Home care software for North Carolina Medicaid EVV.
North Carolina routes EVV by payer: Sandata (NC Medicaid Direct); HHAeXchange (Standard Plans, Tailored Plans, LME/MCOs); CareBridge (Healthy Blue). First Support Homecare captures every Medicaid visit once, with GPS clock-in and clock-out, and sends it to the aggregator each payer uses where a connector is built.
Which aggregator depends on the payer
North Carolina agencies answer to more than one EVV aggregator, depending on who pays for the visit. The software captures each visit once and routes it, so caregivers never clock twice.
Sandata
Used for: NC Medicaid Direct. First Support's Sandata connector is built to the published specification; certification in North Carolina is completed with your agency as sponsor.
HHAeXchange
Used for: Standard Plans, Tailored Plans, LME/MCOs. First Support's HHAeXchange connector is built to the published specification; certification in North Carolina is completed with your agency as sponsor.
CareBridge
Used for: Healthy Blue. First Support's CareBridge connector is built to the published specification; certification in North Carolina is completed with your agency as sponsor.
What the state requires
Integrate with HHAeXchange and/or CareBridge for plans; they register you with Sandata for Medicaid Direct. HHCS hard launch Oct 1 2025 — claims without EVV denied.
The six EVV elements in North Carolina
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 |
|---|---|---|
| Type of service | The service code from the client's authorization | The payer's aggregator, through the matching connector |
| Individual receiving the service | The client's Medicaid ID | The payer's aggregator, through the matching connector |
| Date of service | The visit date | The payer's aggregator, through the matching connector |
| Location of service | GPS at clock-in and clock-out, against the client's address | The payer's aggregator, through the matching connector |
| Individual providing the service | The caregiver's unique ID | The payer's aggregator, through the matching connector |
| Time the service begins and ends | Server-stamped clock-in and clock-out | The payer's aggregator, through the matching connector |
Watch a visit go from the door to the state
Your first month in North Carolina
Want to see this on your own visits? Twenty minutes on a screen-share, in North Carolina's format. EVV is one tab — see what else the software does.
Book the demoQuestions North Carolina agencies ask
Which EVV system does North Carolina use?
Sandata (NC Medicaid Direct); HHAeXchange (Standard Plans, Tailored Plans, LME/MCOs); CareBridge (Healthy Blue). Integrate with HHAeXchange and/or CareBridge for plans; they register you with Sandata for Medicaid Direct. HHCS hard launch Oct 1 2025 — claims without EVV denied.
Can First Support Homecare send our North Carolina EVV visits?
Sandata, HHAeXchange, CareBridge built. Connectors built to the published specification: Sandata, HHAeXchange, CareBridge. None is certified in North Carolina yet; certification is completed with the first North Carolina agency as sponsoring provider, before any production visit is sent.
Which North Carolina services need EVV?
PCS, HHCS, CAP/DA, CAP/C, Innovations waiver. Every Medicaid personal care and home health visit falls under the 21st Century Cures Act EVV rule.
What does the rest of the software do?
Scheduling, caregiver onboarding and credentials, visit notes, payroll exports and Medicaid claims - one system for the agency, whichever EVV route the state uses.
Sources Medicaid.gov — EVV under the 21st Century Cures Act · First Support EVV — every state's EVV model · First Support EVV — the Cures Act EVV requirement, explained · First Support EVV — how Sandata EVV works · First Support EVV — how HHAeXchange EVV works · First Support EVV — how CareBridge EVV works
See how a North Carolina agency would run on it.
Twenty minutes on a screen-share, with North Carolina's EVV route in mind. If it is not a fit you will know in five.