Delaware EVV Compliance

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

Delaware Medicaid requires Sandata as its EVV aggregator under a Hybrid model. Every home care visit must have a clean, resolved record in Sandata before billing can proceed. CareBravo manages exception resolution and billing readiness as delivered operational work.

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Delaware EVV — Quick Reference

What Delaware Requires

Requirement
Detail
State Agency
DHSS / DMMA — Delaware Division of Medicaid and Medical Assistance
EVV System
Sandata (state-designated aggregator)
EVV Model
Hybrid — Sandata aggregator, agency-choice capture method
Services Covered
Personal Care Services, Home Health aide services, HCBS waiver services
Key Programs
Diamond State Health Plan Plus (dual eligible), other HCBS waivers
Enforcement
Claims require matching, resolved EVV record in Sandata to process
How It Works

EVV Compliance in a Smaller Market — Same Rules, Same Risk

Delaware is a smaller Medicaid market than California or Texas, but the EVV compliance requirements are identical. Every visit must produce a clean record in Sandata. Every exception must be resolved before billing. The scale is different; the mechanism is the same.

For smaller agencies in Delaware, the exception management burden can feel proportionally heavier. A 20-patient agency where the owner handles billing directly doesn't have a dedicated person watching the Sandata queue. Exceptions accumulate between billing runs. Claims that should be submitted on a Tuesday wait until Friday, or later, while the queue gets worked through.

CareBravo manages Delaware's Sandata exception queue as part of its daily delivered operations — regardless of agency size. Small agencies get the same exception resolution cadence as large ones.

The Real Cost

Every Exception Is Revenue Waiting

For a Delaware agency delivering 20 patients, a week's worth of unresolved Sandata exceptions represents $600–$1,000 in visits delivered but not yet billable. Clear the exceptions, and revenue releases. Let them accumulate, and the billing cycle falls behind every week.

CareBravo resolves exceptions daily. Delaware agencies receive billing-ready outputs without logging into Sandata between billing runs.

See What EVV Exceptions Cost →
Questions

Delaware EVV — Common Questions

Delaware uses Sandata as its state-designated EVV aggregator. All Medicaid home care visits must submit EVV data to Sandata before claims can process. Delaware's Hybrid model allows any compliant capture tool — the aggregator destination is what's required.

Federal law requires EVV for all Medicaid-funded Personal Care Services and Home Health aide services. Delaware's HCBS waivers, including the Diamond State Health Plan Plus for dually eligible individuals, also require EVV for qualifying home-based services. Verify current coverage with DMMA for each service code your agency bills.

Yes. Delaware's Hybrid model allows any compliant EVV capture tool. The requirement is that visit data reaches Sandata — not that caregivers use Sandata's own application. Confirm your tool has a working Sandata integration before relying on it for Medicaid billing.

Yes. CareBravo manages Sandata exception resolution, visit reconciliation, and billing readiness for Delaware agencies of all sizes. Smaller agencies get the same daily exception resolution cadence as larger ones — delivered as completed operational work.

Delaware EVV Compliance, Delivered

CareBravo manages Sandata exception resolution and Delaware Medicaid billing readiness as completed operational work — for agencies of every size.

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EVV as a managed service → How EVV works in CareBravo → Results across 100+ agencies →