EVV transmission vendors

EVV Bridge compared with EVVLink and other EVV options.

Most EVV products bundle transmission with an EMR or a caregiver app. EVV Bridge is a standalone transmission service between the system you already use and the state aggregator. Here is how it compares with the alternatives agencies and franchise systems look at.

Short answer

Very few companies sell EVV transmission on its own. The closest alternative is EVVLink, the interface engine Homecare Homebase acquired with CellTrak in 2022. Other options require switching to an EMR with built-in EVV or adding a caregiver app. EVV Bridge connects to your existing EMR, adds no app, and can be bought directly by an agency, a franchise system, or an EMR vendor.

Last reviewed October 19, 2026 · Facts about other companies come from their public materials, linked below
Side by side

EVV transmission options compared.

Where a fact about another company is not public, the table says so rather than guessing.

01 · Comparison
EVV transmission options for home care agencies, franchise systems, and EMR vendors
ConsiderationEVV Bridge (Syndech)EVVLink (HCHB, formerly CellTrak)EMR with built-in aggregator connectionsStandalone EVV appState-provided EVV system
What it isA standalone EVV transmission service between your EMR and the state aggregatorAn interface engine that submits EVV data to state and payer aggregatorsAgency software with EVV capture and aggregator submission built inA caregiver clock-in app that sends its own visit data to the aggregatorThe free system a state provides for visit capture
ExamplesEVV BridgeEVVLink, offered by Homecare Homebase since its parent Hearst acquired CellTrak in 2022Alora, AxisCare, CareVoyantallGeo, AaniieState-sponsored Sandata or HHAeXchange systems
Keep your current EMRYesBuilt for use with Homecare Homebase; availability with other EMRs is not publishedNo, you move to that EMRYes, with visits recorded in two systemsYes, with visits recorded in two systems
Adds a caregiver appNoPaired with Homecare Homebase point-of-care captureUses the EMR’s own appYes, that is the productYes, the state app
Who can buy itAgencies, franchise systems, and EMR vendors, directlyLicensed through Homecare HomebaseAgencies that adopt the EMRAgenciesAgencies in that state
Aggregator coverageSandata and HHAeXchange connectors in development; other aggregators planned40 aggregator interfaces and 416 payers, as reported by HCHB in November 2022Varies by vendor and stateVaries by vendor and stateThat state only
Takes over an in-house EVV service for a franchise system or EMR vendorYes, with no day-one change for agencies and migration at renewalNot publishedNot applicableNot applicableNot applicable
PricingPer successful transmission, no monthly minimum, month-to-monthNot publishedUsually bundled with the EMR subscriptionVaries by vendorUsually no license fee
Which one fits

An honest guide to choosing.

02 · Fit

Choose EVV Bridge when

Your EMR has no dependable connection to one of your aggregators, you operate in several states, or you run EVV transmission for many agencies and want to hand it off without changing EMRs or adding an app.

Choose EVVLink when

You already run Homecare Homebase. EVVLink is built for it, and HCHB reports dozens of aggregator interfaces.

Choose an EMR with built-in EVV when

You are replacing your agency software anyway and the new EMR connects to every aggregator you bill through.

Choose a standalone app or the state system when

Your Medicaid volume is small and your team accepts recording visits in two places.

Questions

EVV transmission vendors FAQ.

03 · FAQ

Who are EVV Bridge’s competitors?

Very few companies sell EVV transmission on its own. The closest is EVVLink, the interface engine Homecare Homebase acquired with CellTrak in 2022. Most other options bundle transmission with an EMR, such as Alora, AxisCare, or CareVoyant, or with a caregiver app, such as allGeo or Aaniie.

What is the difference between EVV Bridge and EVVLink?

Both move visit data from agency software to state and payer aggregators. EVVLink is offered by Homecare Homebase and paired with its point-of-care capture. EVV Bridge is independent of any EMR, can be bought directly by an agency, franchise system, or EMR vendor, and can take over an existing in-house EVV transmission service. EVVLink reports broader aggregator coverage today.

Is there a company that only does EVV transmission?

Syndech is built around it: EVV Bridge does not capture visits and is not an EMR. It reads visit data from the system an agency already uses, validates it, and transmits it to the state aggregator.

Can I use EVV Bridge with any EMR?

EVV Bridge accepts visit data by REST API, scheduled SFTP file transfer, or secure upload, so most EMRs that can export or expose visit data can be connected. Tell us your EMR and we will confirm the connection method.

Do I need EVV Bridge if my EMR already submits EVV?

Not if your EMR connects reliably to every aggregator you bill through and reports rejections clearly. EVV Bridge is for the gaps: unsupported aggregators, several states, or an in-house service you want to hand off.