EVV-ready home care software, built in Texas

Not yet. Atlas captures GPS-verified visit records on every shift today, and Texas EVV aggregator integration is in active development. Contact us for current timelines.

Texas Medicaid billing is in active development. Today Atlas is built for private pay billing. If Medicaid is part of your plan, reach out — we're building these workflows with Texas agencies now.

Yes. Atlas Care Software is built in Texas and serves home care agencies across the state, expanding nationally.

Texas HHSC requires EVV for personal care services delivered through STAR+PLUS Medicaid managed care, STAR Kids, Community First Choice (CFC), Primary Home Care (PHC), Community Attendant Services (CAS), and fee-for-service Medicaid personal care. Both traditional fee-for-service and managed care organizations — including Amerigroup, Molina, UnitedHealthcare Community Plan, Aetna Better Health, and BCBS of Texas — are subject to the EVV requirement. Every covered visit for a Medicaid-enrolled client in any of these programs must be electronically verified.

HHAeXchange plays two distinct roles in Texas. First, it is the state-required EVV aggregator: Texas HHSC selected HHAeXchange as the Electronic Visit Verification Aggregator (EVVA) for all Medicaid personal care services. All EVV data — regardless of which system your agency uses to capture visits — must transmit to HHAeXchange. Second, HHAeXchange is also a commercial scheduling and billing software product. You are not required to use HHAeXchange as your agency management software — only to route Medicaid visit data through the aggregator portal. Atlas is building direct HHAeXchange aggregator integration; contact us for current timelines.

An EVV exception is a visit record flagged because it is incomplete or doesn't match the authorized service — common causes include a missed clock-out, a GPS location that didn't capture, or a service time outside the scheduled window. For Medicaid-billed visits, unresolved exceptions mean the visit cannot be paid and can accumulate into a billing shortfall. During an HHSC survey, a pattern of unresolved exceptions is a deficiency finding. Texas agencies are expected to work their exception queue weekly, document the resolution or explanation for each exception, and maintain exception logs ready for surveyor review.

Yes, and the protection is meaningful. Private pay agencies are not subject to the federal or Texas Medicaid EVV mandate — the requirement covers only Medicaid-funded personal care services. But GPS-verified clock in and clock out for every private pay visit creates a tamper-evident, time-and-location-stamped record identical to what Medicaid agencies rely on. When a family disputes a visit, questions billing accuracy, or files a complaint with HHSC, a GPS-verified record of caregiver arrival, location, and departure is far stronger evidence than a paper timesheet.