Pennsylvania EVV (Sandata): 2026 compliance guide
The 2026 Pennsylvania EVV (Sandata) compliance guide. Closed-model Sandata for PCS, HHCS, and OLTL waivers (CHC, OBRA, Independence). AveeCare exports cleanly.
- PA is closed-model: Sandata is the state-mandated EVV vendor.
- Applies to PA Medicaid PCS + HHCS , OLTL waivers (CHC, OBRA, Independence), and MCO providers.
- Private-pay + Medicare-only are NOT subject to PA EVV.
- Your EHR can handle scheduling + billing as long as EVV exports to Sandata.
- AveeCare exports to PA Sandata at $6 / active client / mo.
PA EVV overview
The PA Department of Human Services (DHS) administers Medicaid EVV through Sandata in a closed-model implementation. The Office of Long-Term Living (OLTL) handles HCBS waiver programs (Community HealthChoices, OBRA, Independence), all of which flow through Sandata EVV.
OLTL waiver coverage
PA OLTL administers three main HCBS waiver programs: Community HealthChoices (CHC) for dual-eligibles, OBRA for older adults with physical disabilities, and Independence for younger adults with physical disabilities. All three require Sandata EVV for personal-care visits.
CHC plans (UPMC, AmeriHealth Caritas, PA Health & Wellness, Keystone First) cross-check EVV against authorizations before paying claims. Mismatches trigger denial or hold-back.
6 PA EVV compliance requirements
Service type, recipient, date, location, provider, start, end.
Sandata expects geolocation matched to service plan.
Closed-model; no alternative aggregator.
Below-threshold providers face claim hold-back.
Justify EVV mismatches; corrections within state-set window.
CHC plans validate EVV against authorizations before paying.
AveeCare in Pennsylvania
AveeCare exports EVV data to PA Sandata at $6 / active client / month. Your team uses the Sandata portal for EVV submission; AveeCare handles scheduling, OLTL waiver workflow, CHC plan billing, and care plan documentation.
Frequently asked questions
Sources
Accessed May 3, 2026.
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