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States · Idaho

Idaho EVV and Medicaid home care, in plain words.

Idaho Medicaid still pays most home care directly, not through health plans. Your agency picks its own EVV app, but the app must send each visit to the state’s EVV system, Sandata, before you bill.

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Idaho at a glance

EVV, Medicaid and billing in Idaho.

Medicaid agencyIdaho Department of Health and Welfare (IDHW), Division of Medicaid.
EVV modelProvider Choice model (Idaho’s term): agencies choose an EVV vendor that meets Idaho Medicaid’s requirements and sends visit data to the state aggregator.
State EVV systemSandata (state aggregator; third-party EVV vendors send data to the Sandata Aggregator through its Real Time Interface).
Your own EVV vendor allowed?Yes; under Provider Choice the agency’s own EVV vendor must connect to the state aggregator.
Services that need EVVMedicaid personal care services (state plan personal care and 1915(c) waiver personal care) and home health care services.
Where you billIdaho Medicaid MMIS and its provider portal (fiscal agent); verify the current vendor and portal name.

Dates that matter: Personal care EVV from 1 Jan 2021 (CMS found Idaho compliant for PCS on 30 Jul 2021). Home health EVV reported from 1 Jan 2023 by a vendor source; verify. Separate: HB 345 (2025) moves Idaho Medicaid to managed care; IDHW now says the shift is delayed to 1 Jan 2030, with the RFP expected in 2027.

Managed care: Mostly fee-for-service today. People with both Medicare and Medicaid may be in Idaho Medicaid Plus or the MMCP. HB 345 (2025) moves Medicaid to managed care, now planned for 1 Jan 2030 (about three MCOs; RFP in 2027).

Programs that pay for care at home

Same rules, same tangle

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

The caregiver taps in. The visit goes to Sandata. 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, Idaho 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 Idaho

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

Does Idaho give me a free EVV app?

Idaho uses a Provider Choice model. That means your agency chooses an EVV vendor that meets Idaho Medicaid’s rules and can send visits to the state aggregator, Sandata. Before you sign with a vendor, ask them to show that they already send Idaho visits to Sandata. We could not confirm a free state app, so ask IDHW directly.

Is Idaho moving home care to managed care soon?

Not soon. A 2025 law (House Bill 345) moves Idaho Medicaid to managed care, but the Department of Health and Welfare now says the switch is delayed to January 1, 2030. The state expects to post the request for proposals in 2027. Until then, most home care is billed to Idaho Medicaid directly.

Which services need EVV in Idaho?

Personal care services need EVV, both the state plan benefit and personal care in the Aged and Disabled Waiver. Home health care services need EVV too. A visit is not finished until all the required details are sent and any problems on the visit are fixed, so fix visit errors before you bill.

Sources for this guide

Checked 28 Oct 2026. State rules change. Confirm with the Idaho Department of Health and Welfare (IDHW), Division of Medicaid. 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