Third-Party EVV Vendor Intake

EVV vendors are required to complete this intake form in order to initiate integration activities with CareBridge.


EVV vendors should review the state specific Integration Guide and Technical Specifications for instructions on obtaining credentials for our testing and production environments: http://evvintegration.carebridgehealth.com/

 

This form is to be completed by EVV vendors only.

If you expect to be working with CareBridge, you will need to contact your EVV Vendor and ask that they fill out this form to initiate the process. CareBridge cannot use responses provided by provider agencies. If you are a provider agency that will be establishing an SFTP integration and submitting data directly to CareBridge rather than your EVV Vendor submitting data on your behalf please select EVV Vendor.