CertifyMed integrates with state EVV aggregators to pull confirmed visit data and reconcile it against service authorizations, unit balances, and service-plan interventions. It consumes aggregator data under the 21st Century Cures Act mandate. It does not replace your state EVV aggregator. Aggregator integration is in active development.
Pull Verified Visit Data From Your State Aggregator
Rather than building a parallel EVV capture system, CertifyMed connects to the aggregator your state already mandates and works with the verified data it produces. Adapters for Sandata, HHAeXchange, and Tellus/Netsmart are in active development.
Match Every Visit to an Authorization. Surface Every Gap.
Once aggregator data is imported, CertifyMed reconciles each verified visit against the active service authorization, decrements the unit balance, and flags mismatches for review before they become billing denials.
Frequently asked questions
Does CertifyMed replace my EVV vendor?+
No. CertifyMed integrates with your state EVV aggregator and consumes the verified visit data it produces. It does not replace Sandata, HHAeXchange, Tellus/Netsmart, or any other state-mandated aggregator. Your providers continue to capture visits through the aggregator; CertifyMed reconciles those confirmed visits against your service authorizations and unit balances.
Which EVV aggregators will CertifyMed integrate with?+
The initial integration roadmap targets the aggregators most common across state Medicaid EVV mandates: Sandata, HHAeXchange, and Tellus/Netsmart. Adapter development is in progress. Contact us to discuss your state program and aggregator.
Does CertifyMed comply with the 21st Century Cures Act EVV requirements?+
CertifyMed is designed to support Cures Act compliance by integrating with compliant state aggregators and reconciling the six required EVV data elements (type of service, individual served, date, location, provider, time) against the service authorization record.
One Platform. Every Module You Need.
Twelve integrated modules that replace scattered tools, spreadsheets, and paper binders - so you can focus on your clients, not your compliance gaps.
Assessments & Screening
InterRAI engine plus 14 validated screening tools. Scored automatically with clinical bands and safety protocols.
Service Planning
Person-centered service plans auto-populated from assessments. CMS 42 CFR §441.725 compliant.
Sessions & Telehealth
Video, audio, chat, in-person consultations with recording, live transcription, and scheduling.
HCBS Settings Compliance
CHCS compliance scoring (0-100) across 6 modules for 90+ setting types.
Incident Reporting
9 categories, 34 subcategories, automated severity scoring, and 5-stage investigation workflow.
Workforce Compliance
Staff credentials, expiration alerts, payer enrollment, and OIG/SAM exclusion monitoring.
Compliance Dashboard
One view of all compliance areas with priority action items and per-module health cards.
Organization Management
Client registry, team management, roles & permissions, and 10-tab client profiles.
Client Portal
Clients view their own care plan, appointments, and care team with restricted access.
Platform & Security
HIPAA compliant, end-to-end encryption, multi-role architecture, 2FA, and AI integration roadmap.
Service Authorization & Billing
Authorize services in units, track utilization automatically, enforce frequency caps, and keep every change auditable.
Electronic Visit Verification
Integrate with state EVV aggregators and reconcile verified visits against authorizations and units. Cures Act ready.
Assessments & Screening
InterRAI engine plus 14 validated screening tools. Scored automatically with clinical bands and safety protocols.
Service Planning
Person-centered service plans auto-populated from assessments. CMS 42 CFR §441.725 compliant.
Sessions & Telehealth
Video, audio, chat, in-person consultations with recording, live transcription, and scheduling.
HCBS Settings Compliance
CHCS compliance scoring (0-100) across 6 modules for 90+ setting types.
Incident Reporting
9 categories, 34 subcategories, automated severity scoring, and 5-stage investigation workflow.
Workforce Compliance
Staff credentials, expiration alerts, payer enrollment, and OIG/SAM exclusion monitoring.
Compliance Dashboard
One view of all compliance areas with priority action items and per-module health cards.
Organization Management
Client registry, team management, roles & permissions, and 10-tab client profiles.
Client Portal
Clients view their own care plan, appointments, and care team with restricted access.
Platform & Security
HIPAA compliant, end-to-end encryption, multi-role architecture, 2FA, and AI integration roadmap.
Service Authorization & Billing
Authorize services in units, track utilization automatically, enforce frequency caps, and keep every change auditable.
Electronic Visit Verification
Integrate with state EVV aggregators and reconcile verified visits against authorizations and units. Cures Act ready.
Walk into your next survey ready.
See how state agencies, MCOs, and provider networks run assessment, care planning, and continuous compliance on one platform.