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States · Alabama

Alabama EVV and Medicaid home care, in plain words.

In Alabama, Medicaid pays for in-home personal care and home health, and both need EVV. You pick your own EVV system, and it must send visit data to the state’s EVV hub.

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Alabama at a glance

EVV, Medicaid and billing in Alabama.

Medicaid agencyAlabama Medicaid Agency. The Alabama Department of Senior Services (ADSS) operates the Elderly and Disabled (E&D) and Alabama Community Transition (ACT) waivers; other waivers are run with the Department of Mental Health and the Department of Rehabilitation Services.
EVV modelProvider choice. In the state’s words: under the Provider Choice Model, ’a provider must use an EVV system of choice’ that meets Alabama Medicaid requirements and sends data to the state’s EVV aggregator.
State EVV systemHHAeXchange (named in HHAeXchange’s own announcement; the state page does not name a vendor).
Your own EVV vendor allowed?Yes. Agencies must pick an EVV system themselves; it must meet Alabama Medicaid requirements and send visit data to the state aggregator. Private duty nursing, home health and Technology Assisted waiver agencies sign an EVV attestation form.
Services that need EVVAlabama Medicaid: ’EVV is required for all Medicaid funded personal care services and home health services.’
Where you billAlabama Medicaid MMIS (Alabama Medicaid Interactive Web Portal), fee-for-service.

Dates that matter: No current go-live or claim-denial dates are posted on the state EVV page. Check Alabama Medicaid ALERTs for any claim-edit dates.

Managed care: Fee-for-service. Nursing home and E&D/ACT waiver members also get care management through the Integrated Care Network (ICN), a 1915(b) program run by Alabama Select Network. It is case management, not a health plan that pays claims.

Programs that pay for care at home

Alabama EVV, from the state

Same rules, same tangle

In Alabama, the visit still gets typed four more times.

The caregiver taps in. The visit goes to your state’s EVV system. Then someone in your office carries it by hand into payroll, into billing, into the chart, and to the family on the phone. Every carry is a chance for the numbers to drift. When they do, Alabama denies the claim, and you find out weeks later. That is Tangleware™: good tools, and an owner in the middle.

How one tap at the door runs the whole agencyThe mechanism, the nine agents, and Cary®

CareBravo® in Alabama

Running an agency in Alabama? Tell us.

CareBravo works with the EVV systems states use, including Sandata, HHAeXchange and Netsmart. Each state approves its own connection, and each program has its own rules, so we confirm what is in place for Alabama and your programs before you switch anything. If we are not running in Alabama yet, we will make you an offer to start now while we build it.

Run the Calculator, or ask for the demo and tell us your state.

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Five promises, written like promises.

  1. Nothing stops. Your current system keeps running while CareBravo runs beside it for two weeks on your real data. The Parallel Promise™
  2. 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
  3. The floor, stated up front: $250 a month, no seats, no per-user fees, no implementation fee — and corrections never billed twice.
  4. Thirty days’ notice, either way.
  5. Nobody calls unless you ask.

What Alabama owners ask.

Does Alabama give my agency a free EVV system?

Alabama uses what it calls a Provider Choice Model. Your agency picks its own EVV system and pays for it. The system must meet Alabama Medicaid’s rules and send each visit to the state’s EVV hub. If you are unsure whether a system qualifies, email the state EVV team at MedicaidEVV@medicaid.alabama.gov before you sign.

Which of my services need EVV?

Alabama Medicaid says EVV is required for all Medicaid-funded personal care services and home health services. For most waiver agencies that means personal care visits in the home. Home health, private duty nursing and Technology Assisted waiver agencies also sign an EVV attestation form when they enroll.

Do I bill a health plan or the state?

For the Elderly and Disabled Waiver, you bill Alabama Medicaid directly, fee-for-service. Waiver members also have a care coordinator through the Integrated Care Network, which helps manage their care but does not pay your claims. Keep authorizations from the case manager on file before you deliver and bill each visit.

Who runs the Elderly and Disabled Waiver?

The Alabama Department of Senior Services operates the Elderly and Disabled Waiver for the Alabama Medicaid Agency. Case managers set each person’s plan and approved services. Your agency delivers the care, records each visit in EVV, and bills Medicaid against the approved plan.

Sources for this guide

Checked 28 Oct 2026. State rules change. Confirm with the Alabama Medicaid Agency. The Alabama Department of Senior Services (ADSS) operates the Elderly and Disabled (E&D) and Alabama Community Transition (ACT) waivers; other waivers are run with the Department of Mental Health and the Department of Rehabilitation Services. before you act.

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Find out what the tangle costs your agency.

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We email you the highlights the moment you ask. No call. Nobody calls unless you ask.

See What’s Draining Your Agency →View the demo