Missouri's Open model allows agencies to choose any compliant EVV capture tool. Sandata is the state-designated aggregator — the destination where all visit records must land before a MO HealthNet claim can process. The capture method is agency choice. The aggregator is not.
Daily compliance work centers on exception resolution. Missed clock-ins, GPS mismatches, visit time discrepancies — each produces a Sandata exception that must be resolved before billing. Agencies managing this manually find billing delayed when exceptions accumulate faster than they're cleared.
CareBravo manages the Missouri Sandata exception queue as part of its daily delivered operations. Exceptions are resolved on schedule — billing-ready outputs arrive without a separate reconciliation step.