Kentucky EVV Compliance

Kentucky Uses Therap for EVV.
Here's What Your Agency Needs to Know.

Kentucky Medicaid designates Therap as its EVV aggregator under a Hybrid model. Every qualifying Medicaid home care visit must have a verified Therap record before billing can proceed. CareBravo manages exception resolution and billing readiness as delivered operational work.

What Kentucky Requires

Requirement
Detail
State Agency
CHFS — Kentucky Cabinet for Health and Family Services
EVV System
Therap (state-designated EVV aggregator)
EVV Model
Hybrid — Therap aggregator, agency-choice capture method
Services Covered
Personal Care Services, Home Health aide services, qualifying HCBS waiver services
Key Waivers
Model Waiver, Supports for Community Living (SCL), Michelle P. Waiver (MPW)
Enforcement
Claims require matching, resolved EVV record in Therap to process

Therap and the Kentucky Hybrid Model

Kentucky's Hybrid model gives agencies flexibility in how they capture visit data at point of care — Therap's native app, telephony, or compatible alternative capture methods. The flexibility ends at the aggregator. Every visit record must reach Therap before the corresponding Medicaid claim can be processed.

Daily compliance work centers on exception management. Missed clock-ins, location mismatches, visit time discrepancies — these create exceptions in Therap that block billing until resolved. Agencies that manage the exception queue manually often find it growing faster than it gets cleared between billing cycles.

CareBravo manages the Therap exception queue as part of its daily delivered operations for Kentucky agencies. Exceptions are resolved on schedule — not at the end of the billing cycle when they've compounded into a larger reconciliation problem.

Therap Exceptions Are Billing Delays

Each unresolved Therap exception is a delivered visit that can't bill yet. For a 30-patient Kentucky agency, a week of unresolved exceptions typically represents $700–$1,300 in delayed revenue. CareBravo resolves exceptions daily — Kentucky agencies receive billing-ready outputs without a separate exception resolution step before each billing run.

See What EVV Exceptions Cost

Kentucky EVV — Common Questions

Kentucky uses Therap as its state-designated EVV aggregator. All qualifying Medicaid home care visits must submit EVV data to Therap before claims can process. Kentucky's Hybrid model allows agency-choice capture methods — the aggregator destination is Therap.

Under Kentucky's Hybrid model, yes — agencies can use any compliant capture method that submits visit data to Therap. Confirm your chosen tool has a verified Therap integration before relying on it for Kentucky Medicaid billing.

Federal law requires EVV for all Medicaid-funded Personal Care Services and Home Health aide visits. Kentucky's HCBS waiver programs — including the Model Waiver, Supports for Community Living (SCL) waiver, and Michelle P. Waiver — require EVV for qualifying home-based services. Confirm specific service code coverage with CHFS.

CareBravo integrates with Therap and manages exception resolution, visit reconciliation, and Kentucky Medicaid billing readiness as delivered operational work. Agencies receive billing-ready outputs without managing the Therap exception queue themselves.

Kentucky EVV Compliance, Delivered

CareBravo manages Therap exception resolution and Kentucky Medicaid billing readiness for home care agencies — as completed operational work.

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