North Carolina EVV: Aggregator, Model, and Provider Portal

Last verified 2026-04-30

Aggregator
Sandata (NC Medicaid Direct); HHAeXchange (Standard Plans, LME/MCOs, Tailored Plans); CareBridge (Healthy Blue)
Model
Open model — choose any compliant vendor
Telephonic backup
Yes
State provider portal
medicaid.ncdhhs.gov

Multi-aggregator open model. Sandata is the selected EVV vendor for NC Medicaid Direct — providers may select any vendor of their choice but visit data is sent to Sandata. Standard Plans/LME/MCOs/Tailored Plans use HHAeXchange; Healthy Blue uses CareBridge. Telephony (TVV via phones registered to the beneficiary's account) is one of three supported device types alongside mobile and fixed devices.

What is EVV?

Electronic Visit Verification is the federal requirement (under the 21st Century Cures Act §12006) that personal-care and home-health visits paid by Medicaid be electronically captured at the point of care — who provided the service, who received it, where, when it started, and when it ended. CMS pushed enforcement to the states, which is why the day-to-day experience varies so much.

What "open model — choose any compliant vendor" means in North Carolina

Providers may use the state-provided aggregator at no cost OR any third-party EVV system that meets the state's technical specification (often called "AltEVV"). Either way, visit data must reach the state in the required format.

How does Caregiver Scheduling integrate?

Caregiver Scheduling captures the six required EVV data points on every visit (caregiver, recipient, start time, end time, location, service type) with GPS-stamped clock-in and clock-out, and telephonic backup for caregivers without a smartphone. In open-model states, our visits are EVV-compliant on their own. In mandated-aggregator states, we forward verified visits to the state system on a nightly schedule so payroll and Medicaid billing stay in sync without double-entry.