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The essential guide to EVV compliance in Pennsylvania

13-page guide covering what home care and home health providers need to know
Download the complete guide
Pennsylvania EVV Guide mockup on computer screen

The essential guide to EVV compliance in Pennsylvania

13-page guide covering what home care and home health providers need to know
Download the complete guide

Pennsylvania EVV compliance: frequently asked questions

What is the PA DHS 85% EVV auto-verification mandate?

The Pennsylvania Department of Human Services (DHS) requires home care agencies to maintain an auto-verification rate of at least 85%. This means the vast majority of visits must be captured accurately via your EVV system without manual edits. If your manual edit rate exceeds 15% for two consecutive quarters, your agency may be subject to a formal Corrective Action Plan (CAP) and increased audit scrutiny.

How do I ensure my EVV visits are "audit-proof" in Pennsylvania?

To be considered a “clean” visit by the PA DHS Aggregator (Sandata or HHAeXchange), every transmission must perfectly capture six data points: service type, individual receiving care, caregiver identity, date, location, and exact start/stop times. Missing even one of these triggers a “manual exception.” Our guide provides an EVV Best Practices Checklist to help your caregivers capture these points correctly every time, keeping your data clean for state auditors.

How do manual edits affect Pennsylvania home care billing?

While manual edits allow a claim to be submitted to the Sandata or HHAeXchange aggregators, they are a primary trigger for denials and audits. High manual edit rates signal to the state that your data integrity is low. Proactive exception management (cleaning up data errors before they reach the billing stage) is essential for maintaining cash flow and avoiding payment recoupment.

What is the cost of hiring an EVV Compliance Specialist in Pennsylvania?

Without SallySupport, hiring a local, full-time EVV specialist in Pennsylvania typically costs between $42,000 and $60,000 per year, plus significant expenses for benefits and office overhead. With SallySupport, the same role delivered remotely costs $1,700/month flat, saving potentially 50‑60% or more monthly, with the added advantage of pre‑training and no need for many overhead line items.
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How SallySupport can help you

For many agencies, EVV compliance becomes a full-time responsibility before it becomes a full-time hire.
Here's how we make your life easier.

Remote EVV Specialists

SallySupport helps home care agencies stay compliant by providing professionals who integrate directly into your back-office operations to support EVV compliance.

Ongoing compliance support

We handle EVV monitoring, exception management, and reporting so your team stays focused on care delivery, not system admin.

Administrative Assistant wearing a headset

Pre-trained EVV expertise

All specialists are trained in EVV systems, home care workflows, and compliance requirements before they join your operations.

Flexible hybrid model

Use EVV support as a full-time function or blend it with general admin tasks like scheduling, billing support, or data cleanup for a more efficient staffing model.

Ready to get EVV compliance under control?

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EVV Specialist