Observance Solutions
Solutions / Home Healthcare

Home Healthcare & EVV Software

Home healthcare software built around the full visit lifecycle - scheduling, caregiver assignment, GPS-verified visits, and Medicaid-compliant EVV billing - as one connected system, not bolted-together point tools.

The problem

Where healthcare organizations get stuck

EVV compliance is bolted on, not built in

Many home healthcare platforms treat EVV as an afterthought - fragile exports to state aggregators, and exceptions handled manually with no real workflow.

Caregiver scheduling ignores real-world constraints

Qualifications, travel time between visits, and continuity with a specific patient rarely factor into scheduling, leading to inefficient routes and mismatched assignments.

Visit data and billing live in separate systems

Manual re-entry between visit verification and claims submission causes billing errors and delays Medicaid reimbursement that depends on verified visit data.

What we build

Capabilities

EVV-compliant visit verification

GPS-based check-in/check-out capturing all six federally required EVV data points - service type, individual served, individual providing service, date, location, and time.

Caregiver mobile app

A fast, usable mobile app for real-world conditions - check-in/out, visit tasks, and notes, built for limited time and connectivity.

Care-plan-based scheduling

Recurring visit patterns generated from a patient's care plan, with the ability to modify a single visit without disrupting the pattern.

Caregiver matching & assignment

Decision support weighing qualifications, proximity, and continuity - surfacing good matches for a scheduler to choose from.

Visit exception handling

Defined resolution workflows for late check-ins, missed check-outs, location mismatches, and manually entered visits.

State EVV aggregator submission

Format-compliant, tracked submission to state-run, state-designated, or open-vendor-model EVV aggregators.

Medicaid & billing integration

Verified visit data flows directly into claims generation, with unverified or exception-flagged visits gated from billing.

Reporting & compliance dashboards

Visibility into verification compliance, exception rates, and caregiver activity across your agency.

HIPAA-ready security

Encryption, access control, and audit logging built in from the start, consistent with our broader healthcare security architecture.

How we work

Our process

1

Map your state's specific EVV model and Medicaid requirements

2

Design the visit lifecycle - scheduling, caregiver assignment, verification, exceptions

3

Build the caregiver mobile app and GPS verification flow

4

Integrate verified visit data into billing and state aggregator submission

5

Launch with reporting, and monitor exception rates for continuous improvement

FAQ

Common questions

EVV is a federally mandated system (under the 21st Century Cures Act) for verifying Medicaid-funded personal care and home health visits, capturing six required data points per visit. Each state chooses its own EVV model - a state-run system, a state-designated vendor, or an open vendor model - so requirements vary by state.

Ready to talk about your home healthcare & evv software project?

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