Home care agencies are often told that partnering with a specific aggregator is the only way to remain compliant and receive Medicaid or Managed Care Organization (MCO) payments. While this may seem like the only path forward, the truth is much more empowering. Agencies have more options—ones that offer greater efficiency, fewer errors, and faster payments.
Instead of relying solely on an aggregator, agencies can leverage advanced home care software that not only ensures compliance but also streamlines daily operations. The right technology puts you in control, providing peace of mind and stability for your agency’s financial and operational success.
Understanding Aggregators: What They Do (And Don’t Do)
Aggregators serve as a state-mandated clearinghouse, collecting and transmitting Electronic Visit Verification (EVV) data to Medicaid for reimbursement. They play an essential role in data processing but have significant limitations when it comes to supporting agencies in their broader operational needs.
Dispelling Common Myths About Aggregators
🔹 Myth #1: "I Have to Use the Aggregator’s System Exclusively"
✅ Reality: While a specific aggregator may be required in your state, you are NOT required to use its software for managing EVV, billing, or compliance. Agencies can integrate a more robust home care solution—like CareTime—while still meeting state mandates seamlessly.
🔹 Myth #2: "The Aggregator Ensures My Agency is Always Compliant"
✅ Reality: Aggregators only collect and transmit data; they do not proactively prevent errors or compliance issues. With the right software, agencies receive real-time compliance monitoring and automated updates to stay ahead of regulatory changes.
🔹 Myth #3: "The Aggregator’s Support Will Help Resolve My Issues Quickly"
✅ Reality: Many agencies report slow response times and minimal support from aggregators, often resulting in billing delays. A third-party home care software solution offers dedicated customer support, ensuring agencies get immediate assistance when needed.
Why Smart Agencies Use More Than Just an Aggregator
Aggregators do their job, but they leave agencies to handle everything else—comprehensive scheduling and accurate billing, compliance tracking, and error resolution—on their own. This often leads to inefficiencies, lost revenue, and frustration.
By integrating a home care management solution with an aggregator, agencies can:
✔ Stay Ahead of Compliance – Automated compliance updates ensure agencies always meet evolving state requirements.
✔ Reduce Errors Before Submission – Real-time error detection catches issues before claims are sent, reducing denials and delays.
✔ Ensure Seamless EVV Data Transfer – Proper formatting and validation mean fewer rejected claims and faster payments.
✔ Access Reliable Support – Unlike aggregators, third-party software provides 24/7 assistance to help agencies stay on track.
✔ Automate Billing & Scheduling – A unified system streamlines operations, saving time and reducing administrative burdens.
The Bottom Line: Confidence, Control, and Faster Payments
While aggregators are necessary for Medicaid reimbursement, they should not be the only tool your agency relies on. Pairing an aggregator with a robust home care software solution ensures your agency remains compliant, gets paid faster, and operates more efficiently—all with greater confidence and peace of mind.
If your agency is tired of inefficiencies and delayed payments, it's time to take control.
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