Home care software built for South Carolina Medicaid EVV.
South Carolina routes EVV through HHAeXchange (EVV Data Aggregator API). First Support Homecare captures every Medicaid visit with GPS clock-in and clock-out, coded reasons and an audit trail, and its HHAeXchange 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.
South Carolina is changing EVV systems
South Carolina has used EVV longer than almost any state: the Department of Health and Human Services (SCDHHS) has verified visits electronically since 2002 for its Community Long Term Care (CLTC) waivers, on AuthentiCare. In December 2022 it extended EVV to the three waivers operated by the Department of Disabilities and Special Needs (DDSN): Community Supports, Head and Spinal Cord Injury (HASCI), and Intellectual Disability and Related Disabilities (ID/RD).
The state is now moving to HHAeXchange, with the aim of one consistent EVV system across all of South Carolina's HCBS waiver and home health programs, with standard service names, units and policies. Under the new open model, an agency uses either HHAeXchange's EVV portal, at no cost, or a system that integrates with HHAeXchange and meets the state's requirements. An agency whose current vendor does not integrate has to change to one that does, or to the portal.
| When | What changed in South Carolina |
|---|---|
| 2002 | SCDHHS begins EVV for its Community Long Term Care waivers. |
| December 11, 2022 | EVV extended to the DDSN-operated Community Supports, HASCI and ID/RD waivers. |
| December 29, 2023 | CMS finds South Carolina's Medicaid home health care services not yet compliant with the Cures Act EVV requirement; the state targeted compliance by December 31, 2024. |
| Now | Transition to HHAeXchange under an open model, covering HCBS waiver and home health programs. |
Check your current vendor
An existing third-party EVV system can stay only if it integrates with HHAeXchange and meets South Carolina's requirements under the new model.
One set of service names
Part of the change is standardizing service names and units across programs, so billing setups built for the old system should be reviewed against the new definitions.
Waiver scope
CLTC waivers have long required EVV; the DDSN waivers (Community Supports, HASCI, ID/RD) were added in 2022, and home health is part of the HHAeXchange rollout.
One aggregator: the HHAeXchange Data Aggregator API
South Carolina agencies live inside two sets of rules: South Carolina Department of Health and Human Services's, and HHAeXchange's. The software was built to both — the state's EVV requirements in the visit record, HHAeXchange's interface in the connector — so the agency does the work once and the aggregator gets it in its own format. Moving to an open model on HHAeXchange (from AuthentiCare).
A REST API with a token
OAuth client credentials, a caregiver record, visits in batches of up to a hundred, and a transactions endpoint that gives each visit its verdict. Members come from the payer's feed; the visit names them by Medicaid ID.
Ten published test cases
HHAeXchange publishes its interface test: authenticate, create and update a caregiver, five visits in a batch, one visit, a missed visit, an edit, a delete, and two that must fail. The software passes all ten against a faithful mock today, and runs them against the real implementation environment with one command.
Edits and missed visits carry codes
A corrected time carries the state's edit reason and action codes; a cancelled scheduled visit can be reported as a missed visit with its own codes.
Everything HHAeXchange requires is the same in every HHAeXchange state - the element-by-element requirements, the onboarding steps and the common questions are on one page. How HHAeXchange EVV works.
Book the demoWatch a visit go from the door to the state
Questions South Carolina agencies ask
Is South Carolina still on AuthentiCare?
It is moving to HHAeXchange. The state used AuthentiCare-based EVV for years, and is now standardizing HCBS waiver and home health EVV on HHAeXchange under an open model.
Can we keep our current EVV vendor in South Carolina?
Only if that vendor integrates with HHAeXchange and meets the state's requirements. Otherwise the choices are HHAeXchange's free portal or a vendor that does integrate.
Which South Carolina waivers require EVV?
The CLTC waivers, and since December 2022 the DDSN-operated Community Supports, HASCI and ID/RD waivers; home health is included in the HHAeXchange rollout.
Which South Carolina programs does this cover?
HCBS waivers (CLTC, DDSN) and home health — every service South Carolina Department of Health and Human Services requires EVV for. Agencies use HHAeXchange's free EVV portal or a system that integrates with HHAeXchange and meets SCDHHS requirements; a vendor that does not integrate has to be replaced.
Is there a free trial for South Carolina agencies?
Yes. South Carolina 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 Georgia EVV · North Carolina EVV
Sources HHAeXchange — South Carolina Information Center · SCDHHS - EVV launch for SCDDSN-operated waivers (2022) · CMS - South Carolina EVV non-compliance determination letter (Dec. 2023) · Medicaid.gov — EVV under the 21st Century Cures Act · First Support EVV — the Cures Act EVV requirement, explained
Also on HHAeXchange Illinois, Michigan, Minnesota, Mississippi, New Jersey, West Virginia · How HHAeXchange EVV works
See a visit go from clock-in to the HHAeXchange queue.
Twenty minutes on a screen-share: clock-in, clock-out, and the HHAeXchange record for that visit. If it is not a fit you will know in five.