EVV Buyer's Guide

EVV system for home care: 2026 buyer's guide

The honest 2026 EVV system for home care buyer's guide. Bundled vs state aggregator vs standalone. 16 EVV systems compared with starting prices.

By Calvin Nesvig, Founding Partner·Updated May 3, 2026·9 min read
Quick answer
  • Three EVV system categories: bundled-with-EHR (best value), state aggregator (required in closed-model states), standalone EVV (only when EHR cannot export).
  • Closed-model states force the state-contracted vendor regardless of your EHR.
  • Open-model states let you use any vendor that exports the 7 CMS data elements.
  • Bundled EVV in your home care EHR is typically cheapest once you also need scheduling, billing, and care plans.
  • AveeCare bundles EVV export across all 50 states at $6 / active client / mo.

16 EVV systems for home care compared

Click any row for detail. Filter by category.

VendorTypeStatesStarting
AveeCare(us)Bundled with home care EHRAll 50 (export)$6 / client / mo
AxisCare EVVBundled with home care EHRAll 50$200+ / mo
WellSky Personal Care EVVBundled with home care EHRAll 50$300+ / mo
AlayaCare EVVBundled with home care EHRAll 50$250+ / mo
Generations EVVBundled with home care EHRAll 50$150+ / mo
CareSmartz360 EVVBundled with home care EHRAll 50$150+ / mo
Aaniie EVVBundled with home care EHRAll 50$200+ / mo
Sandata ProviderState aggregatorPA, OH, MA, MS, MO, NJ, OR, NM, ND, SD, othersState-contracted
HHAeXchange ProviderState aggregatorNY, IL, NC, KS, GA, AR, IN, othersVaries
Tellus / Netsmart EVVState aggregatorFL, RI, othersState-contracted
AuthentiCareState aggregatorCO, ID, MD, MN, ME, othersState-contracted
CareBridgeState aggregatorDC, KY, NV, MD pilotState-contracted
DataLogic / DCIState aggregatorSmaller markets, CDS programsState-contracted
Therap Services EVVStandalone EVVIDD-focused, multi-state$100+ / mo
iSalus Healthcare EVVStandalone EVVMulti-statePer visit
CellTrakStandalone EVVMulti-state$100+ / mo
Showing 16 of 16.

6 EVV system must-haves

GPS-verified mobile clock-in

Caregiver app verifies location matched the service plan address.

Offline-first capture

Visits in basements / rural areas verify; sync on reconnect.

State aggregator export

All 6 major aggregators supported (Sandata, HHAeXchange, Tellus, AuthentiCare, CareBridge, DataLogic).

Visit-maintenance workflow

EVV mismatches require correction before submission.

Compliance reporting

EVV usage rate by caregiver / client / service code.

BAA + HIPAA coverage

Vendor BAA required.

Where AveeCare fits

AveeCare bundles EVV at $6 / active client / month with full home care EHR. Mobile GPS clock-in, offline-first capture, exports to all 50 state aggregators.

Frequently asked questions

An EVV system for home care is the software that captures the 7 CMS-required visit data elements (service type, recipient, date, location, provider, start time, end time) and submits or exports them to the state Medicaid aggregator. It typically pairs a caregiver mobile clock-in app with a back-office dashboard for visit-maintenance corrections and compliance reporting.
In open-model states, no — your home care EHR can capture EVV and export to the state aggregator. In closed-model states (PA, OH, MA, FL, MS, NJ, others), the state requires you to use the state-contracted EVV vendor (Sandata, HHAeXchange, Tellus, AuthentiCare, CareBridge) for the EVV submission step regardless of your EHR. Most agencies in closed-model states use the state aggregator for EVV plus a separate EHR for scheduling, billing, and care plans.
Standalone EVV runs $1-4 per visit or $5-20 per active client per month. EVV bundled with a home care EHR runs $5-25 per active client per month and is typically the better value once you also need scheduling, billing, and care plans. AveeCare bundles EVV export across all 50 states at $6 per active client per month.
AveeCare ships its own EVV capture (mobile GPS clock-in) and exports to all 50 state aggregators (Sandata, HHAeXchange, Tellus, AuthentiCare, CareBridge, DataLogic). EVV is included at $6 per active client per month, no separate per-visit fee.

Sources

Accessed May 3, 2026.

CN
Calvin Nesvig
Founding Partner, AveeCare

Builds home care software full-time and works with home care agencies on workflow and software fit every week.

Need EVV that works in your state?

$6 / active client / month. EVV included.