Home care software built for West Virginia Medicaid EVV.
West Virginia 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.
West Virginia's hybrid model and who pays for what
West Virginia's Bureau for Medical Services (BMS) chose an open/hybrid model: agencies can use the state's centralized HHAeXchange platform for free, or their own system with data sent to HHAeXchange through an EDI integration. EVV covers in-home services for activities of daily living (ADLs), instrumental ADLs (IADLs) and home health, across the waivers - including the Intellectual/Developmental Disabilities Waiver - and state plan services.
BMS is explicit about cost. The state pays for the centralized system. An agency that uses its own system pays for it, and must prove the system meets the Cures Act, the state's rules and the aggregator's requirements. When Congress moved the personal care deadline to January 1, 2020 (legislation of July 30, 2018), the federal match penalty for states that missed it stayed in place: 0.25 percentage points per quarter in 2020, rising to one full point per quarter from 2023.
| When | What changed in West Virginia |
|---|---|
| January 1, 2020 | Federal EVV deadline for personal care services. |
| January 1, 2023 | Federal EVV deadline for home health care services. |
ADLs, IADLs and home health
EVV applies to in-home services under ADLs, IADLs and home health skills.
Your system, your cost
An agency's own system, and proving it complies, is at the agency's expense.
EDI with HHAeXchange
HHAeXchange works with the agency and its vendor to move data through an EDI integration.
Questions to BMS
BMS takes EVV questions at [email protected].
One aggregator: the HHAeXchange Data Aggregator API
West Virginia agencies live inside two sets of rules: West Virginia Bureau for Medical 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. Open / hybrid model.
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 West Virginia agencies ask
Is West Virginia's EVV system free?
The state's centralized HHAeXchange platform is. If an agency uses its own system instead, it pays for that system and for showing it complies.
Does the IDD Waiver require EVV in West Virginia?
Yes. EVV covers in-home services under West Virginia's waivers, including the Intellectual/Developmental Disabilities Waiver.
Which West Virginia programs does this cover?
Personal care under the ADW, IDD and TBI waivers, and home health — every service West Virginia Bureau for Medical Services requires EVV for. HHAeXchange EDI/API integration per the West Virginia business requirements and API specification; onboarding through HHAeXchange's provider EDI integrations process.
Is there a free trial for West Virginia agencies?
Yes. West Virginia 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 Kentucky EVV · Maryland EVV · Ohio EVV · Pennsylvania EVV · Virginia EVV
Sources WV BMS — Electronic Visit Verification · 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, South Carolina · 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.