illinois different is how many state agencies run in-home programs. HFS brought in the developmental disability waivers first, then Medicaid home health (nursing plus in-home physical, occupational and speech therapy) after CMS approved a one-year good-faith extension. The last group - personal care and home health from the Division of Rehabilitation Services (IDHS-DRS) and the Department on Aging (IDoA) - moved onto HHAeXchange on March 2, 2026.
| When | What changed in Illinois |
|---|---|
| March 2022 | HHAeXchange selected as the state's EVV vendor and aggregator. |
| February 10, 2023 | CMS approves a one-year good-faith extension for home health. |
| September 1, 2023 | EVV required for personal care under the Adults with DD and Children and Young Adults with DD waivers. |
| December 31, 2023 | EVV required for Medicaid home health, including in-home PT, OT and speech therapy. |
| March 2, 2026 | IDHS-DRS and Department on Aging personal care and home health data integrated into HHAeXchange. |
Any qualified system, one aggregator
Agencies choose their system, but every visit ends up in HHAeXchange.
Therapy is in scope
Home health EVV covers in-home physical, occupational and speech therapy as well as nursing.
Medically fragile children included
Home health authorized under the Medically Fragile Technology Dependent (MFTD) waiver is covered.
Live-in exemption for DDD waivers
DHS-DDD waiver programs have a live-in caregiver exemption process.
One aggregator: the HHAeXchange Data Aggregator API
Illinois agencies live inside two sets of rules: Illinois Department of Healthcare and Family Services (HFS)'s, and HHAeXchange's. The software was built to both — the state's EVV requirements in the visit record, HHAeXchange's interface in the connector — so the agency does the work once and the aggregator gets it in its own format. Open vendor model (HFS; DoA and DRS programs also through HHAeXchange).
A REST API with a token
OAuth client credentials, a caregiver record, visits in batches of up to a hundred, and a transactions endpoint that gives each visit its verdict. Members come from the payer's feed; the visit names them by Medicaid ID.
Ten published test cases
HHAeXchange publishes its interface test: authenticate, create and update a caregiver, five visits in a batch, one visit, a missed visit, an edit, a delete, and two that must fail. The software passes all ten against a faithful mock today, and runs them against the real implementation environment with one command.
Edits and missed visits carry codes
A corrected time carries the state's edit reason and action codes; a cancelled scheduled visit can be reported as a missed visit with its own codes.
Everything HHAeXchange requires is the same in every HHAeXchange state - the element-by-element requirements, the onboarding steps and the common questions are on one page. How HHAeXchange EVV works.
Book the demoWatch a visit go from the door to the state
Questions Illinois agencies ask
When did Illinois require EVV for home health?
December 31, 2023, after CMS approved a one-year good-faith extension on February 10, 2023.
Are Department on Aging and DRS agencies on HHAeXchange in Illinois?
Yes. Their personal care and home health EVV data was integrated into HHAeXchange on March 2, 2026.
Which Illinois programs does this cover?
Personal care under the Home Services Program and Community Care Program, home health and waiver services — every service Illinois Department of Healthcare and Family Services (HFS) requires EVV for. EDI/API integration with HHAeXchange per the Illinois technical specifications, onboarded through HHAeXchange's Alt-EVV checklist.
Is there a free trial for Illinois agencies?
Yes. Illinois 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 Indiana EVV · Iowa EVV · Kentucky EVV · Missouri EVV · Wisconsin EVV
Sources HFS — Illinois Electronic Visit Verification · Medicaid.gov — EVV under the 21st Century Cures Act · First Support EVV — the Cures Act EVV requirement, explained
Also on HHAeXchange Michigan, Minnesota, Mississippi, New Jersey, South Carolina, West Virginia · How HHAeXchange EVV works
See a visit go from clock-in to the HHAeXchange queue.
Twenty minutes on a screen-share: clock-in, clock-out, and the HHAeXchange record for that visit. If it is not a fit you will know in five.