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States · Illinois

Illinois EVV and Medicaid home care, in plain words.

Illinois uses HHAeXchange to collect EVV for Medicaid personal care and home health. You can use HHAeXchange or another app that sends data to it. On March 2, 2026, Department on Aging and DRS visits joined HHAeXchange, so those agencies need working EVV now.

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Illinois at a glance

EVV, Medicaid and billing in Illinois.

Medicaid agencyIllinois Department of Healthcare and Family Services (HFS) is the Medicaid agency and lead for EVV. HCBS are operated by the Illinois Department on Aging (IDoA, Community Care Program), IDHS Division of Rehabilitation Services (DRS, Home Services Program) and IDHS Division of Developmental Disabilities (DDD).
EVV modelHybrid (HFS’s term): agencies may use any qualified EVV vendor, but all EVV data must go to HHAeXchange.
State EVV systemHHAeXchange (selected by HFS in March 2022 as the State’s EVV vendor and aggregator)
Your own EVV vendor allowed?Yes. A non-HHAeXchange system must be compatible with HHAeXchange’s Electronic Data Interchange (EDI) process and send all visit data to HHAeXchange.
Services that need EVVPersonal care services in HCBS waivers (Persons with Disabilities, Brain Injury, HIV/AIDS, Elderly, Adults with DD, Children and Young Adults with DD) and home health care services under the State Plan or a waiver (including the MFTD waiver). Hospice and DME are exempt. Applies to straight Medicaid and MCO members.
Where you billHFS provider enrollment through IMPACT; HFS fee-for-service claims through MEDI/IEC; MCO claims to each plan. CCP billing path (IDoA vs.

Dates that matter: DDD waiver PCS on EVV from 1 Sep 2023; home health (State Plan, DSCC, DDD, MCOs) from 31 Dec 2023; IDoA (CCP) and DRS (HSP) data integrated into HHAeXchange on 2 Mar 2026. In 2024 HFS said it did not plan hard claim penalties at that time; confirm the current claim-edit policy.

Licensing: Non-medical in-home agencies need a Home Services Agency license from the Illinois Department of Public Health (IDPH); skilled home health needs a Home Health Agency license. CCP agencies also need an IDoA provider agreement. Verify.

Managed care: Yes for most members: HealthChoice Illinois MCOs (Aetna Better Health of Illinois, Blue Cross Community Health Plans, CountyCare in Cook County, Meridian, Molina). The Medicare-Medicaid Alignment Initiative (MMAI) ended; from 1 Jan 2026 dual-eligible members move to FIDE SNPs (Aetna Medicare FIDE, Humana Dual Fully Integrated, Molina Medicare Complete Care Plus, Wellcare Meridian Dual Align). MCOs send their authorizations to HHAeXchange.

Programs that pay for care at home

Illinois EVV, from the state

Same rules, same tangle

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

The caregiver taps in. The visit goes to HHAeXchange. 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, Illinois 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 Illinois

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

I serve Community Care Program clients. What changed in March 2026?

On March 2, 2026, EVV visit data for Department on Aging (Community Care Program) and DRS (Home Services Program) agencies began flowing into HHAeXchange, the state’s EVV system. If you use another EVV app, it must send data to HHAeXchange. For policy questions, email Aging.EVV.Support@illinois.gov. For technical issues, call 1-833-961-7429.

My MCO authorization is not showing in HHAeXchange. What do I do?

If your client has been with the MCO for more than 15 days and no authorization appears, contact the MCO’s EVV contact directly. HFS says if the MCO does not answer in three business days, forward your email to HFS.EVV@illinois.gov so the state can escalate it.

Will Illinois deny my claim if EVV is missing?

In 2024, HFS said it did not plan hard claim penalties at that time, and DHS used EVV matching for audits and federal reporting. This can change, and each MCO sets its own EVV rules. Treat every visit as if it must match EVV, and check the latest HFS EVV notices.

What license do I need for non-medical home care in Illinois?

Non-medical in-home care agencies are licensed by the Illinois Department of Public Health as Home Services Agencies. Agencies giving skilled care need a home health agency license. To serve Community Care Program clients you also need an agreement with the Department on Aging. Confirm current rules with IDPH before you apply.

Sources for this guide

Checked 28 Oct 2026. State rules change. Confirm with the Illinois Department of Healthcare and Family Services (HFS) is the Medicaid agency and lead for EVV. HCBS are operated by the Illinois Department on Aging (IDoA, Community Care Program), IDHS Division of Rehabilitation Services (DRS, Home Services Program) and IDHS Division of Developmental Disabilities (DDD). before you act.

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