Nebraska EVV Compliance

Nebraska Uses Netsmart for EVV.
Here's What Your Agency Needs to Know.

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

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Nebraska EVV — Quick Reference

What Nebraska Requires

Requirement
Detail
State Agency
Nebraska DHHS — Department of Health and Human Services
EVV System
Netsmart (state-designated aggregator)
EVV Model
Open — Netsmart aggregator, agency-choice capture method
Services Covered
Personal Care Services, Home Health aide services, qualifying HCBS waiver services
Key Waivers
Aged and Disabled Waiver, Brain Injury Waiver
Important Note
Nebraska's Netsmart instance is separate from Georgia's — verify Nebraska-specific configuration requirements with DHHS
A Note for Multi-State Agencies

Netsmart in Nebraska Is Not the Same Configuration as Netsmart in Georgia

Netsmart is a multi-state EVV platform that different states configure differently. Georgia agencies know Netsmart through the GAMMIS integration — all EVV data flows through Netsmart to the state's Medicaid claims portal. Nebraska also uses Netsmart as its aggregator, but through a separate state configuration and submission path.

Agencies that operate in both states — or are expanding from a Georgia operation into Nebraska — should not assume that their existing Netsmart setup covers Nebraska. Verify the Nebraska-specific configuration requirements with DHHS before submitting EVV data for Nebraska Medicaid visits.

CareBravo manages state-specific Netsmart configurations as part of its delivered operations. Nebraska agencies receive properly configured EVV submissions without manually managing the distinctions between state instances.

The Real Cost

Netsmart Exceptions Block Nebraska Billing

Unresolved Netsmart exceptions block billing for affected Nebraska visits. For a 25-patient agency, a week's exception backlog typically represents $600–$1,200 in delayed revenue. CareBravo resolves exceptions daily — Nebraska agencies receive billing-ready outputs without managing the Netsmart queue.

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Questions

Nebraska EVV — Common Questions

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

No. Netsmart is used in multiple states but configured differently in each. Nebraska's Netsmart instance has a different submission path and state-specific requirements from Georgia's GAMMIS-integrated Netsmart. Multi-state agencies or agencies expanding from Georgia to Nebraska should verify Nebraska's specific configuration requirements with DHHS before submitting EVV data.

Federal law requires EVV for all Medicaid-funded Personal Care Services and Home Health aide visits. Nebraska's HCBS waiver programs — including the Aged and Disabled Waiver and Brain Injury Waiver — also require EVV for qualifying home-based services. Verify specific service code requirements with Nebraska DHHS.

CareBravo integrates with Netsmart — including Nebraska's state-specific configuration — and manages exception resolution, visit reconciliation, and Nebraska Medicaid billing readiness as delivered operational work. Agencies receive billing-ready outputs without managing the Netsmart queue themselves.

Nebraska EVV Compliance, Delivered

CareBravo manages Netsmart exception resolution and Nebraska Medicaid billing readiness for home care agencies — as completed operational work with state-specific configuration handled.

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