Ohio EVV Compliance

Ohio Uses Sandata for EVV.
Here's What Your Agency Needs to Know.

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

What Ohio Requires

Requirement
Detail
State Agencies
ODM (Ohio Dept. of Medicaid) / ODA (Ohio Dept. of Aging) for home care programs
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 Programs
PASSPORT Waiver (elderly HCBS), Assisted Living Waiver, Ohio Home Care Waiver
Enforcement
Claims require matching, resolved EVV record in Sandata to process

Sandata, Open Model, and the PASSPORT Waiver Environment

Ohio's Open model gives agencies flexibility in EVV capture method. Sandata is the designated aggregator — all visit records must reach it before billing. The compliance work is exception management: resolving the daily queue of missed clock-ins, location mismatches, and time discrepancies before they delay billing.

Ohio is a major Medicaid market with a large PASSPORT Waiver population. Agencies serving PASSPORT clients through Area Agencies on Aging face the same daily Sandata exception management as those billing standard Medicaid personal care — the EVV requirement applies equally across service types. At scale, the exception queue grows proportionally to patient count, and agencies managing it manually find billing delays compounding week over week.

CareBravo manages the Ohio Sandata exception queue as part of its daily delivered operations, across PASSPORT, state plan personal care, and other Ohio Medicaid home care services.

Sandata Exceptions Block Ohio Billing

Each unresolved Sandata exception is a delivered Ohio visit that can't bill yet. For a 35-patient agency, a week's exception backlog typically represents $800–$1,600 in delayed revenue. At PASSPORT Waiver rates, the numbers are proportional. CareBravo resolves exceptions daily — Ohio agencies receive billing-ready outputs without manually working the Sandata queue.

See What EVV Exceptions Cost

Ohio EVV — Common Questions

Ohio 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. Ohio's PASSPORT Waiver services — including personal care, homemaker, and aide services delivered in the home — require EVV through Sandata. PASSPORT clients are enrolled through Area Agencies on Aging, but the EVV compliance requirement is the same as standard Medicaid personal care: a clean Sandata record is required before billing.

Yes. Ohio's Open model allows any compliant capture method that submits data to Sandata. Confirm your tool has a working Sandata integration before relying on it for Ohio Medicaid billing.

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

Ohio EVV Compliance, Delivered

CareBravo manages Sandata exception resolution and Ohio Medicaid billing readiness — across PASSPORT, state plan personal care, and other waiver services — as completed operational work.

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