Build an EVV Compliance Technology Vendor for ABA and Home-Based Care

1. 1

   Understand the EVV mandate

   Electronic Visit Verification captures where and when a home-based service actually happened: the caregiver checks in and out, and the system verifies time, location, and service. State Medicaid programs increasingly require it for home-based services, including in-home ABA, to prevent billing for visits that did not occur. Every affected provider must use a compliant tool, which creates a regulation-driven, largely captive market. Learn exactly which services and states mandate it before you build.

2. 2

   Build to state-specific compliance

   EVV requirements vary by state, and some states mandate a specific aggregator or data model providers must feed. Build verification that meets the technical and data requirements of your target states, and be ready for the state-by-state complexity that is the real barrier and the real moat. A tool that is not accepted by the state's system is worthless, so compliance is the product, not a feature.

3. 3

   Make it work for real field conditions

   In-home ABA happens in homes, schools, and community settings, sometimes with poor connectivity, so verification must handle offline check-ins, GPS edge cases, and technicians who are not technical. Design for the RBT in the field, not the office. A clunky EVV tool that technicians fight becomes a compliance liability for the provider, so usability directly determines adoption.

4. 4

   Integrate with practice management and billing

   EVV data must flow into scheduling, documentation, and billing so verified visits become clean claims. Integration with the practice-management and billing systems ABA providers already use raises your value and stickiness. Being the verification layer that makes the rest of a provider's stack compliant is a stronger position than being a standalone app.

5. 5

   Sell to providers who must comply and scale by state

   Your buyers are home-based ABA and personal-care providers facing a mandate, so sell on compliance and audit protection, priced as recurring SaaS per provider or per caregiver. Expand state by state as you achieve compliance in each, because each new compliant state opens a new captive market. Keep pace with changing mandates, since the regulation is the demand.

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Best for: Healthcare software builders who can navigate state-by-state Medicaid compliance

Not for: Anyone unwilling to meet state-specific, evolving compliance requirements, since EVV is defined by them. It is also not for someone who cannot ensure reliable, defensible verification. This is general business information, not compliance or legal advice.