Home care software built for New Hampshire Medicaid EVV.
New Hampshire routes EVV through AuthentiCare (Fiserv). First Support Homecare captures every Medicaid visit with GPS clock-in and clock-out, coded reasons and an audit trail, and its AuthentiCare 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.
New Hampshire: AuthentiCare builds the claim
New Hampshire DHHS contracted with Fiserv for its EVV system, NH AuthentiCare, and runs an open model: agencies use AuthentiCare at no cost, or their own EVV system sending visit data to the AuthentiCare aggregator. A third-party system starts with the NH EVV Third-Party Guidance and Attestation form to the state; once it is filed, the vendor contacts Fiserv to set up the connection.
What sets New Hampshire apart is that AuthentiCare is also a billing system. It builds an 837 claim from the confirmed visit data through a nightly interface, with payments still weekly, and New Hampshire's three Medicaid MCOs use it for Medicaid claims too. Either way, an agency confirms its visits in AuthentiCare before a claim can be paid. The state went live on March 18, 2024 with a soft edit on EVV claims still sent straight to MMIS. At its August 21, 2025 provider meeting, DHHS said mandatory billing through AuthentiCare was unlikely before 2026 while change orders with Fiserv were completed.
| When | What changed in New Hampshire |
|---|---|
| June 29, 2023 | AuthentiCare aggregator information session for vendors and providers. |
| March 18, 2024 | EVV go-live; soft edit on EVV-required claims sent to MMIS outside an EVV system. |
| August 21, 2025 | Provider meeting: mandatory billing through AuthentiCare unlikely before 2026. |
| May 2026 | Updated list of Medicaid services that require EVV. |
Visits are confirmed in AuthentiCare
Whether visits come from AuthentiCare or a third-party system, the agency confirms them in AuthentiCare to submit a claim for payment.
Live-in caregivers, with a catch
A family caregiver who lives in the home and is paid a single amount is a designated place of service and does not use EVV for now - but personal care billed by the unit or hour needs EVV even when the caregiver lives with the client.
Two codes for some CFI services
Under the Choices for Independence waiver some services have two codes, depending on what the case manager authorized - home health aide can be G0156 or T1021.
Attestation first
A third-party vendor files the state's attestation before Fiserv starts the connection.
One aggregator: AuthentiCare, by daily file
New Hampshire agencies live inside two sets of rules: New Hampshire DHHS's, and AuthentiCare's. The software was built to both — the state's EVV requirements in the visit record, AuthentiCare's interface in the connector — so the agency does the work once and the aggregator gets it in its own format. Open (alternate EVV) model.
A daily file over SFTP
AuthentiCare takes a daily pipe-delimited file of completed visits over SFTP and answers with a response file; the software builds, uploads and reads it back.
The interface guide's columns
Field names and rules come from Fiserv's Data Aggregator Interface Guide, delivered at onboarding; the column order lives on the account.
Declaration and attestation
The agency declares its system to the state, the vendor attests its configuration, and a single test run per vendor precedes production.
Everything AuthentiCare requires is the same in every AuthentiCare state - the element-by-element requirements, the onboarding steps and the common questions are on one page. How AuthentiCare EVV works.
Book the demoWatch a visit go from the door to the state
Questions New Hampshire agencies ask
Where is the New Hampshire AuthentiCare login?
The official New Hampshire AuthentiCare sign-in page is https://www.authenticare.com/NHEVV/login.aspx; accounts are issued through New Hampshire DHHS and Fiserv. First Support EMR is separate home care software: it sends your agency's visits to AuthentiCare, so caregivers clock in once, in one app.
Does New Hampshire require billing through AuthentiCare?
It is planned. EVV went live March 18, 2024 with a soft edit on claims sent straight to MMIS, and in August 2025 DHHS said mandatory billing through AuthentiCare was unlikely before 2026.
Do live-in caregivers need EVV in New Hampshire?
Not when they are paid a single amount as a live-in caregiver. Personal care billed by the unit or hour still needs EVV, even if the caregiver lives with the client.
Which New Hampshire programs does this cover?
Personal care, home health and the Choices for Independence waiver — every service New Hampshire DHHS requires EVV for. The NH EVV Third-Party Attestation goes to [email protected]; the vendor emails AuthentiCare support with its transport method; testing is once per vendor; only completed visits are sent.
Is there a free trial for New Hampshire agencies?
Yes. New Hampshire 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 Maine EVV · Massachusetts EVV · Vermont EVV
Sources AuthentiCare New Hampshire — official sign-in (Fiserv) · NH DHHS — Electronic Visit Verification · NH DHHS - EVV Go Live Provider Notice · NH DHHS - EVV Provider Meeting 8-21-2025 · NH DHHS - EVV General FAQs · NH DHHS - AuthentiCare Aggregator Q&A (6/29/2023) · Medicaid.gov — EVV under the 21st Century Cures Act · First Support EVV — the Cures Act EVV requirement, explained
Also on AuthentiCare Arkansas, Kansas · How AuthentiCare EVV works
See a visit become an AuthentiCare file row.
Twenty minutes on a screen-share: clock-in, clock-out, and the AuthentiCare record for that visit. If it is not a fit you will know in five.