Tennessee EVV Compliance

Tennessee TennCare Uses Sandata for Agency Services
and PPL for Self-Directed Programs.

Tennessee's Hybrid EVV model uses Sandata for traditional agency-provided home care and PPL (Public Partnerships LLC) for self-directed programs. Most home care agencies use Sandata. The applicable system depends on how the client's care is structured. CareBravo manages both as delivered operational work.

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Tennessee EVV — Quick Reference

What Tennessee Requires by Service Model

Service Model
EVV System
Notes
Agency-directed home care (traditional model)
Sandata (TennCare state aggregator)
Applies to most home care agencies employing and directing caregivers
Self-directed programs (participant-directed care)
PPL (Public Partnerships LLC) — fiscal intermediary and EVV platform
Applies when Medicaid participant directs their own care and hires their own workers
State Agency
TennCare — Tennessee Division of TennCare
Oversees EVV program; verify program-specific requirements with TennCare
Key Programs
CHOICES (elderly / physical disability), Employment and Community First CHOICES (IDD)
EVV system determined by care model within each program
EVV Model
Hybrid
State aggregator (Sandata) for agency services; PPL for self-directed participants
Understanding the Split

Agency-Directed vs. Self-Directed — Why the EVV System Differs

Tennessee's CHOICES and Employment and Community First CHOICES programs offer both agency-directed and self-directed service options. In the agency-directed model, a licensed home care agency employs the caregiver, sets the schedule, and manages compliance — including EVV through Sandata. In the self-directed model, the Medicaid participant acts as the employer, hiring and directing their own personal care workers. PPL serves as the fiscal intermediary and EVV platform for self-directed participants.

Most traditional licensed home care agencies in Tennessee operate under the agency-directed model and use Sandata. However, agencies that also manage self-directed program participants — or that have clients who transition between models — may encounter PPL requirements.

CareBravo manages EVV compliance across both Sandata and PPL for Tennessee agencies as part of its daily delivered operations. The correct system is applied per client based on their care model.

The Real Cost

Sandata and PPL Exceptions Both Block Billing

Unresolved exceptions in either Sandata or PPL block billing for the affected Tennessee visits. For agencies serving clients across both care models, maintaining two exception queues manually is a significant daily burden. CareBravo resolves both queues daily — Tennessee agencies receive billing-ready outputs for all service lines as completed operational work.

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Questions

Tennessee EVV — Common Questions

Most traditional home care agencies in Tennessee — those that employ and direct caregivers under the agency-directed model — use Sandata as their TennCare EVV aggregator. PPL applies to self-directed programs where the Medicaid participant directs their own care. If your agency only provides agency-directed services, you use Sandata. If you also support self-directed participants, you may encounter PPL requirements for those clients.

CHOICES is Tennessee's managed long-term services and supports program for elderly individuals and adults with physical disabilities who qualify for nursing facility level of care. Home and community-based services delivered under CHOICES — including personal care and aide services — require EVV. The applicable EVV system (Sandata or PPL) depends on whether the client is in the agency-directed or self-directed service option within CHOICES.

Under Tennessee's Hybrid model, agencies have some flexibility in capture method for Sandata-based services. The visit data must reach Sandata before billing. For PPL-based self-directed services, participants use PPL's designated capture interfaces. Verify current capture method requirements with TennCare for each program and service type.

Yes. CareBravo manages EVV compliance across Sandata and PPL as delivered operational work for Tennessee agencies. The correct system is applied per client based on their care model, and exception queues for both systems are resolved daily. Tennessee agencies receive billing-ready outputs for all service lines without tracking two separate portals.

Tennessee EVV Compliance — Both Systems, Delivered

CareBravo manages Sandata and PPL exception resolution and TennCare billing readiness for Tennessee home care agencies — across both care models, as completed operational work.

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