HHAeXchange and EVV: What Every Home Care Worker Needs to Know
Electronic Visit Verification is now mandatory for all Medicaid-funded home care in NY and NJ. Here is how HHAeXchange works and what caregivers need to do at every visit.
The 21st Century Cures Act requires all states to implement Electronic Visit Verification (EVV) for Medicaid-funded personal care and home health services. New York and New Jersey both mandate EVV through HHAeXchange.
What EVV Tracks
Every home care visit must record six data points: the type of service, the individual receiving the service, the individual providing the service, the date and time of the visit (clock in/out), the location of the visit, and the activities performed.
How HHAeXchange Works
Caregivers clock in and out using the HHAeXchange mobile app or a telephony system (calling a toll-free number from the client's home phone). GPS verification confirms the caregiver is at the client's location.
Common Mistakes to Avoid
- Forgetting to clock in on arrival (fixing this after the fact requires supervisor approval) - Using a phone with location services disabled (GPS must be on) - Having another person clock in or out on your behalf (this is fraud and can result in termination and Medicaid exclusion) - Not documenting all activities performed during the visit
For New Caregivers
If you are new to home care, your agency should provide HHAeXchange training during orientation. Priority Groups includes EVV training as part of the onboarding process for all new HHA and PCA staff.
Why This Matters for Your Paycheck
Visits that are not properly documented in HHAeXchange may not be billed to Medicaid, which means the agency does not get paid — and in some cases, neither does the caregiver. Accurate EVV compliance protects everyone in the care chain.