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States · North Carolina

North Carolina EVV and Medicaid home care, in plain words.

In North Carolina the payer decides which free EVV tool you get: Sandata for NC Medicaid Direct clients, and HHAeXchange or CareBridge for health plan clients.

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North Carolina at a glance

EVV, Medicaid and billing in North Carolina.

Medicaid agencyNC Department of Health and Human Services (NCDHHS), Division of Health Benefits (NC Medicaid).
EVV modelOpen model with payer-based free options: NC Medicaid Direct visits use the state’s Sandata system; health plans (LME/MCOs and prepaid health plans) offer HHAeXchange or CareBridge; any agency may instead use an alternate EVV vendor that sends data to the Sandata aggregator.
State EVV systemSandata (state EVV vendor and aggregator).
Your own EVV vendor allowed?Yes. Alternate EVV vendors can submit visits for all payer types to the Sandata aggregator at no aggregator cost to them; visits must meet the Sandata specifications or they are rejected.
Services that need EVVPersonal care services (in-home), home health services (since 2023), and, through LME/MCOs, Innovations Waiver, TBI Waiver and (b)(3) services. CAP/DA and CAP/C in-home services follow the payer covering the member.
Where you billNCTracks (MMIS) for NC Medicaid Direct; each health plan’s claims system for plan members.

Dates that matter: Personal care EVV fully launched 1 July 2021 (claims needed EVV from Sept–Oct 2021). Home health: soft launch 1 Apr–30 Jun 2023; from 1 July 2023 visit records must match the claim for payment. NC Medicaid Direct claims without a verified visit pend with EOB 784 (edits 02077/02079).

Licensing: Home care agency license from NCDHHS Division of Health Service Regulation (DHSR) for in-home aide / personal care services.

Managed care: Mixed. Standard Plans (prepaid health plans) cover most members, including PCS; Tailored Plans run by LME/MCOs (Alliance, Partners, Trillium, Vaya) serve members with serious behavioral health needs, IDD or TBI; NC Medicaid Direct (fee-for-service) covers others, including most CAP/DA members.

Programs that pay for care at home

North Carolina EVV, from the state

Same rules, same tangle

In North Carolina, 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, North Carolina 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 North Carolina

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

Which EVV system do I use in North Carolina?

It depends on who pays for the client. NC Medicaid Direct clients use the state’s free Sandata system. Health plans offer HHAeXchange or CareBridge for free. Or you can use one alternate EVV app for all payers if it sends visits to the Sandata aggregator.

Why is my NC Medicaid Direct claim pending?

A claim without a matching verified EVV visit pends with EOB 784 (edits 02077 or 02079). Use the EVV Visit History tool in NCTracks to confirm the visit is verified before you submit, and fix exceptions in your EVV system first.

Does home health need EVV too?

Yes. Home health visits have needed EVV since 2023. After the soft launch ended on 30 June 2023, the visit record must match the claim sent to NCTracks for the claim to pay. Review the explanation of benefits in NCTracks to spot visit problems early.

Where do I send a claim for a client on a Tailored Plan?

To that client’s Tailored Plan, not to NCTracks. Check the client’s plan before each billing cycle, because sending the claim to the wrong payer gets it rejected. Each plan has its own contract, authorization and claims process.

Sources for this guide

Checked 28 Oct 2026. State rules change. Confirm with the NC Department of Health and Human Services (NCDHHS), Division of Health Benefits (NC Medicaid). 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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