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

Wisconsin's long-term care landscape is organized around the LTCARE (Long-Term Care) system, which includes Family Care (agency-directed managed long-term care), IRIS (self-directed services), and related programs. Family Care is administered through MCOs that contract with DHS — agencies serving Family Care members bill through those MCOs, and MCOs may have documentation requirements layered on top of DHS's Sandata baseline.

For IRIS participants — who self-direct their own services and choose their own workers — EVV requirements apply to the workers the participant employs, with submission through Sandata. The EVV compliance obligation runs to the visit regardless of the delivery model.

Wisconsin's Open model allows agencies to choose their EVV capture method. All data must reach Sandata before billing. Exception management follows the same daily discipline as any Sandata state — missed clock-ins, GPS mismatches, and time discrepancies must be resolved before the corresponding claim can process.

CareBravo manages the Wisconsin Sandata exception queue daily, across Family Care, standard Medicaid personal care, and waiver services, as part of its delivered operations.

Each unresolved Sandata exception is a delivered Wisconsin visit that can't bill yet. For a 35-patient agency, a week's exception backlog typically represents $800–$1,600 in delayed revenue. Family Care MCO billing adds complexity — plan-specific documentation requirements on top of Sandata mean more variables to track before claims submit cleanly. CareBravo resolves exceptions daily.