Home care software built for North Dakota Medicaid EVV.
North Dakota 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.
North Dakota: Therap for capture, Sandata for aggregation
North Dakota Health and Human Services (HHS) contracts with two companies. Therap is the state's EVV vendor - its system is free to every provider and individual. Sandata is the aggregator, collecting visits from every EVV system, Therap included. An agency may use its own system instead of Therap, at its own cost, provided it meets the state's alternate vendor specifications and connects to the Sandata aggregator.
Therap stays part of every agency's life either way: all agency Qualified Service Providers (QSPs) must use Therap to acknowledge service authorizations and file critical incident reports, even if they record visits elsewhere. An agency can switch EVV systems at any time, but only one system can be in use at once, and any switch involving Therap needs at least three weeks' notice to HHS.
| When | What changed in North Dakota |
|---|---|
| January 1, 2021 | EVV effective for Medicaid personal care and related services. |
| January 1, 2023 | EVV effective for Medicaid home health services. |
One system at a time
An agency cannot run two EVV systems side by side, even for different services.
Manual entries need the address
A manual entry or missed-punch correction must include the address where the service started and ended. The state can report on how often visits are corrected.
IVR needs a scheduled slot
To use Therap's phone option, the visit must be pre-scheduled to get a slot ID. The call does not have to come from a landline.
Fixed devices need pre-approval
Fixed Visit Verification devices require state pre-approval.
One aggregator: Sandata's OpenEVV interface
North Dakota agencies live inside two sets of rules: North Dakota Health and Human Services'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 model — Therap is the state system, Sandata the aggregator.
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 North Dakota agencies ask
Who is North Dakota's EVV aggregator?
Sandata. Therap is the state-contracted EVV system, and Sandata aggregates data from every system, including Therap.
Can a North Dakota agency switch EVV systems?
Yes, at any time, but only one system can be used at once, and a switch involving Therap needs at least three weeks' notice to HHS.
Do North Dakota agencies have to use Therap if they have their own EVV?
Not for EVV - but every agency QSP must still use Therap to acknowledge service authorizations and file critical incident reports.
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. Therap is the state-contracted EVV system; Sandata is the aggregator that collects visits from every system, Therap included. An agency uses one EVV system at a time, and any switch involving Therap needs three weeks' notice to HHS.
Is there a free trial for North Dakota agencies?
Yes. North Dakota 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 Minnesota EVV · Montana EVV · South Dakota EVV
Sources ND HHS — Electronic Visit Verification System · 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, Nevada, 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.