Home care software built for Vermont Medicaid EVV.
Vermont 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.
Vermont's two phases and its own addendum
The Department of Vermont Health Access (DVHA) rolled EVV out in two phases: personal care first, then home health. For the home health expansion, DVHA held a kick-off on July 28, 2022 and a series of Sandata alternate EVV town halls that autumn. A home health agency can use the Vermont Medicaid EVV system or an approved alternate system.
Vermont has its own technical addendum on top of the standard alternate EVV specification, and DVHA tells agencies to review both with their vendor and get a cost and timeline estimate before starting. It has also written down how it recovers payments: its Business Process for Recoupment of Overpayments memo dates from January 2022.
| When | What changed in Vermont |
|---|---|
| June 21, 2021 | Home health and alternate EVV training webinar. |
| January 2022 | DVHA memo on recoupment of overpayments. |
| July 28, 2022 | Home health expansion kick-off (Phase II: personal care plus home health). |
| Fall 2022 | Sandata alternate EVV town halls (September 8, October 20, October 27). |
Vermont-specific addendum
An alternate system follows the standard specification and Vermont's third-party addendum, which sets the state's codes.
Testing credentials through Sandata
An agency or vendor requests testing credentials from Sandata Customer Care.
Certificate before production
The agency submits its aggregator training certificate before moving to production.
Recoupment is documented
DVHA's January 2022 memo sets out how overpayments are recovered.
One aggregator: Sandata's OpenEVV interface
Vermont agencies live inside two sets of rules: Department of Vermont Health Access'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 — VT third-party addendum.
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 Vermont agencies ask
Can a Vermont home health agency use its own EVV system?
Yes. It can use the Vermont Medicaid EVV system or an approved alternate system that meets the specification and Vermont's addendum.
Where does a Vermont vendor get test credentials?
From Sandata Customer Care, following DVHA's third-party/alternate EVV instructions.
Which Vermont programs does this cover?
Personal care under Choices for Care, and home health — every service Department of Vermont Health Access requires EVV for. Testing and confirmation with Sandata; the provider submits its aggregator training certificate; the Vermont third-party addendum sets the codes.
Is there a free trial for Vermont agencies?
Yes. Vermont 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 Massachusetts EVV · New Hampshire EVV · New York EVV
Sources DVHA — Third Party / Alternate EVV · 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, North Dakota, Ohio, Rhode Island, 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.