Medicaid EVV + agency management + MCO billing — the dominant Medicaid-focused homecare platform
Software · All In One
G2
Medicaid-focused homecare platform — EVV, agency management, billing, and MCO/payer connectivity. The dominant platform for Medicaid personal-care and home-health agencies in states where it is the contracted EVV aggregator.
Comprehensive feature list for this software, including capabilities in clinical documentation, billing, and workforce management.
HHAeXchange pricing is custom and tied to caregiver/visit volume. Some states absorb a portion of HHX cost as part of state EVV aggregator deals, but agencies still typically pay platform fees for non-EVV modules (scheduling, billing, RCM, clinical forms). Practical RFP questions: (1) what does my state's EVV aggregator agreement cover vs. what I pay separately, (2) are MCO connections included or per-payer add-ons, (3) what does the RCM service charge, (4) what are the integration fees if I'm coming from a different platform.
HHX implementations are payer-driven as much as vendor-driven — state Medicaid offices and MCOs are part of the project plan, not just optional integrations. Timelines depend on state aggregator status, payer onboarding cadence, and how many MCOs you bill. Plan for: payer credentialing, EVV aggregator enrollment, caregiver mobile app rollout, scheduling/billing migration, and a parallel-run period.
Support is the most consistent weak point in independent reviews — response times, ticket triage, and depth-of-fix are recurring complaints. The flip side: when payer-side issues arise (claim rejections, MCO connection bugs), HHX is one of the few vendors that can engage the payer directly. Confirm SLAs, dedicated account management, and escalation paths in writing. Reference-check with agencies in your specific state and MCO mix.
HHAeXchange connects with the following tools and platforms:
Care settings and agency models HHAeXchange sells into.
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Editorial last reviewed: 2026-04-30
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