Company Overview
HHAeXchange is the dominant Electronic Visit Verification (EVV) platform for Medicaid-funded home and community-based services (HCBS) in the United States. The platform connects state Medicaid programs, managed care organizations (MCOs), and home care agencies in a single system that validates caregiver visits in real time, processes claims, and monitors compliance at scale.
Under the 21st Century Cures Act — which mandates EVV for all Medicaid-funded personal care and home health services — states are required to implement federally-compliant EVV systems. HHAeXchange has become the preferred state-contracted platform: CMS has certified it as the official EVV Aggregator for Minnesota, New Jersey, West Virginia, Texas, and additional states, and it is contracted by Florida (AHCA), Michigan, Illinois, North Carolina, and others.
This positioning — as state healthcare infrastructure rather than simply a software vendor — creates a uniquely durable competitive position. When a state contracts HHAeXchange as its EVV aggregator, every Medicaid home care agency in that state must connect to the platform to receive payment.
Products & Platform
Market Position
HHAeXchange's competitive position is structurally unique: it operates as simultaneously a state government contractor, MCO technology partner, and provider-facing platform. This three-sided network creates switching costs that no competitor can match. The ongoing federal mandate rollout — with states continuing to raise compliance thresholds and implement hard cutover dates — creates a multi-year expansion runway requiring zero new sales effort in contracted states.
For families with loved ones receiving Medicaid-funded home care, HHAeXchange is the system verifying that care visits are actually happening as planned. It is the accountability infrastructure of the Medicaid home care system.
Proposed Cures Act 2.0 amendments — including geographic tracking, biometric verification, and increased CMS oversight — would further expand HHAeXchange's data collection surface and compliance role. Michigan implemented a hard cutover requiring all home health billing to transmit through HHAeXchange beginning January 1, 2026.
Key Data & Metrics
| Metric | Detail |
|---|---|
| Caregiver Network | 600,000+ |
| CMS EVV Aggregator Certification | MN, NJ, WV, TX + additional states |
| State Contracts | FL, MI, IL, NC, TX, NJ, MN, WV and more |
| Federal Mandate | 21st Century Cures Act — EVV required for all Medicaid HCBS |
Recent News & Developments
How Dorthea Uses This Technology Category
Dorthea's AI co-pilot helps families understand how platforms like HHAeXchange affect the quality, transparency, and accountability of the senior care facilities and home care agencies they're evaluating. Our free guidance helps families ask the right questions — and interpret the data that matters.