“Can one vendor own the entire operating system — EVV, scheduling, payroll, payments, MCO connectivity — for Medicaid home and community-based services in the US?”
Founded 2008 as a New York-focused homecare scheduling and billing platform, HHAeXchange grew into the dominant EVV (Electronic Visit Verification) aggregator for state Medicaid HCBS programs after the 21st Century Cures Act mandated EVV nationwide. It has expanded from pure EVV/billing into a full homecare operating system — layering in payroll, private-pay processing, caregiver mobile, MCO network management, and a Partner Connect marketplace covering EWA (DailyPay), background checks, and health benefits. Strategy is now vertical-stack consolidation via M&A (Annkissam, Sandata, Cashe) plus embedded finance (payroll + private pay).
HHAeXchange processes payments through HHAeXchange Private Payment Processing (self-operated). Disclosed money-movement rails: ACH.
HHAeXchange's payroll is powered by HHAeXchange Payroll (self-operated).
The Embedded Finance Index 2026 maps 4 layers in HHAeXchange's stack: Payments / PSP (HHAeXchange Private Payment Processing (self-operated)); Money movement (ACH); Payroll (HHAeXchange Payroll (self-operated)); Tax (HHAeXchange Payroll Tax (self-operated)).
HHAeXchange is founded in 2008 and headquartered in New York, New York, United States.
HHAeXchange's acquisitions include Sandata Technologies (2024), Cashe Software (2024) and Annkissam (2023).
Get a read on where your own stack stands against HHAeXchange and the rest of its category — what they built versus bought, which providers they use, and where the gaps in your own strategy and competitive set actually are.