State Payers
Increase oversight and accountability with solutions designed for State Medicaid Programs
- EVV – supports end-to-end Electronic Visit Verification, including data aggregation and claims validation (enables compliance with the 21st Century Cures Act)
- Automates manual and time-consuming care coordination processes and decreases the time required to connect providers and patients.
- Provides visibility into program data, increases accountability, and improves performance and patient care.
More Advantages Right From the Start
Easier compliance
by partnering with the team that invented EVV and has more successful implementations than anyone in the industry – we know what project success requires.
Gain efficiencies
by eliminating the need for manual processes, decreasing the time to first provider visit, and allowing real-time collaboration with providers.
Improve visibility and oversight
by improving accountability and providing robust data and analytics to inform financial decisions and improve patient care.
Software Solutions for State Medicaid Programs
How much time is spent on tedious manual processes? How much time are you spending monitoring program integrity? Are you able to easily validate provider claims against EVV data before payment? How quickly are you able to assign the right providers to care for your members? Do you have program data that provides transparency into your operations to make informed business and care decisions? Having a comprehensive software solution that connects you and your providers will save you time, meet regulatory and compliance challenges, and ensure that every dollar is spent providing quality care to members.
More Ready. More Set. More Go.
For over 40 years we have been working with Medicaid payers and providers. We invented Electronic Visit Verification (EVV) and have implemented more Medicaid programs than anyone else. Our experience with both payers and providers allows us to uniquely understand the organizational needs of both so that they can work better together to meet the needs of your members.
Making it Easier From Day One
Sandata’s software and services are designed to make it as simple as possible for payers and providers to work together, achieving operational efficiencies and increasing compliance, while also ensuring patients receive the highest quality of care possible by streamlining internal processes and software systems.
Step 1
Work with the Sandata team to design the right solution for your organization.
Step 2
Deploy the Sandata solution and train with our experienced team.
Step 3
Enjoy the easier process of payers and providers working together.
Here’s How it Works for Medicaid Programs
Medicaid programs are facing many challenges: the complexities of federal mandates, shrinking budgets and increased costs, and the growing number of value-based care initiatives. While we cannot take the challenges away, we can make it easier for states to navigate them. With Sandata’s comprehensive software solutions, you can integrate systems and streamline workflows, reducing the friction between you and your providers. Our solutions have helped 18 states and more than 50 MCOs improve processes, manage costs, and provide program analytics to understand and fix these challenges.
Sandata Launches Claims Gateway, Fulfills CMS Requirements for Ensuring Supporting EVV Data Exists for Claims
Sandata is pleased to announce Claims Gateway, a market-leading invoice submission product for payers. Claims Gateway fulfills Centers for Medicare & Medicaid Services (CMS) requirements for proactively ensuring that supporting Electronic...
Sandata Launches Face and Fingerprint Identification
Sandata is pleased to announce face and fingerprint identification as a new feature in its Sandata Mobile Connect® (SMC) app, used by its home care provider network. This update allows users to more easily log into SMC securely. Ken Faltischek, Chief Operating...
Sandata Announces Emmet O’Gara as New Chief Executive Officer
Sandata is pleased to announce the appointment of Emmet O’Gara as the organization’s next Chief Executive Officer. Mr. O’Gara brings more than 25 years of experience in the healthcare payer, provider, and employer markets. Most recently, O’Gara served as Executive...
Sandata EVV State Medicaid Programs
Our solutions service both State Medicaid Agencies as well as MCOs. Sandata has been providing payer EVV solutions for over 12 years and provider EVV solutions for over 25 years. Sandata is the only vendor with Aggregator in production in a statewide Medicaid environment, and the only EVV solution with CMS certification.
Arizona Health Care Cost Containment System
California Department of Health Care Services
California Department of Social Services
California Department of Health
California Department of Aging
California Department of Developmental Services
Colorado Department of Health Care Policy & Financing
Connecticut Department of Developmental Services
Connecticut Department of Social Services
Delaware Division of Medicaid and Medical Assistance
District of Columbia Department of Health Care Finance
Illinois Department of Human Services
Maine Department of Health and Human Services
Missouri Department of Social Services
North Carolina Department of Health and Human Services
North Dakota Department of Human Services
Pennsylvania Department of Human Services
Rhode Island Executive Office of Health and Human Services
Tennessee Department of Intellectual and Developmental Disabilities
For every state Medicaid director whose program leaders are short on staff, short on resources, and short on patience.
Sandata’s home care and I/DD agency management solutions are unrelated to any state-provided EVV solution and not a requirement of the state.
