See What’s Draining Your Agency →

States · Maine

Maine EVV and Medicaid home care, in plain words.

MaineCare pays home care directly, without health plans. Every personal care and home health visit needs EVV. You can use the state’s free Sandata system or your own app, but connecting your own app takes at least eight weeks.

See What’s Draining Your Agency →View the demo

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

Maine at a glance

EVV, Medicaid and billing in Maine.

Medicaid agencyMaine Department of Health and Human Services (DHHS), Office of MaineCare Services (OMS). Home and community based services are managed by the DHHS Office of Aging and Disability Services (OADS).
EVV modelOpen (DHHS: an ’open EVV system platform’ connected to MIHMS): agencies may use the State-offered EVV system or their own system.
State EVV systemSandata (State-offered EVV solution and aggregator)
Your own EVV vendor allowed?Yes; integration takes at least eight weeks and the alternate system must pass Sandata’s certification interface.
Services that need EVVMaineCare personal care services and home health care services with an in-home visit, including Section 40 Home Health; DHHS bulletins also address Section 43 hospice agencies using the state Sandata solution. Service code and provider type lists are posted by DHHS.
Where you billMIHMS (Maine Integrated Health Management Solution), through the Health PAS Online Portal (Gainwell).

Dates that matter: All impacted personal care agencies from 1 Jan 2021; Section 40 Home Health from 1 Jan 2024.

Licensing: Personal Care Agency license from the DHHS Division of Licensing and Certification (22 M.R.S. 1717); home health agencies are licensed separately.

Managed care: Fee-for-service. MaineCare does not use MCOs for HCBS.

Programs that pay for care at home

Maine EVV, from the state

Same rules, same tangle

In Maine, 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, Maine 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 Maine

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

See What’s Draining Your Agency →View the demo

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 Maine owners ask.

Can I use my own EVV app with MaineCare?

Yes. Maine lets agencies use the State-offered Sandata system or their own EVV system. Connecting your own system takes at least eight weeks, so plan ahead before you switch. Until it is connected and tested, keep recording visits in the state system.

Does home health need EVV in Maine?

Yes. Home health services under MaineCare Section 40 have needed EVV since January 1, 2024. Personal care agencies have needed EVV since January 1, 2021. DHHS posts a list of the service codes and agency types that need EVV, so check that list for each service you bill.

What license do I need for a personal care agency in Maine?

You need a Personal Care Agency license from the DHHS Division of Licensing and Certification. You apply online for a new license, for renewals and for changes. Home health agencies that give skilled care need a separate license. You need the license before you enroll with MaineCare.

Sources for this guide

Checked 28 Oct 2026. State rules change. Confirm with the Maine Department of Health and Human Services (DHHS), Office of MaineCare Services (OMS). Home and community based services are managed by the DHHS Office of Aging and Disability Services (OADS). before you act.

You take the bravo. We take the work.

Find out what the tangle costs your agency.

Four minutes. Works for any Maine agency today.

See What’s Draining Your Agency →View the demo

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