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States · Vermont

Vermont EVV and Medicaid home care, in plain words.

Vermont Medicaid is run by DVHA, and long-term care programs like Choices for Care are run by DAIL. The state gives agencies a free EVV system. Home health agencies can use their own approved system if it sends data to the state’s system.

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Vermont at a glance

EVV, Medicaid and billing in Vermont.

Medicaid agencyDepartment of Vermont Health Access (DVHA) runs Vermont Medicaid. In-home long-term care programs are operated by the Department of Disabilities, Aging and Independent Living (DAIL).
EVV modelState-sponsored EVV system (Sandata). Home health agencies may use an approved alternate EVV system that connects to the state system.
State EVV systemSandata (state-sponsored EVV solution; Gainwell captures EVV data in the Vermont Medicaid system)
Your own EVV vendor allowed?Yes for home health agencies, with an approved third-party system that meets Vermont’s alternate EVV technical specifications and passes Sandata credentialing/testing. For personal care agencies, not stated; confirm with DVHA.
Services that need EVVPhase I personal care services (from 2021). Phase II home health: skilled nursing, PT, OT, speech therapy and home health aide (from Jan 1, 2023). Not required for high-tech nursing, children’s palliative care, hospice, DME and supplies.
Where you billVermont Medicaid MMIS (Gainwell) and its provider portal.

Dates that matter: Personal care EVV system in place Jan 1, 2021. Home health recoupment of paid claims began March 2022 (per DVHA). EVV required for home health Jan 1, 2023.

Licensing: Home health agencies are licensed through DAIL’s Division of Licensing and Protection.

Managed care: No private MCOs. Vermont runs Medicaid under the Global Commitment to Health 1115 waiver with DVHA as a public managed care entity; agencies bill Vermont Medicaid directly.

Programs that pay for care at home

Vermont EVV, from the state

Same rules, same tangle

In Vermont, 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, Vermont 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 Vermont

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

Do I have to use Vermont’s EVV system?

Home health agencies can use the state’s system or an approved alternate system that connects to it. The alternate system must meet Vermont’s technical specifications and pass testing. If you provide personal care, ask DVHA whether an alternate system is allowed for you.

Which home health services need EVV?

Skilled nursing, physical therapy, occupational therapy, speech therapy and home health aide visits all need EVV in Vermont. High-tech nursing, children’s palliative care, hospice, and medical equipment and supplies do not. Personal care has needed EVV since the state system started in 2021.

Is there a health plan between me and Vermont Medicaid?

No. Vermont does not use private managed care companies for Medicaid. The state health access department acts as the plan under Vermont’s Global Commitment waiver, and you bill Vermont Medicaid directly. Approvals for Choices for Care services come through the state’s long-term care process, not a health plan.

Sources for this guide

Checked 28 Oct 2026. State rules change. Confirm with the Department of Vermont Health Access (DVHA) runs Vermont Medicaid. In-home long-term care programs are operated by the Department of Disabilities, Aging and Independent Living (DAIL). 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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