Colorado EVV Compliance

Colorado Uses Sandata for EVV.
Here's What That Means for Your Agency.

Colorado Medicaid mandates Sandata as its EVV aggregator under a Hybrid model. Every Medicaid home care visit needs a clean, matching record in Sandata before billing can proceed. CareBravo manages the exception resolution and billing readiness as delivered operational work.

What Colorado Requires

Requirement
Detail
State Agency
HCPF — Colorado Department of Health Care Policy and Financing
EVV System
Sandata (state-designated aggregator)
EVV Model
Hybrid — state aggregator (Sandata), agency-choice capture method
Services Covered
Personal Care Services, Home Health aide services, qualifying HCBS waiver services
Key Waivers
Elderly, Blind, and Disabled (EBD) waiver; other HCPF HCBS waivers
Enforcement
Claims require matching, resolved EVV record in Sandata to process

Sandata and the Daily Exception Queue

Under Colorado's Hybrid model, Sandata is where all EVV data lands — regardless of what tool your caregivers used to capture the visit. Mobile apps, telephony, alternate devices: all of them must ultimately submit to Sandata for the record to be valid for Medicaid billing.

The daily compliance work is exception management. Every visit that produces an exception in Sandata — missed check-in, location mismatch, disputed end time — stays unresolved until someone corrects it in the Sandata portal. Those visits can't bill until the exception is cleared. For agencies managing this manually, the queue builds faster than it gets resolved.

CareBravo resolves Sandata exceptions as part of its standard daily operations. Your billing cycle isn't held hostage by an exception backlog.

What the Exception Queue Costs

A Colorado agency delivering 30 patients with one week of unresolved Sandata exceptions is sitting on $800–$1,500 in visits it delivered but can't bill yet. Clear the exceptions, and the revenue releases. Let them pile up, and the billing cycle falls further behind with every passing week.

CareBravo manages the Sandata queue daily. Colorado agencies receive billing-ready outputs — not a portal to log into before billing can start.

See What EVV Exceptions Cost

Colorado EVV — Common Questions

Colorado uses Sandata as its state-designated EVV aggregator. All Medicaid home care and qualifying waiver service visits must submit EVV data to Sandata before claims can be processed. Agencies may use alternate capture tools under Colorado's Hybrid model, but the data destination is Sandata.

Yes. Colorado's Hybrid model allows agencies to use any compliant EVV capture method. The state doesn't require a specific caregiver-facing tool — only that the visit data flows to Sandata. Confirm that your EVV tool has a verified integration with Sandata before relying on it for Medicaid visits.

EVV is required for home-based services under Colorado's HCBS waiver programs, including the Elderly, Blind, and Disabled (EBD) waiver. Federal law mandates EVV for all Medicaid-funded Personal Care Services and Home Health aide services statewide. Confirm the current list of service codes requiring EVV with HCPF.

Unresolved Sandata exceptions block billing for the affected visits. Claims submitted without a matching, clean EVV record in Sandata will not process. Agencies must resolve exceptions in Sandata before billing — CareBravo manages this as part of its daily delivered operations.

Colorado EVV Compliance, Delivered

CareBravo manages Sandata exception resolution, visit reconciliation, and billing readiness for Colorado Medicaid home care agencies as completed operational work.

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