California EVV Compliance

California Uses CalEVV — Powered by Sandata.
Here's What Your Agency Needs to Know.

California's CalEVV program uses Sandata as the state aggregator under a Hybrid model. Every Medi-Cal home care visit needs a matching EVV record in CalEVV before it can bill. CareBravo manages the integration, the exceptions, and the billing readiness as delivered operational work.

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California EVV — Quick Reference

What California Requires

Requirement
Detail
State Agency
DHCS — California Department of Health Care Services
EVV Program Name
CalEVV
EVV System / Aggregator
Sandata (powers CalEVV)
EVV Model
Hybrid — state aggregator (CalEVV/Sandata), agency-choice capture method
Services Covered
Medi-Cal Personal Care Services, Home Health aide services, phased IHSS rollout
Mandate Authority
21st Century CURES Act + DHCS CalEVV program requirements
Understanding CalEVV

How California's Hybrid Model Works in Practice

CalEVV means California owns the EVV destination — Sandata is the state's aggregator, and every Medi-Cal-funded home care visit must end up there. What California doesn't dictate is the capture method. Agencies can use any compliant EVV tool — their own mobile app, telephony, or an alternative vendor — as long as the visit record reaches CalEVV.

The compliance burden is in exception management. When a caregiver misses a clock-in, a visit GPS doesn't match the client address, or a visit time is disputed, that record sits unresolved in CalEVV. The corresponding claim won't process until the exception is cleared. For agencies billing Medi-Cal at scale, an unmanaged exception queue accumulates quickly.

CareBravo manages the CalEVV exception queue as part of its daily delivered operations. Exceptions are resolved on schedule, not when an office manager finds time to log in to Sandata.

California's EVV program is mature and enforced. Medi-Cal claims without matching CalEVV records do not process. Exception backlogs translate directly to delayed revenue — not a compliance warning, an actual billing gap.

The Real Cost

CalEVV Exceptions Are Billing Blocks

California is a high-volume Medi-Cal state. An agency delivering care to 30 patients in California with a week of unresolved CalEVV exceptions is looking at $1,000–$1,800 in delayed billing — per week. At 60 patients, the number doubles. Exceptions don't resolve themselves, and the billing cycle doesn't wait.

CareBravo manages exception resolution daily. You receive billing-ready outputs — not a Sandata queue to work through before your biller can submit.

See What Unresolved EVV Costs →
Questions

California EVV — Common Questions

CalEVV is California's EVV program, powered by Sandata as the state aggregator. Agencies don't have to use Sandata's own caregiver app — the Hybrid model allows any compliant capture method. But all visit data must reach CalEVV (Sandata's aggregator) before the corresponding Medi-Cal claim can process.

EVV for In-Home Supportive Services (IHSS) has been implemented under a phased timeline by the California Department of Social Services (CDSS). Standard Medi-Cal Personal Care and Home Health aide services were covered first. IHSS providers should confirm current requirements with CDSS or their fiscal intermediary, as rollout timelines and requirements have evolved.

Yes. California's Hybrid model allows agencies to use any compliant EVV capture tool. The requirement is that visit data reaches CalEVV (Sandata) — not that caregivers use a specific app. Verify that your capture tool integrates with CalEVV before relying on it for Medi-Cal visits.

CalEVV exceptions — missed clock-ins, GPS mismatches, time discrepancies — must be resolved in the Sandata aggregator before the corresponding claim can submit to Medi-Cal. Unresolved exceptions delay billing for those specific visits. CareBravo manages exception resolution daily as part of its delivered operations.

CareBravo integrates with state EVV aggregators including CalEVV, managing exception resolution, visit reconciliation, and Medi-Cal billing readiness as delivered operational work. California agencies receive billing-ready outputs without managing the Sandata exception queue themselves.

California EVV Compliance, Delivered

CareBravo manages CalEVV exception resolution, visit reconciliation, and Medi-Cal billing readiness for California home care agencies — as completed operational work.

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