Home care software built for Nebraska Medicaid EVV.
Nebraska routes EVV through Netsmart Mobile Caregiver+. Homecare App 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.
Built for how Nebraska actually receives EVV
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.
- ProgramNebraska DHHS, Division of Medicaid and Long-Term Care
- Servicespersonal care, home health and waiver services under the Heritage Health MCOs
- Serving agencies inOmaha, Lincoln, Grand Island, Kearney and the Panhandle
One aggregator: Netsmart Mobile Caregiver+, by file
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.
Nebraska specifics
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.
What Netsmart wants, and where the app gets it
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 |
|---|---|---|
| Visit row | Provider Medicaid ID, member ID, caregiver ID, service code and modifier, start/end times | rendered services file |
| Type codes | Jurisdiction, payer, plan, delivery system, time zone | account config |
| Verification | GPS at each end, or telephony; who signed / unable to sign | rendered services file |
| Manual entries | Edit code and reason | rendered services file |
| Overnight visits | Split at midnight into two rows | rendered services file |
| Verdict | Response file per upload, read back per visit | response file |
What the office and the caregiver actually see


Your first month in Nebraska
Want to see this on your own visits? Twenty minutes on a screen-share, in Nebraska's format.
Book the demoEVV is one tab. The software runs the whole agency.
Questions Nebraska agencies ask
Do our caregivers have to use Mobile Caregiver+?
No. It is the state's free option; an agency with its own system sends a rendered-services file into the same aggregator. In some states the billing provider still keeps a Mobile Caregiver+ login to release visits.
What does onboarding involve?
The two attestations, SFTP credentials and the data dictionary from Netsmart under a sponsoring provider, then a sample file review. We do this with your agency as sponsor, at no cost to you.
Can we start before onboarding is done?
Yes. Everything but the send works from day one; visits queue and go the day the account is live.
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.
The Nebraska documents this page is written from
Read the state's own words; the page above is our summary of them as of 2026-09-21.
- Nebraska DHHS — Electronic Visit Verificationdhhs.ne.gov
- Medicaid.gov — EVV under the 21st Century Cures Actwww.medicaid.gov
- Homecare App — the Cures Act EVV requirement, explainedfirstsupport-emr.com
EVV, state by state
Five states take EVV from the agency directly; the rest route it through a contracted aggregator. The 51-state EVV map has the model and where the software stands in each.
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.
Homecare App