Home care software built for Nebraska Medicaid EVV.
Nebraska routes EVV through Netsmart Mobile Caregiver+. First Support Homecare captures every Medicaid visit with GPS clock-in and clock-out, coded reasons and an audit trail, and its Netsmart 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.
Nebraska's claim checks: NPIs, 16-hour caps and three interventions
Nebraska Medicaid required EVV for personal assistance and HCBS providers from January 2021, and phased in home health from January 1, 2024. By April 1, 2024 every provider had to capture visits in the Netsmart EVV system, and from May 1, 2024 claims also had to be submitted through Netsmart. Alternate EVV vendors sign an attestation to Netsmart that their system is compliant.
In 2025 Nebraska tightened the claim checks in two phases (February 19 and June 25, 2025). Claims are now declined when the provider or caregiver has no NPI linked to the visit, when a caregiver or independent provider reports more than 16 hours of visits in a day, or when a recipient is recorded as receiving more than 16 hours in a day, for the applicable codes. From September 1, 2025, providers must be fully enrolled and compliant to be paid, and force-pay requests are denied if the provider's NPI is not active in Netsmart.
| When | What changed in Nebraska |
|---|---|
| January 1, 2021 | EVV for personal care services, after a CMS-approved good-faith exemption. |
| January 1, 2024 | Phased EVV rollout for home health begins. |
| May 1, 2024 | Claims must be submitted through the Netsmart EVV system. |
| June 25, 2025 | Phase 2 claim validation: NPI linkage and 16-hour daily limits. |
| September 1, 2025 | Full enrollment and compliance required for payment; force-pay denied without an active NPI in Netsmart. |
NPI on every visit
The provider or caregiver must have an NPI linked to the EVV visit, or the claim is declined. NPI enrollment can take up to 15 business days.
16-hour daily limits
More than 16 hours of visits in a day, for a caregiver or for a recipient, declines the claim for the applicable codes.
Three educational interventions
What Nebraska used to call "three strikes" is now three educational interventions for caregivers, before visits and claims are affected.
Appeals within 90 days
A denial can be appealed within 90 days under 471 NAC 2-007.01(A).
One aggregator: Netsmart Mobile Caregiver+, by file
Nebraska agencies live inside two sets of rules: Nebraska DHHS, Division of Medicaid and Long-Term Care's, and Netsmart's. The software was built to both — the state's EVV requirements in the visit record, Netsmart's interface in the connector — so the agency does the work once and the aggregator gets it in its own format. Open vendor model.
Rendered-services feed over SFTP
Netsmart takes a rendered-services file over SFTP in the state's format and answers with a response file. The software builds it — including overnight visits split at midnight the way the guide prescribes — uploads it, and reads the verdicts back.
The state's type codes
Jurisdiction, payer, plan, delivery system and time-zone codes come from the state's quick reference guide; the column order comes from the data dictionary delivered at onboarding. Both live on the account.
Attestations on both sides
The provider attests to the state, the vendor attests to Netsmart, and the integration is tested on a sample file.
Everything Netsmart requires is the same in every Netsmart state - the element-by-element requirements, the onboarding steps and the common questions are on one page. How Netsmart EVV works.
Book the demoWatch a visit go from the door to the state
Questions Nebraska agencies ask
Why would a Nebraska EVV claim be declined?
Most often: no NPI linked to the visit, more than 16 hours in a day for the caregiver or the recipient on applicable codes, or the provider not being fully enrolled and compliant.
Do Nebraska alternate EVV vendors follow the same checks?
Yes. The 2025 claim validation rules apply to claims from alternate vendors too.
Which Nebraska programs does this cover?
Personal care, home health and waiver services under the Heritage Health MCOs — every service Nebraska DHHS, Division of Medicaid and Long-Term Care requires EVV for. The vendor signs the Alternate EVV Vendor State Attestation, meets the backup, recovery, access-control and data-format rules, and transmits per the Netsmart implementation guide.
Is there a free trial for Nebraska agencies?
Yes. Nebraska 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 Colorado EVV · Iowa EVV · Kansas EVV · Missouri EVV · South Dakota EVV · Wyoming EVV
Sources Nebraska DHHS — Electronic Visit Verification · Medicaid.gov — EVV under the 21st Century Cures Act · First Support EVV — the Cures Act EVV requirement, explained
Also on Netsmart Georgia, Montana · How Netsmart EVV works
See a visit become a Netsmart file row.
Twenty minutes on a screen-share: clock-in, clock-out, and the Netsmart record for that visit. If it is not a fit you will know in five.