What is the best EVV software in 2026?

There is no single best EVV software. The right software depends primarily on which state(s) you operate in. Closed-model states (PA, OH, MA, MS, etc.) require you to use the state-contracted aggregator (typically Sandata or HHAeXchange) for the EVV part of the workflow, and you layer your scheduling/billing software on top. Open-model states let you use any vendor that exports a 7-data-element EVV record to the state aggregator. AveeCare exports cleanly to all 50 state aggregators and is included at $6 / active client / month.

What are the EVV models a state can choose?

CMS lets each state pick: (1) Provider Choice / Open Model — agencies pick any EVV vendor that meets the 7-data-element requirement. (2) State-Mandated External Vendor / Closed Model — agencies must use the state-contracted EVV vendor (typically Sandata, HHAeXchange, Tellus/Netsmart, or AuthentiCare). (3) Provider Choice with Aggregator — open with a centralized aggregator that consolidates data on behalf of the state Medicaid agency.

Who are the major EVV vendors?

The major EVV vendors used by state Medicaid programs and home care agencies in 2026: Sandata (PA, OH, MA, MS, MO, NJ, OR, NM, ND, SD, others), HHAeXchange (NY, IL, NC, KS, GA, AR, IN, others), Tellus/Netsmart (FL, RI, others), AuthentiCare (CO, ID, MD, MN, ME, others), CareBridge (DC, KY, NV, MD-pilot, others), and DataLogic / DCI (smaller markets). Most EHR vendors with EVV (AveeCare, AxisCare, AlayaCare, WellSky Personal Care, etc.) export to the state aggregator rather than acting as the aggregator themselves.

How much does EVV software cost?

Standalone EVV ranges $1 to $4 per visit or $5 to $20 per active client per month. EVV bundled with scheduling, billing, and care plan management runs $5 to $25 per active client per month at the small-agency end and rises with feature scope. AveeCare bundles EVV export across all 50 states at $6 per active client per month, no separate per-visit fee.

Buyer's Guide

Best EVV software in 2026: depends on your state

The honest 2026 guide to the best EVV software: no single best exists. Your state model dictates which aggregator you must export to. 18 EVV vendors compared.

By Calvin Nesvig, Founding Partner·Updated May 3, 2026

Quick answer

Look at your state first. Closed-model states force you to use the state aggregator (Sandata, HHAeXchange, Tellus/Netsmart, AuthentiCare, CareBridge) for EVV.
Open-model states let you use any vendor that exports the 7 CMS-required data elements.
If your EHR includes EVV (AveeCare, AxisCare, AlayaCare, WellSky PC, KanTime), you usually do not need a separate EVV vendor — just confirm export support.
Standalone EVV only makes sense if your EHR cannot export EVV cleanly. Otherwise you are paying twice.
AveeCare includes EVV export across all 50 state aggregators at $6 / active client / month, no per-visit fee.

Quick answer 18 EVV vendors compared 3 EVV models explained Must-haves Pricing patterns AveeCare fit FAQ

18 EVV vendors compared

Click any row for detail. Filter by type. State aggregators are the closed-model required vendors; EHR + EVV bundles are end-to-end agency software with EVV included.

Vendor	Type	States	Starting
AveeCare(us)	EHR + EVV bundle	All 50	$6 / client / mo
Sandata	State aggregator	PA, OH, MA, MS, MO, NJ, OR, NM, ND, SD, others	Per provider portal
HHAeXchange	State aggregator	NY, IL, NC, KS, GA, AR, IN, others	$150+ / mo
Tellus / Netsmart EVV	State aggregator	FL, RI, others	State-contracted
AuthentiCare	State aggregator	CO, ID, MD, MN, ME, others	State-contracted
CareBridge	State aggregator	DC, KY, NV, MD pilot	State-contracted
DataLogic / DCI	State aggregator	Smaller markets, CDS programs	State-contracted
AxisCare	EHR + EVV bundle	All 50	$200+ / mo
WellSky Personal Care (ClearCare)	EHR + EVV bundle	All 50	$300+ / mo
AlayaCare	EHR + EVV bundle	All 50	$250+ / mo
Generations Homecare	EHR + EVV bundle	All 50	$150+ / mo
CareSmartz360	EHR + EVV bundle	All 50	$150+ / mo
KanTime EVV	EHR + EVV bundle	All 50	$300+ / mo
Aaniie (Smartcare)	EHR + EVV bundle	All 50	$200+ / mo
Carecenta	EHR + EVV bundle	NY-strong	$200+ / mo
Ankota	EHR + EVV bundle	All 50	$150+ / mo
Caretime	EHR + EVV bundle	All 50	$75+ / mo
Therap Services EVV	EVV add-on to EHR	IDD-focused, multiple states	$100+ / mo

Showing 18 of 18.

3 EVV models, explained

1. Provider Choice (Open Model)

You pick any EVV vendor that meets the CMS 7-data-element requirement. Most flexible. The state may still require a centralized aggregator that pulls your data via API.

2. State-Mandated External Vendor (Closed Model)

You must use the state-contracted EVV vendor for the EVV part of the workflow. Common closed-model states: PA (Sandata), OH (Sandata), MA (Sandata), MS (Sandata), MO (Sandata), NJ (Sandata), FL (Tellus/Netsmart), CO (AuthentiCare), MD (AuthentiCare/CareBridge pilot).

3. Provider Choice with Aggregator

Open vendor choice plus a centralized aggregator (often HHAeXchange or Sandata) that consolidates EVV data for the state Medicaid agency. Common in NY, IL, NC, KS, GA, AR, IN.

6 EVV must-haves regardless of state

7-data-element capture

Type of service, individual receiving, individual providing, date, location, time-in, time-out — all required by CMS.

GPS visit verification

Caregiver mobile clock-in confirms location matched the service plan address.

Offline mobile capture

Visits in basement bedrooms or rural areas with poor signal still verify; sync on reconnect.

Aggregator export

Clean export to your state's aggregator (Sandata / HHAeXchange / Tellus / AuthentiCare / CareBridge).

Visit-maintenance workflow

When EVV mismatches the schedule, queue review and require justification before submission.

Compliance reporting

EVV usage rate by caregiver, by client, by service code; surveyor-ready printable view.

EVV pricing patterns

Model	Typical cost	When it makes sense
Standalone per-visit	$1 - $4 per visit	Very low visit volume; pilot phase
Standalone per-client / mo	$5 - $20 per active client	Medium volume; legacy EHR cannot export EVV
Bundled with EHR	$5 - $25 per active client	Most common; one vendor, one bill
State aggregator	State-funded	Closed-model states; required regardless

Where AveeCare fits

AveeCare bundles EVV export support across all 50 state aggregators (Sandata, HHAeXchange, Tellus/Netsmart, AuthentiCare, CareBridge, DataLogic) at $6 / active client / month. No per-visit fees. No separate EVV bill.

In closed-model states, you still log into your state aggregator's portal for the EVV submission step; AveeCare handles the rest of your scheduling, billing, and care plan workflow.

Try free demo EVV by state

Frequently asked questions

Sources

Accessed May 3, 2026.

Calvin Nesvig

Founding Partner, AveeCare

Builds home care software full-time and works with EVV-impacted agencies on aggregator workflows weekly.

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