New York Reference

New York EVV (HHAeXchange): 2026 compliance guide

The 2026 New York EVV (HHAeXchange) compliance guide. Open + aggregator model. Includes CDPAP coverage. AveeCare exports cleanly to NY HHAeXchange.

By Calvin Nesvig, Founding Partner·Updated May 3, 2026·8 min read
Quick answer
  • NY is open + aggregator: HHAeXchange is the state aggregator. Provider can pick any compliant EHR.
  • Applies to Medicaid PCS + HHCS + CDPAP + MLTC plans.
  • CDPAP visits also require EVV submission to HHAeXchange.
  • Private-pay-only is NOT subject to NY EVV.
  • AveeCare exports to NY HHAeXchange at $6 / active client / mo, EVV included.
Quick answer NY EVV + HHAeXchange CDPAP and NY EVV Requirements + penalties AveeCare fit FAQ

NY EVV + HHAeXchange overview

New York Department of Health (DOH) administers Medicaid EVV through HHAeXchange in an open-with-aggregator model. Providers can use any vendor that captures the 7 CMS-required data elements, and the data flows to the HHAeXchange aggregator for state visibility.

NY is one of the largest Medicaid markets for home care; the EVV scope includes traditional PCS / HHCS visits, CDPAP visits, and MLTC plans.

CDPAP and NY EVV

CDPAP (Consumer Directed Personal Assistance Program) lets Medicaid-eligible NY residents hire family members or close friends as paid caregivers. CDPAP visits require EVV submission to HHAeXchange.

Most CDPAP fiscal intermediaries (FIs) handle the EVV via HHAeXchange directly; some use third-party EHRs that export to HHAeXchange. AveeCare supports both workflows.

6 NY EVV compliance requirements

Capture 7 CMS data elements

Service type, recipient, date, location, provider, start, end.

GPS-verified clock-in/out

NY HHAeXchange expects geolocation matched to service plan.

Submit to NY HHAeXchange portal

Open-with-aggregator: state-set portal.

Maintain state-set usage rate

Below-threshold providers face claim hold-back.

Visit-maintenance corrections

Justify EVV mismatches; corrections within state-set window.

IVR fallback for CDPAP

CDPAP often uses IVR for caregivers without smartphones.

AveeCare in New York

AveeCare exports EVV data to NY HHAeXchange at $6 / active client / month, with full CDPAP support. Your team uses the HHAeXchange portal for the EVV submission step; AveeCare handles scheduling, billing, and care plan workflow.

Try free demo EVV by state

Frequently asked questions

New York Department of Health (DOH) uses HHAeXchange as the open-with-aggregator EVV system for Medicaid personal care services, home health care services, CDPAP (Consumer Directed Personal Assistance Program), and managed long-term care (MLTC) plans.
CDPAP (Consumer Directed Personal Assistance Program) lets Medicaid-eligible NY residents hire family members or friends as paid caregivers. CDPAP visits require EVV submission to HHAeXchange, the same as standard PCS / HHCS visits. Many CDPAP fiscal intermediaries (FIs) use HHAeXchange directly; some use third-party EHRs that export to HHAeXchange.
Yes. New York is open + aggregator, so you can use any vendor that exports the 7 CMS data elements to HHAeXchange. AveeCare exports cleanly.
AveeCare exports EVV data to NY HHAeXchange at $6 per active client per month, with EVV included. Your team uses the HHAeXchange portal for the EVV submission step; AveeCare handles scheduling, billing, and care plan workflow including CDPAP support.

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.

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