Electronic Visit Verification is the electronic confirmation that an in-home care visit happened as billed. Section 12006 of the 21st Century Cures Act requires every state Medicaid program to use EVV for personal care services and home health care services that require an in-home visit.
Every EVV record must capture the type of service performed, the individual receiving the service, the date of service, the location of service delivery, the individual providing the service, and the time the service begins and ends.
Agencies that bill Medicaid for personal care services or home health care services that require an in-home visit. The federal deadline was January 1, 2020 for personal care and January 1, 2023 for home health, and every state now requires EVV for covered services. States still differ on which procedure codes are covered and how strictly claims are matched.
An aggregator is the state-designated system that receives EVV visit records from agencies and their vendors and makes them available for claim validation. Common aggregators include Sandata, HHAeXchange, and Netsmart (Tellus), and some states run their own, such as the TMHP EVV Aggregator in Texas.
In a closed model, the state requires every agency to use one state-provided EVV system. In an open model, agencies choose their own EVV system and send data to a state aggregator. A hybrid model provides a free state system but also accepts data from approved alternate vendors through the aggregator.
In hybrid states, an alternate EVV vendor is a system other than the free state-provided one that is approved to send visit data to the aggregator. Approval usually involves technical testing with the aggregator, often sponsored by a provider agency.
Federal guidance treats services from a caregiver who lives with the individual as not being an in-home visit, and many states exclude them, but not all do. Check your state program rules. The VA Community Care Network Next Generation Contractor Manual excludes services rendered by an individual living in the member residence.
It depends on the payer. Many state Medicaid programs and managed care plans now deny or pend claims that lack a matching accepted EVV visit, sometimes after a soft-edit period. Under the VA Community Care Network Next Generation Contractor Manual, failing any of the EVV matching rules results in claim denial.
Yes, for care purchased through the VA Community Care Network Next Generation contracts. The Performance Work Statement requires the regional contractors to ensure network providers use EVV for all personal care and home health care services that require an in-home visit. The contracts were awarded on August 31, 2026, with performance starting in 2027.
The four Next Generation umbrella contracts have a performance period beginning January 1, 2027. VA had not issued the regional task orders that assign a contractor to each region as of mid-October 2026, so the operational start date for each region follows those task orders.
EVV Bridge is an EVV transmission service from Syndech. It takes visit data from the system an agency already uses, validates it against the destination aggregator rules, converts it to the required format, transmits it, and tracks acknowledgements and rejections so the agency team can act on data issues.
No. EVV Bridge does not capture visits. Your caregivers keep using the EMR or EVV app they use today, and EVV Bridge moves that visit data to the aggregator.
Few companies sell EVV transmission on its own. The closest is EVVLink, which Homecare Homebase offers after acquiring CellTrak in 2022. Other options bundle transmission with an EMR that has built-in aggregator connections or with a caregiver EVV app. See the EVV transmission vendors comparison for details and sources.
No. Sandata and HHAeXchange operate the aggregators that many states use to receive EVV data. EVV Bridge sends your visit data to those aggregators, so the two work together.
The agency. EVV Bridge automates the transmission and surfaces data issues early, and the agency keeps ownership of its visit data, decides how to correct issues, and remains responsible for its claims and program compliance.
Through a REST API, scheduled SFTP file transfer, or secure file upload. For franchise systems and EMR vendors, EVV Bridge can connect to the platform API with credentials scoped to each agency.
EVV Bridge is priced per successful transmission, with no monthly minimum and month-to-month terms. Setup is waived for most agencies. The rate depends on your states and monthly visit volume, and we quote within 24 hours.
Syndech was founded by Justin McCuistion and Daniel Cosey, who built and ran a multi-state EVV transmission service for a national home care franchise network from 2022 to 2025 as its Sr. Director of Engineering and SVP of Data.