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Home care software · North Dakota EVV

Home care software built for North Dakota Medicaid EVV.

North Dakota routes EVV through Therap. Homecare App captures every Medicaid visit with GPS clock-in and clock-out, coded reasons and an audit trail, and its Therap connector is built to the published specification — the certification is completed with your agency as the sponsoring provider, at no cost to you.

GPS clock-in & out Phone-line clock by PIN Offline queue Coded reasons & audit trail
See it in 20 minutes Everything the software does
Web-based, nothing to install. Hosted on AWS under a Business Associate Agreement.
Where this standsStatus in North Dakota: the Therap connector is built to the published specification and tested against it and against a faithful mock of the aggregator. It is not yet certified in North Dakota; certification is completed with the first North Dakota agency as sponsoring provider, before any production visit is sent.
Home care software for North Dakota agencies

Built for how North Dakota actually receives EVV

North Dakota agencies live inside two sets of rules: North Dakota Health and Human Services's, and Therap's. The software was built to both — the state's EVV requirements in the visit record, Therap's interface in the connector — so the agency does the work once and the aggregator gets it in its own format. Open model — Therap for traditional Medicaid, Sandata for BCBSND Medicaid Expansion.

  • ProgramNorth Dakota Health and Human Services
  • Servicespersonal care (QSP), home health, waivers and Medicaid Expansion
  • Serving agencies inFargo, Bismarck, Grand Forks, Minot and Williston
How EVV works in North Dakota

One aggregator: Therap's third-party API

A REST API with a token

Each visit is posted as JSON to Therap's endpoint with a bearer token; Therap answers per visit. The field names follow the state's data dictionary and are configurable on the account.

Vendor approval

Therap approves the vendor and issues the base URL, token and data dictionary under a sponsoring provider; the state then lists the system as approved.

Near-real-time

States on Therap expect visits within a day; the software queues every closed visit at clock-out and sends within minutes.

North Dakota specifics

Integrate with the Therap aggregator for traditional Medicaid; BCBSND Medicaid Expansion members use a Sandata aggregator (alt-EVV town hall, January 2025). Both connectors are built.

Requirements

What Therap wants, and where the app gets it

Every element the state names, the record it comes from in the app, and where it lands.

ElementWhere the app gets itWhere it lands
VisitProvider ID, recipient Medicaid ID, staff ID, service code and modifier, authorizationvisits endpoint
TimesStart/end in UTC, capture method at each endvisits endpoint
LocationsLatitude/longitude at each end, or the phone for telephony; service addressvisits endpoint
Manual entriesThe state's reason code and notevisits endpoint
IdentityOur stable visit id and sequence, so a resend updatesvisit_id / sequence
VerdictPer-visit response, read backresponse
In the software

What the office and the caregiver actually see

An EVV visit detail with GPS pins at clock-in and clock-out
A visit's EVV record — server times, GPS at both ends, the caregiver, the reason if a time was typed
The Finance → Claims page listing claim batches by payer
Finance — the aggregator queue lives beside the claims it backs
Getting started

Your first month in North Dakota

Sponsor and credentialsYour agency is the sponsoring provider: one attestation to the state and one to the aggregator, and the aggregator issues test credentials. We prepare both with you.
Configure from the presetFinance → EVV aggregators: the state's preset fills qualifiers, reason codes and config from the published addendum; the issued ids and credentials go on top. The account says Ready when nothing is missing.
CertifyWe run the aggregator's test cases against their test environment with your test patients, fix anything they flag, and ask for their review. Then production credentials.
Go liveFlip the account to production and turn the worker on. From then on every closed Medicaid visit is queued at clock-out and reaches the aggregator within minutes, with its verdict read back.

Want to see this on your own visits? Twenty minutes on a screen-share, in North Dakota's format.

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The rest of the agency

EVV is one tab. The software runs the whole agency.

SchedulingMonth, week and day views; drag to reschedule; caregiver matching by what the patient needs.EVV appGPS clock-in and out, phone-line clock by PIN, offline queue, coded reasons, an audit trail that keeps the original times.Medicaid billing837P claims and CMS-1500 per payer, acknowledgements read back, denials against the lines.Private-pay invoicesRates, fees, invoices and card payments for the clients who are not Medicaid.Documents & onboardingE-signed agreements and forms, licence expiry tracking, two-sided onboarding checklists.ImportPatients, staff and visit history from the system you are leaving, in one step.
Questions

Questions North Dakota agencies ask

Do our caregivers have to use Therap's app?

No. Therap's app is the state's free option; an approved third-party system sends the same visits into the Therap aggregator. Caregivers use one app.

What does approval involve?

Therap reviews the integration, issues credentials and the data dictionary under a sponsoring provider, and the state records the approval. We do this with your agency as sponsor, at no cost to you.

Can we start before approval is done?

Yes. Everything but the send works from day one; visits queue and go the day the account is live.

Which North Dakota programs does this cover?

Personal care (QSP), home health, waivers and Medicaid Expansion — every service North Dakota Health and Human Services requires EVV for. Integrate with the Therap aggregator for traditional Medicaid; BCBSND Medicaid Expansion members use a Sandata aggregator (alt-EVV town hall, January 2025). Both connectors are built.

Sources

The North Dakota 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.

Other states

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.

Also on Therap: Alaska, Kentucky, South Dakota

AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaGeorgiaHawaiiIdahoIllinoisIndianaKansasKentuckyLouisianaMaineMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew YorkNorth DakotaOhioOregonRhode IslandSouth CarolinaSouth DakotaTennesseeUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingAll 51 states →

See a visit go from clock-in to Therap's endpoint.

Twenty minutes on a screen-share: clock-in, clock-out, and the Therap record for that visit. If it is not a fit you will know in five.

Tell us where to reach you

Thank you.We will call to set a time, usually within one business day.