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States · District of Columbia

District of Columbia EVV and Medicaid home care, in plain words.

DC runs its own Medicaid program, separate from Maryland and Virginia. Personal care aide visits must match an EVV record in Sandata, or DHCF denies the claim. The DC system is free, or you can pay for your own system that sends visits to Sandata.

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District of Columbia at a glance

EVV, Medicaid and billing in District of Columbia.

Medicaid agencyDepartment of Health Care Finance (DHCF). The Department on Disability Services (DDS) runs the IDD waiver.
EVV modelState EVV system (free) with alternate EVV allowed at the agency’s own cost; all visits must reach the Sandata aggregator.
State EVV systemSandata Technologies LLC, contracted by DHCF.
Your own EVV vendor allowed?Yes. ’Providers may use [an Alt-EVV] at their own expense’ if it meets DHCF requirements and integrates with the Sandata Aggregator.
Services that need EVVPersonal care aide (PCA) services, including under the EPD waiver; IDD waiver supported living (periodic), in-home supports and respite in the home; home health (mandated by January 1, 2023).
Where you billDC Medicaid MMIS (DHCF fee-for-service claims); managed care plans for their members.

Dates that matter: DHCF denies personal care claims with dates of service on or after December 1, 2021 that cannot be matched to EVV (Transmittal 21-45). Home health: January 1, 2023.

Licensing: DC Health (Department of Health) licenses home care agencies. Verify license type for PCA services.

Managed care: Mixed. DC Medicaid managed care plans match claims against Sandata for their members; check whether a client’s PCA is billed to DHCF or their plan.

Programs that pay for care at home

District of Columbia EVV, from the state

Same rules, same tangle

In District of Columbia, the visit still gets typed four more times.

The caregiver taps in. The visit goes to Sandata Technologies LLC. 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, District of Columbia 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 District of Columbia

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

What happens if my PCA visit is not in EVV?

DHCF denies personal care claims with dates of service on or after December 1, 2021 that cannot be matched to EVV information in the Sandata aggregator. Make sure every visit is recorded and matched before you bill. Paper claims still need a verified EVV visit.

Can I use my own EVV system in DC?

Yes, at your own cost. It must meet DHCF’s requirements and connect to the Sandata aggregator. To start, contact Sandata’s DC alternate EVV team. If you use DHCF’s own system instead, it is free to use for your agency.

I also serve Maryland or Virginia. Does one EVV setup cover all three?

No. DC Medicaid is run by DHCF and is separate from Maryland and Virginia, which set their own EVV rules. Set up DC EVV through DHCF’s Sandata system or an approved alternate, and follow each state’s rules for clients there.

Who do I contact with DC EVV questions?

For program questions, email DHCF at EVVInfo@dc.gov. For technical help with the Sandata system, DHCF lists Sandata support at (855) 962-1322 or WDCCustomerCare@Sandata.com. DHCF’s EVV page posts updates and a monthly FAQ, so check it before each billing cycle and when you add a new caregiver or client.

Sources for this guide

Checked 28 Oct 2026. State rules change. Confirm with the Department of Health Care Finance (DHCF). The Department on Disability Services (DDS) runs the IDD waiver. before you act.

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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