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States · Washington

Washington EVV and Medicaid home care, in plain words.

In Washington, HCA runs Medicaid and DSHS runs in-home personal care programs like Community First Choice and COPES. Agencies choose their own EVV system and send the visit details on each claim to ProviderOne.

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Washington at a glance

EVV, Medicaid and billing in Washington.

Medicaid agencyWashington State Health Care Authority (HCA) runs Apple Health (Medicaid) and ProviderOne. In-home personal care programs are run by the Department of Social and Health Services (DSHS), Aging and Long-Term Support Administration (ALTSA), and the Developmental Disabilities Administration (DDA).
EVV modelProvider choice. Home care agencies use their own EVV system; individual providers employed by the Consumer Directed Employer use the state’s separate system. Home health agencies also use their own systems (HCA does not recommend one).
State EVV systemProviderOne, which DSHS calls ’Washington’s data aggregator.’ EVV data elements are sent on claims to ProviderOne.
Your own EVV vendor allowed?Yes. Agencies procure their own EVV system and submit the required EVV data on claims (837 or ProviderOne portal). Caregivers must be rostered to the agency in ProviderOne.
Services that need EVVIn-home personal care and respite (DSHS programs); home health care services (HCA).
Where you billProviderOne (HCA’s Medicaid management system) for DSHS personal care claims; MCO systems for managed care home health.

Dates that matter: Personal care EVV in effect Jan 1, 2021 (Management Bulletin H21-041). Home health: ProviderOne accepted EVV data from July 1, 2023; required for services on or after Jan 1, 2024, with a technical assistance period before denials (no denial date published in the FAQ).

Licensing: In-Home Services Agency license from the Washington State Department of Health, with the home care services category for non-medical personal care. Home care aides need state training and certification.

Managed care: Personal care is paid by DSHS through ProviderOne, not through Apple Health managed care plans (verify). Home health for managed care members is billed to the member’s Apple Health plan.

Programs that pay for care at home

Same rules, same tangle

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

The caregiver taps in. The visit goes to ProviderOne. 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, Washington 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 Washington

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

How does my EVV data get to the state?

You send it on the claim. Washington uses ProviderOne as its data aggregator, and each personal care or home health claim must carry the EVV details. Your caregivers must also be on your agency roster in ProviderOne so their visits can be matched to the claim.

Who approves my client’s personal care hours?

DSHS case managers assess the client at home and set the hours. HCA handles enrollment and payment through ProviderOne. You need both relationships: enrollment with HCA, and a contract with DSHS or the local Area Agency on Aging to serve clients.

Do live-in caregivers have to use EVV?

The live-in exception DSHS describes is for caregivers hired through the state’s Consumer Directed Employer, not agency staff. Agency-employed caregivers should plan to use EVV on every shift. If you employ caregivers who live with their clients, confirm the current rule with DSHS.

What license does a home care agency need?

You need an In-Home Services Agency license from the Washington Department of Health, with the home care category for non-medical personal care. Your aides also need the state’s home care aide training and certification within set timelines, so build that into hiring.

Sources for this guide

Checked 28 Oct 2026. State rules change. Confirm with the Washington State Health Care Authority (HCA) runs Apple Health (Medicaid) and ProviderOne. In-home personal care programs are run by the Department of Social and Health Services (DSHS), Aging and Long-Term Support Administration (ALTSA), and the Developmental Disabilities Administration (DDA). before you act.

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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