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States · Utah

Utah EVV and Medicaid home care, in plain words.

Utah lets agencies choose their own EVV system, as long as it meets the federal rules. You then send your visit data to Utah Medicaid through its EVV portal or a direct connection. Personal care and home health visits both need EVV.

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Utah at a glance

EVV, Medicaid and billing in Utah.

Medicaid agencyUtah Department of Health and Human Services (DHHS), Division of Integrated Healthcare (Utah Medicaid). Waivers are operated with DHHS divisions such as Aging and Adult Services and Services for People with Disabilities (DSPD).
EVV modelProvider choice. Utah Medicaid ’has opted for a provider choice model’; agencies pick their own EVV system that meets federal rules and send the data to Utah Medicaid.
State EVV systemNo vendor aggregator named. Agencies submit EVV data to Utah Medicaid through its EVV submission portal (evv.medicaid.utah.gov) or by API.
Your own EVV vendor allowed?Yes. Agencies choose their own EVV vendor; data goes to Utah Medicaid by API or secure web portal (CSV upload reserved for software vendors).
Services that need EVVPersonal care services and home health services that require an in-home visit. Hospice is not included.
Where you billUtah Medicaid MMIS (PRISM) and the Utah Medicaid provider portal; confirm name used for agency billing.

Dates that matter: EVV compliance date July 1, 2019. Recoupment for personal care from 2021; for home health from Jan 1, 2023. Claims without a matching EVV record may be found noncompliant in post-payment review.

Licensing: Utah DHHS licenses home health agencies (rule R432-700, which also covers personal care agencies); check whether a non-medical agency needs this license or only waiver provider enrollment.

Managed care: Mostly fee-for-service for HCBS waivers (verify; Utah uses managed care for physical health in some counties).

Programs that pay for care at home

Same rules, same tangle

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

The caregiver taps in. The visit goes to your state’s EVV system. 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, Utah 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 Utah

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

Does Utah make me use a certain EVV system?

No. Utah uses an open model, so your agency picks an EVV system that meets federal rules. You must then send the visit data to Utah Medicaid, either through its EVV web portal or by a direct API connection. Keep the records, because Utah checks claims against them.

What happens if my EVV data is missing?

Utah reviews claims after payment. If a claim has no matching EVV record, it can be found noncompliant and the payment can be taken back. Recoupment has applied to personal care since 2021 and to home health since 2023.

Which Utah waivers cover in-home help for older adults?

The Aging Waiver serves people 65 and older, and the New Choices Waiver helps people move out of or avoid nursing homes. The Physical Disabilities Waiver serves adults with physical disabilities. Each has its own rules for who can provide care.

Sources for this guide

Checked 28 Oct 2026. State rules change. Confirm with the Utah Department of Health and Human Services (DHHS), Division of Integrated Healthcare (Utah Medicaid). Waivers are operated with DHHS divisions such as Aging and Adult Services and Services for People with Disabilities (DSPD). before you act.

You take the bravo. We take the work.

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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