Certifications & Compliance
Live, certified and
built to protect every record
What AgilaCare is certified for, the standards it follows, and how it protects the health information our providers trust it with.
Certified · Sandata
PA DHS Alternate EVV
Electronic Visit Verification · in production
Certified software
PA PROMISe EDI
837P · 270/271 Batch · 270/271 Interactive
HIPAA
X12 5010 Transactions
Claims · Eligibility · Remittance
EVV — Electronic Visit Verification
Certified EVV with the Sandata aggregator
Every visit a caregiver clocks on the AgilaCare mobile app — GPS time in and time out, the Individual's confirmation and signature — reaches Pennsylvania DHS through Sandata automatically, with every office correction recorded and attested.
- Clients and employees kept in sync
- Visits sent with GPS and verification
- Changes carry reason and resolution codes
Pennsylvania DHS — Alternate EVV
Electronic Visit Verification · Sandata aggregator · Production
Certified
| Record | Status |
|---|---|
| ClientsIndividual records | Certified |
| EmployeesCaregiver records | Certified |
| VisitsMobile GPS clock-in and clock-out | Certified |
| Visit changesOffice entries, adjusted times, exception acknowledgement, omit from billing | Certified |
Other states: Sandata is the EVV aggregator for many state Medicaid programs. AgilaCare uses the same integration for each new state, with that state’s own certification.
EDI — Claims & Eligibility
Certified EDI with Pennsylvania Medical Assistance
AgilaCare sends claims and checks eligibility directly with PROMISe™, Pennsylvania's Medicaid system, using standard X12 5010 files — no separate clearinghouse software needed.
- 837P claims built from verified visits
- 270/271 eligibility, batch and real time
- 835 remittance posted to each claim
Pennsylvania Medical Assistance Program — PROMISe
EDI Certification · Pennsylvania Department of Human Services
Certified
| Transaction | Status |
|---|---|
| 837 ProfessionalHealth care claims (ASC X12 005010X222A1) | Certified |
| 270/271 BatchEligibility inquiry and response, batch | Certified |
| 270/271 InteractiveEligibility inquiry and response, real time | Certified |
| 835 Remittance (ERA)Electronic remittance advice — posted automatically to each claim | Supported · each provider enrolls for ERA |
For providers: AgilaCare is certified software. Each agency uses its own PROMISe Production submitter account and connects it inside AgilaCare in a few steps — claims and payments always stay under the provider’s own registration.
Security — HIPAA & BAA
Built for HIPAA, on infrastructure under signed BAAs
AgilaCare keeps every provider's protected health information on Amazon Web Services and sends system e-mail through Google Workspace — both under signed Business Associate Agreements — and signs a BAA with every provider it serves.
- Encrypted at rest and in transit
- Multi-factor sign-in and role-based access
- Every change kept in an audit trail
Protected health information
Built for HIPAA · Business Associate Agreements executed
In place
| Safeguard | Status |
|---|---|
| Amazon Web Services — BAAHosting, database and documents (HIPAA eligible services) | Executed |
| Google Workspace — BAASystem e-mail | Executed |
| Provider BAASigned with every provider before go-live | Signed |
| EncryptionAt rest and in transit | In place |
| AccessMulti-factor sign-in, role-based permissions, audit trail | In place |
For providers: AgilaCare acts as your business associate. Your BAA is signed before any of your data enters the system.
Standards we follow
Built to the rules, not around them
HIPAA transactions
ASC X12 version 5010 for claims, eligibility, acknowledgements (999, TA1, 277CA) and remittance (835).
Electronic Visit Verification
Visit data captured as the 21st Century Cures Act requires — who, what service, where, date, start and end. Certified for Pennsylvania DHS Alternate EVV (Sandata aggregator).
State documentation
Daily Notes, incident reports and service records printed in the format Pennsylvania programs expect, with every version kept.
Security & HIPAA
Built for HIPAA. PHI protected.
AgilaCare is built for HIPAA and protects every provider’s protected health information (PHI) — on the web and on the mobile app.
Our commitments
Staying certified
Re-certified before it changes
Any change to a certified transaction is reported to the state's EDI Helpdesk and certified again before providers receive it.
Honest about status
This page lists only what has passed certification. New certifications are added here the day they are granted.
Together, we build brighter futures.
Now accepting early-access providers in Pennsylvania.