Managed Care Organizations
Drive Better Care— Efficiently and Effectively
HHAeXchange brings state Medicaid programs, Managed Care Organizations (MCOs), providers, and caregivers together to improve home and community-based services (HCBS).
We overcome barriers created by disparate, outdated technology with a single platform that seamlessly connects the caregiving ecosystem. With decades of experience serving Medicaid HCBS populations, our national scale and ongoing investment best position us to deliver transformative technology to meet growing market needs. Our technology provides tools to drive better performance and outcomes.
Collaborate more effectively with provider agencies and streamline your operations. HHAeXchange connects your network, aggregating visit data from any EVV source—supporting efficiency, compliance, and stronger relationships across your network.
Tap into real-time analytics to monitor performance, spot emerging trends, and flag potential fraud, waste, and abuse (FWA) issues. Our dashboards are built to identify issues before payments go out—enhancing audit readiness and payment integrity.
Strengthen care coordination and improve member outcomes through greater transparency. With HHAeXchange you can leverage caregivers’ in-home visits to detect changes in condition and coordinate interventions that support member health.
Turn existing data into actionable insights with dashboards built specifically for homecare teams. Organize data by key operational areas — including CMS KPIs, EVV, authorizations, and more — so you can focus on the metrics that matter most.
Simplify compliance and streamline operations with integrated EVV and compliance tools. Transition from paper-based processes to automated workflows that connect caregivers, agencies, and payers in one seamless system.
Our solution leverages an enhanced claims matching and editing process to validate homecare claims against EVV data before those claims are adjudicated, significantly reducing the need for subsequent recovery expenses. Say goodbye to “pay and chase.”
$38B
ANnualPayments
2.5M
MembersServiced
485M
Annual VisitConfirmations
We have always found HHAeXchange to be a true strategic partner, essentially, an extension of our team. We know we can lean on them for expertise and guidance, so looking at an HHAeXchange solution to help us further streamline and automate our member placement processes was a natural choice.
Robert Orlando
VP Software Engineering and Product Development, VNS Health
HHAeXchange supports 21st Century Cures Act compliance, adheres to HITRUST CSF standards, and works with states to align its solutions with state-specific Medicaid rules.
HThe platform supports several types of home and community-based services (HCBS) including Personal Care Services (PCS), Home Health Care Services (HHCS), and self-directed services (direct care workers).
EVV (Electronic Visit Verification) data is used as the foundation for identifying irregularities — e.g. overlapping visits, visits outside of clock-in geofence, or services performed outside authorized schedules. This data, combined with other sources (claims, authorizations), is used to flag anomalies for review.
Through its integrated tools and data-driven workflows, HHAeXchange can captures data directly from caregivers during in-home visits — including member wellbeing, changes in condition, and quality measure responses. This real-time data feeds into dashboards and alerts, giving payers and providers continuous visibility into outcomes at the member, cohort, and population levels.
Implementation involves stakeholder engagement, discovery process, training, data integration, setup of reporting, and oversight. Timelines vary based on payer complexity.
Let’s work together to achieve superior results for members, providers, and your organization.
See More Resources