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.

EVVMedicaidHCBS21st Century Cures ActCMS CertifiedHome CareState MedicaidMCO

Products & Platform

EVV Platform
GPS-confirmed electronic visit verification via mobile app, telephony (IVR), and FOB devices — capturing time, location, caregiver identity, and service type for every Medicaid home care visit.
State Medicaid Portal
Real-time compliance monitoring, fraud/waste/abuse detection, and claims matching for state Medicaid programs and MCOs.
Provider Agency Portal
Home care agency management — scheduling, authorization, caregiver matching, billing, and EVV compliance reporting.
EVV HealthCheck
Annual EVV compliance review for state Medicaid programs — assessing program accuracy, OIG audit readiness, and corrective action processes.
HHAeXchange University
Self-paced LMS for agency onboarding, caregiver EVV training, and compliance certification.

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

MetricDetail
Caregiver Network600,000+
CMS EVV Aggregator CertificationMN, NJ, WV, TX + additional states
State ContractsFL, MI, IL, NC, TX, NJ, MN, WV and more
Federal Mandate21st Century Cures Act — EVV required for all Medicaid HCBS

Recent News & Developments

Jan 2026
Michigan hard cutover: all home health billing must transmit via HHAeXchange
Michigan CHCP required all home health service billing through HHAeXchange beginning January 2026, expanding the platform's revenue cycle role in the state.
Oct 2025
North Carolina EVV hard launch with HHAeXchange as approved aggregator
All NC Medicaid home health claims now require valid EVV data; HHAeXchange is one of three state-approved aggregators.
2025
EVV HealthCheck annual compliance review service launched for states
New service positions HHAeXchange as a proactive OIG audit preparation partner for state Medicaid agencies managing compliance risk.
2024
CMS certifies HHAeXchange as EVV Aggregator for MN, NJ, WV, TX
Federal certification in four additional states cements dominance as the preferred state-contracted EVV infrastructure platform.

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.