Montana EVV Compliance

Montana Uses Sandata for EVV.
Rural Geography Adds a Layer of Complexity.

Montana Medicaid designates Sandata as its EVV aggregator under an Open model. Every qualifying home care visit must have a resolved Sandata record before billing. Montana's rural geography creates specific EVV capture challenges — telephony can be more reliable than GPS-dependent mobile apps in frontier service areas. CareBravo manages the exception resolution regardless of how visits are captured.

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Montana EVV — Quick Reference

What Montana Requires

Requirement
Detail
State Agency
DPHHS — Montana Department of Public Health and Human Services
EVV System
Sandata (state-designated aggregator)
EVV Model
Open — Sandata aggregator, agency-choice capture method
Services Covered
Personal Care Services, Home Health aide services, qualifying HCBS waiver services
Key Waivers
Elderly and People with Physical Disabilities (EPPD) waiver, Big Sky Waiver
Rural Consideration
Telephony capture may be more reliable than GPS mobile apps in frontier service areas
Montana-Specific Considerations

Open Model, Rural Geography, Same Compliance Requirement

Montana's Open model allows agencies to choose their EVV capture method. In densely populated states, agencies typically default to GPS-based mobile apps. Montana's rural and frontier service areas create a practical challenge: cellular connectivity can be inconsistent, and a mobile app that relies on GPS and mobile data may generate capture failures that become Sandata exceptions.

Telephony-based EVV capture — where the caregiver calls from the client's landline or a cellular line at the start and end of the visit — can be more reliable in rural Montana. The resulting exceptions from connectivity failures are exactly the kind that need daily resolution before billing.

CareBravo manages the Sandata exception queue daily for Montana agencies, including connectivity-related exceptions that are common in rural service areas. Agencies receive billing-ready output regardless of which capture method was used in the field.

The Real Cost

Rural Exceptions Still Block Billing

A connectivity-related capture failure in rural Montana creates the same billing delay as a missed clock-in in a city. The exception sits in Sandata until it's resolved. Unresolved exceptions block billing for those visits. CareBravo resolves exceptions daily — Montana agencies receive billing-ready outputs regardless of the field conditions that created them.

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Questions

Montana EVV — Common Questions

Montana uses Sandata as its state-designated EVV aggregator under an Open model. All qualifying Medicaid home care visits must submit EVV data to Sandata before claims can process. Open model allows agency-choice capture tools — Sandata is the required aggregator destination.

Yes. Montana's Open model allows telephony as an EVV capture method. For agencies serving clients in rural or frontier areas with limited cellular coverage, telephony-based check-in may be more reliable than GPS-dependent mobile apps. Confirm that your telephony provider submits data to Sandata and that the records are reaching the state aggregator correctly.

Federal law requires EVV for all Medicaid-funded Personal Care Services and Home Health aide visits. Montana's HCBS waivers — including the Elderly and People with Physical Disabilities (EPPD) waiver and the Big Sky Waiver — also require EVV for qualifying home-based services. Verify specific service code requirements with DPHHS.

CareBravo integrates with Sandata and manages exception resolution — including connectivity-related exceptions common in rural service areas — visit reconciliation, and Montana Medicaid billing readiness as delivered operational work. Agencies receive billing-ready outputs regardless of the capture method used.

Montana EVV Compliance, Delivered

CareBravo manages Sandata exception resolution and Montana Medicaid billing readiness for home care agencies — across both urban and frontier service areas, as completed operational work.

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