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.
- 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.
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 |
3 EVV models, explained
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.
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).
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
Type of service, individual receiving, individual providing, date, location, time-in, time-out — all required by CMS.
Caregiver mobile clock-in confirms location matched the service plan address.
Visits in basement bedrooms or rural areas with poor signal still verify; sync on reconnect.
Clean export to your state's aggregator (Sandata / HHAeXchange / Tellus / AuthentiCare / CareBridge).
When EVV mismatches the schedule, queue review and require justification before submission.
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.
Frequently asked questions
Sources
Accessed May 3, 2026.
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