Home Health and Personal Care Services

Beginning Wednesday, November 1, 2023, Carolina Complete Health will allow Providers to edit rates in HHAeXchange.  All claims billed to Carolina Complete Health will be billed at the current rate set by the health plan, and claims are paid according to your contracted rate with Carolina Complete Health. If the rate in HHAeXchange does not match your contracted rate, then you can manually update the rate. Refer to the Rate Management Job Aid for instructions and details.

Moving forward, your Agency is responsible for managing the rate (including any contractual updates) if the rate is updated.

**If additional offices are linked with Carolina Complete Health in the future, rates will default to $0 and must be updated by your agency prior to billing.

Note: EDI Providers must coordinate with their EVV Vendor to ensure rates are being sent. Once confirmed, open a ticket with EDI Support to request your configurations be updated. 

For further information concerning the contents of this notification, please open a ticket with HHAeXchange Customer Support.

Please Note: Claims including Home Health (HH) services and supplies must be split. HH services must be billed through EVV, while HH supplies should be billed directly to Carolina Complete Health. If providers submit a claim including HH services and supplies, the claim will deny.

View our Home Health Provider Guide for more information

HHAeXchange is the premiere Homecare Management Software company for the Medicaid LTSS population. They are the leaders in connecting payers and homecare agencies to enable more collaboration, communication, and workflow efficiencies. Through the use of the HHAeXchange portal, their goal is to make working with Carolina Complete Health easy and efficient.

How HHAeXchange Helps the PHP Meet the Cures Act Mandate​

• Industry-leading scheduling and billing platform for back-office users and EVV confirmations​
• Easy-to-use point-of-care visit confirmation tools for caregivers

What does the HHAeXchange Portal provide to homecare agencies?

• Electronic case placement and authorization transfer
• Efficient schedule and visit management
• Free EVV solution for time & attendance and duty tracking
• Electronic billing

Your agency will receive login credentials for the HHAX Learning Management System when your portal is created.  Your team should use the LMS to review videos, documents, and test questions to ensure an understanding of the HHAeXchange Provider Portal.  Access the LMS system.

*Login credentials were emailed to the user who completed the portal creation survey.  Please submit a ticket via the HHA support portal with any questions regarding credentials.

The HHAeXchange provider information center outlines necessary requirements to set up access to the HHAeXchange system. If your agency does not have a portal with HHAeXchange, please complete the Provider Portal survey.

HHAeXchange offers EVV solutions at no cost to providers and data integration options for providers who already have EVV software. Based on your provider set up, below are the options available with HHAeXchange:

• Option 1 – Agencies currently without an EVV Solution: use the free EVV tools provided by HHAeXchange & Carolina Complete Health
• Option 2 – Agencies currently using another 3rd Party EVV Solution: use your existing EVV system and import visit data into HHAeXchange – HHA will route visit data to Carolina Complete Health
• Option 3 – Existing providers that currently utilize the HHAeXchange provider platform will be linked with the new service codes in scope

Have Questions?

If you have questions or need help, please feel free to contact your Carolina Complete Health provider representative at 833-552-3876 or email networkrelations@cch-network.com.

For questions or help with HHAX, please email HHAeXchange at ncsupport@HHAeXchange.com or visit us online.

Optimize Customer Support Experience:  To best support our customers, HHAeXchange highly encourages users to submit requests via the Client Support Portal. The Client Support Portal is the fastest method for us to answer and address issues. Through a simple set of questions and selections, we can easily determine assignment and answer questions directly online without waiting.

For more information, please refer to the Client Support Portal Job Aid (PDF) for step-by-step instructions and videos on how to

• Register for a Client Support Portal account
• Submit a support request
• Manage existing requests

Phone: 866-242-2465

Provider Portal Resource Page:

• Access from Provider Portal Support Center

Training Links:

• PHP Pre-Go Live Webinar
• Billing Refresher Training

HHAeXchange North Carolina Resoures Page

• HHAeXchange Provider Support Portal
• HHAeXchange Client Support Portal Job Aid
• Provider Managed Billing Diagnosis Codes Job Aid

The soft launch pay and report period for the implementation of EVV for HHCS began April 1, 2023. NC Medicaid has closely monitored provider adoption and readiness for the hard launch. Since provider adoption has been low and to give providers additional time to prepare for hard launch, the soft launch has been extended through Sept 30, 2023. During the extended soft launch timeframe:

• HHCS providers are expected to submit EVV information
• The EVV program will operate as “Pay and Report”
• Claims will not pend based on failed validation. If a claim fails validation, a report will be generated noting the validation issue and the provider will be allowed to receive payment.

Hard launch will begin Oct. 1, 2023. On this date:

• All HHCS providers are expected to be fully compliant with EVV requirements
• EVV data must be validated prior to claims adjudication
• Claims without the required EVV criteria will deny

To prepare for this hard launch, HHCS providers are expected to use EVV effective immediately for home health visits. To ensure that the provider community complies with this mandate, Carolina Complete Health partners with HHAeXchange as its EVV solution.

For additional information you may view the latest Medicaid Bulletin issued on the EVV Requirement for Home Health Care Services

Electronic Visit Verification Required for Home Health Care Services

Read the NC DHHS Blog for more information.

Do you have a Carolina Complete Health member who is in need of initial PCS?

1. The CCH Personal Care Services Request "3051" Form is to be completed by member's primary care provider or attending physician. This can be found on the Manuals, Forms, and Guides page.
2. Fax the 3051 form to Carolina Complete Health Care Management: 1-833-706-0238
3. Once this form is received a face to face visit will be scheduled within 30 days by CCH Care Manager
4. After assessment is completed and start of care date is determined, an authorization will be created by CCH and will be shared with the agency. This document will include purchased tasks to be completed by PCS attendant. Agencies will receive the authorization via fax and can also view on the CCH Secure Provider Portal.

This recorded session provides an overview on how to request PCS services, the assessment and authorization process, working with the EVV Vendor, plus Q&A!

• View the Recording
• Slide Deck (PDF)
• Q&A (PDF)