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Personal Support Services
Home care: scheduling, payroll, billing, paperwork, hiring and family updates.
States
Home care rules change at the state line. The operating system does not.
Every state runs Medicaid EVV and home care programs its own way. These guides cover each state’s EVV system, programs and billing in plain words, with sources. CareBravo® works with the EVV systems states use, including Sandata, HHAeXchange and Netsmart.
Every state runs Medicaid home and community based services its own way: its own programs, its own EVV system, its own audit. The nine jobs are the same everywhere, and so is the operating system underneath them.
We email you the highlights the moment you ask. No call. Nobody calls unless you ask.
A plain-language guide for every state.
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Each guide covers that state’s EVV system, programs and billing, in plain words, with sources. Running an agency in a state where we are not yet? Tell us your state when you ask for the demo, and we will make you an offer to start now while we build it.
What we cover
One operating system for all of Medicaid home and community based care.
The nine jobs are the same whether the care happens in a home, a personal care home or a day center. We start with Personal Support Services (home care) and case management. Personal Care Homes and Adult Day Health are coming in November 2026.
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Case management
Case managers see their own members, checked and current, without calling.
Coming November 2026
Personal Care Homes
Open beds, residents and referrals for every home.
Coming November 2026
Adult Day Health
Day centers, attendance and transport, in the same app.
Real product screens. Sample agency, sample data.
What changes from state to state.
Who writes the care plan. Which state system your caregivers check in to. What the state asks for in an audit. CareBravo follows each state’s rules so you are not learning them from a rejection letter.
Real product screens. Sample agency, sample data.
Questions owners ask.
Which EVV system does [state] Medicaid use?
Every state has to use EVV for Medicaid personal care and home health, but each state picks its own setup. Some run one state system. Some let agencies use their own approved system. Search ’[state] Medicaid EVV’ on the state Medicaid site, and ask which model your state uses and whether you must register. Read the full answer
How do I enroll as a Medicaid home care provider in [state]?
First get your state license and tax numbers. Then apply through your state Medicaid agency’s provider enrollment portal. If you want waiver clients, there is usually a second step with the program that runs the waiver. Search ’[state] Medicaid provider enrollment’ and read the waiver provider manual before you apply. Read the full answer
Which Medicaid programs pay for home care in [state]?
Most states pay for home care through a mix of the regular Medicaid plan and one or more waivers. Waivers serve groups such as older adults, people with disabilities, or children, and many cap how many people can enroll. Search ’[state] Medicaid waiver programs’ and read the list on the state Medicaid site. Read the full answer
Who authorizes hours and writes the care plan in [state] Medicaid home care?
In most states, a case manager, care coordinator, or the managed care plan writes the plan and sets the hours, not the home care agency. The agency delivers what is authorized. Look in your state’s waiver manual for ’service authorization’ to see who signs and how changes are requested. Read the full answer
Does [state] use managed care plans for home care, and how do I contract with them?
Many states pay for some home care through managed care plans, but plans differ by state and by program. Check your state Medicaid site for the plan list, and ask each plan how to join its network. Check each client’s eligibility to see who to bill. Waiver programs may be handled outside managed care. Read the full answer
My Medicaid claim was rejected or denied in [state]. Who do I call and what should I check first?
Read the reason on the remittance or EVV report first. The most common causes are a missing EVV visit, no matching authorization, wrong dates or units, or an expired enrollment. Then call the state Medicaid provider line or EVV support. Fix the cause, then rebill, or file a corrected claim if your state requires it. Read the full answer
What are the home care licensing requirements in [state]?
There is no federal home care license. Each state sets its own, and many split non-medical home care from skilled home health. Search your state’s health department for ’home care agency license’ and read the rule, the application, and the fee schedule. Some states also ask for a certificate of need for skilled agencies. Read the full answer
How will the new federal Medicaid law (OBBBA) affect home care in [state]?
It depends on your state. Some changes begin between October 2026 and early 2027, and states choose how and when to carry them out. Expansion states face work rules and six-month renewals first. Check your state Medicaid agency’s OBBBA page for dates, and for how your waivers are affected. Read the full answer
Five promises, written like promises.
- Nothing stops. Your current system keeps running while CareBravo runs beside it for two weeks on your real data. The Parallel Promise™
- 99%, in writing. On Managed Billing, at least 99% of your claims go out without a mistake we caused. If we make one, we fix it free. We cannot promise what a payer decides. Read the guarantee
- The floor, stated up front: $250 a month, no seats, no per-user fees, no implementation fee — and corrections never billed twice.
- Thirty days’ notice, either way.
- Nobody calls unless you ask.
You take the bravo. We take the work.
Find out what is draining your agency.
The Calculator looks at all nine jobs, wherever your agency is.
We email you the highlights the moment you ask. No call. Nobody calls unless you ask.