Home care software built for Nevada Medicaid EVV.
Nevada 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.
Nevada: Sandata since 2024 and new payer IDs for EVV claims
Nevada Medicaid runs an Open Choice model: the state contracts with an EVV vendor and also lets agencies keep their own systems. It switched its state vendor to Sandata on January 1, 2024. In Nevada the EVV system also sits in the billing path, so claims for EVV services are submitted from it rather than keyed separately.
That billing path has changed twice. When the Optum/Change Healthcare clearinghouse went down in early 2024, the state and Sandata set up a temporary route that bypassed it for Sandata users (web announcement 3294, March 1, 2024). Then, from April 1, 2026, EVV claims stopped going through Optum altogether and go directly to each payer under new payer IDs. Sandata changed its users' routing for them; agencies on an alternate system must update their own billing workflows.
| When | What changed in Nevada |
|---|---|
| January 1, 2024 | Nevada Medicaid switches its EVV vendor to Sandata. |
| March 1, 2024 | Temporary claims route for Sandata users during the Optum/Change Healthcare outage. |
| April 1, 2026 | EVV claims go directly to each payer with new payer IDs instead of through Optum. |
New payer IDs from April 2026
Medicaid fee-for-service NVMED; Molina MLNNV; Health Plan of Nevada (UHC) 76342; Anthem BCBS of Nevada 000265; SilverSummit 68069.
Alternate systems update their own billing
An agency on a third-party system works with its billing vendor to switch to the new payer IDs and completes trading partner enrollment if needed.
Provider types in scope
Home health agency (29), personal care (30), the frail elderly waiver (48), the physical disabilities waiver (58), personal care through an intermediary service organization (83) and structured family caregiving respite (95).
835 remittances need authorization
A Sandata user must authorize Sandata as a trading partner to receive 835 files on its behalf.
One aggregator: Sandata's OpenEVV interface
Nevada agencies live inside two sets of rules: Nevada Division of Health Care Financing and Policy'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 choice — Sandata since January 2024.
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 Nevada agencies ask
What payer ID do Nevada EVV claims use?
Since April 1, 2026: NVMED for Medicaid fee-for-service, MLNNV for Molina, 76342 for Health Plan of Nevada, 000265 for Anthem BCBS and 68069 for SilverSummit.
Who is Nevada's EVV vendor?
Sandata, since January 1, 2024. Agencies may also use an alternate system under Nevada's Open Choice model.
Which Nevada programs does this cover?
Personal care, home health and waiver services; managed-care expansion in 2026 — every service Nevada Division of Health Care Financing and Policy requires EVV for. All providers register with Sandata and declare their system; alternate vendors certify with Sandata. Sandata does not bill for alternate EVV — the agency submits its own claims.
Is there a free trial for Nevada agencies?
Yes. Nevada 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 Arizona EVV · California EVV · Idaho EVV · Oregon EVV · Utah EVV
Sources Nevada DHCFP — Electronic Visit Verification · Nevada DHCFP - Electronic Visit Verification · Nevada Medicaid - Web Announcement 3877 (March 30, 2026) · Nevada Medicaid - Web Announcement 3294 (March 1, 2024) · 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, District of Columbia, Hawaii, Idaho, Indiana, Maine, Massachusetts, Missouri, 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.