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States · Colorado

Colorado EVV and Medicaid home care, in plain words.

Colorado moved personal care and homemaker into a new benefit called Community First Choice on July 1, 2025. To be paid for personal care, your agency needs a Class A or B home care license from CDPHE.

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Colorado at a glance

EVV, Medicaid and billing in Colorado.

Medicaid agencyDepartment of Health Care Policy and Financing (HCPF), which runs Health First Colorado (Medicaid). Case Management Agencies do assessments and authorizations.
EVV modelHybrid. HCPF: ’Colorado has deployed a hybrid EVV model.’ Agencies may use the free State EVV Solution or a Provider Choice system.
State EVV systemSandata Technologies, HCPF’s subcontractor for the State EVV Solution.
Your own EVV vendor allowed?Yes. The chosen system must be configured to Colorado EVV rules and interface with Sandata; HCPF lists vendors that already do.
Services that need EVVPersonal care, pediatric personal care, homemaker, home health (RN, LPN, CNA, PT, OT, SLP), private duty nursing, respite, IHSS and CDASS, among others listed by HCPF.
Where you billColorado interChange (Health First Colorado MMIS), fee-for-service.

Dates that matter: EVV required August 3, 2020. Since February 1, 2022, claims missing an EVV record are denied (EOB 3054).

Licensing: A Class A or Class B Home Care Agency license from the Colorado Department of Public Health and Environment (CDPHE) is required to provide and be paid for personal care under CFC.

Managed care: Fee-for-service for long-term services and supports. Authorizations come from Case Management Agencies.

Programs that pay for care at home

Colorado EVV, from the state

Same rules, same tangle

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

The caregiver taps in. The visit goes to Sandata Technologies. 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, Colorado 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 Colorado

Running an agency in Colorado? 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 Colorado and your programs before you switch anything. If we are not running in Colorado 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 Colorado owners ask.

What is Community First Choice and how does it affect me?

Community First Choice started July 1, 2025. It moved personal care, homemaker and some other supports out of the waivers into the regular Medicaid benefit. Waiver members moved over through 2026. Bill under the authorization the Case Management Agency gives you, and watch HCPF notices for code changes.

What license do I need for personal care?

HCPF says agencies must hold a Class A or Class B Home Care Agency license from CDPHE to provide personal care under Community First Choice. Without that license you cannot provide or be paid for personal care. Enroll with Health First Colorado after you are licensed.

What happens if a visit has no EVV record?

Since February 1, 2022, Colorado checks claims for EVV before paying. If the EVV record is missing or incomplete, the claim is denied with the code EOB 3054. Fix the visit in your EVV system first, then submit the claim.

Do I have to use the state’s EVV app?

No. Colorado uses a hybrid model. You can use the free State EVV Solution from Sandata or choose your own vendor. If you choose your own, it must follow Colorado’s EVV rules and send data to the state system. HCPF posts a list of vendors that already do.

Sources for this guide

Checked 28 Oct 2026. State rules change. Confirm with the Department of Health Care Policy and Financing (HCPF), which runs Health First Colorado (Medicaid). Case Management Agencies do assessments and authorizations. before you act.

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

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