HHAeXchange

HHAeXchange is a technology platform for home care agency management, electronic visit verification data collection and payer connectivity, widely used in the Medicaid home and community-based services market in the United States. The company connects state Medicaid agencies, managed care organisations, home care providers and caregivers through a shared platform, helping them coordinate authorisations, visits, billing and compliance. The problem HHAeXchange addresses is the administrative complexity of home care funded by public programmes, where providers must meet electronic visit verification mandates, follow payer-specific billing rules and exchange data with multiple organisations. Its approach combines provider management software with a payer-facing portal, enabling authorisations to flow directly to agencies and verified visit data to flow back to payers. This connected model is intended to reduce claim denials, improve programme oversight and simplify operations for all participants.

Key capabilities include patient intake, caregiver management and scheduling, mobile electronic visit verification using a caregiver app, telephony or other methods, and billing and claims management that validates visits against authorisations before submission. Compliance tools track caregiver credentials, training and medical requirements, while communication features support coordination between agencies and payers. Payer solutions provide managed care organisations and state agencies with provider network management, authorisation management and aggregated visit verification data, supporting programme integrity and reporting. Analytics provide insight into service delivery, utilisation and performance. HHAeXchange also supports aggregator functionality for states that allow providers to use third-party visit verification systems. The platform is cloud-based and designed to meet healthcare data security requirements. It serves home care agencies, personal care providers, managed long-term care plans, Medicaid managed care organisations and state Medicaid programmes, with a particular presence in states such as New York, New Jersey and Florida. Pricing starts from around USD 375; there is no free trial and no permanently free version.