Statewise vs CareBridge.Compared for IDD agencies.
CareBridge operates the EVV aggregator that several state Medicaid programs and MCOs mandate - it sits on the payer side. Statewise is the provider-side Medicaid IDD platform that documents the visit, submits EVV to aggregators like CareBridge, and bills the claim end to end.
CareBridge verifies visits for the payer. Statewise runs the provider side end to end.
CareBridge has a real role: the EVV aggregator that several state Medicaid programs and MCOs mandate to verify visits on the payer side. Statewise is the provider-side system - native GPS EVV, waiver documentation, and AI Medicaid billing in one platform - that submits EVV to aggregators like CareBridge where required, then carries the visit through to a reconciled claim at 99.6% clean-claim acceptance.
Statewise and CareBridge, dimension by dimension.
| Statewise | CareBridge | |
|---|---|---|
| What it is | Provider-side Medicaid IDD EHR: EVV, documentation, AI billing | Payer-side EVV aggregator for state Medicaid programs & MCOs |
| Whose tool it is | The agency's system of record for care delivery and billing | The state/MCO's EVV verification and validation layer |
| Relationship | Submits EVV to aggregators, including CareBridge where mandated | Receives and validates EVV; integrates with existing EVV vendors |
| Clinical documentation | Waiver forms, ISPs, service notes, day-services, RN oversight | Not a provider EHR; verification and member-support focused |
| EVV | Native GPS EVV built in; feeds the state aggregator | Cures Act-compliant EVV aggregation; X12 / EDI; visit validation |
| Medicaid billing & claims | Medicaid-native; AI scrubbing; 99.6% clean-claim acceptance | Claims validation on the payer side; not a provider billing system |
| Configurability | Custom forms in ~1 week; state-rule changes shipped in days | Configurable to state and MCO-specific EVV requirements |
| Pricing | From $1,000/mo | Payer/state program; not a provider-purchased subscription |
| Best-fit buyer | IDD agencies wanting one Medicaid system, visit to remittance | States and MCOs running an EVV mandate across providers |
Competitor details from CareBridge published materials (carebridgehealth.com); Statewise figures are first-party. CareBridge is a payer-side EVV aggregator, not a provider EHR - verify current state and MCO requirements directly.
How the two fit together.
What CareBridge does
- State EVV mandate: Operates the aggregator that verifies and validates visits for state Medicaid programs and MCOs.
- Payer side: Sits between providers and payers - agencies submit EVV to it; it isn't an agency's system of record.
When to choose Statewise
- One provider-side Medicaid system: Native EVV, waiver documentation, and billing in one platform - visit to 835.
- Feeds the aggregator: Captures GPS EVV and submits to CareBridge where a state mandates it - no separate entry.
- ROI, not just verification: AI claim scrubbing, 835 reconciliation, and an optional managed billing team.
- Keeps up with the states: New forms in about a week, state-rule changes in days.
What to know about CareBridge.
Role: Operates the EVV aggregator for state Medicaid programs and MCOs (markets include Iowa, New Jersey, North Carolina, Tennessee, Arkansas, Wyoming).
Reported by CareBridge (carebridgehealth.com)Integrations: Cures Act-compliant EVV that integrates with existing EVV solutions and is X12 / EDI compliant.
Reported by CareBridge (carebridgehealth.com)Scope: Payer-side platform combining EVV aggregation with 24/7 member support and decision support - not a provider EHR (100k+ members served).
Reported by CareBridge (carebridgehealth.com)Each point above is paraphrased from the linked third-party source and reflects that source's assessment. Vendors change - verify current details directly.
Built Medicaid-first, from visit to remittance.
The only true end-to-end Medicaid system
Native GPS EVV, waiver documentation, and AI Medicaid billing run in one platform - visit to 835 - and the EVV feeds aggregators like CareBridge where the state mandates it.
Built for provider ROI, not just verification
CareBridge verifies visits for the payer. Statewise turns those visits into clean, reconciled claims - which is how providers reach 99.6% clean-claim acceptance and recover revenue.
Submits to CareBridge, doesn't compete with it
Where a state runs CareBridge as its aggregator, Statewise captures GPS EVV and submits to it automatically - so the mandate is met without a separate data-entry step for staff.
Forms and changes that keep up
New custom forms in about a week, and state-rule changes ship in days. When a state changes its EVV or waiver rules, Statewise keeps up in days, not months.
Questions IDD agencies ask when comparing the two.
Is Statewise better than CareBridge?
They do different jobs. CareBridge is a payer-side EVV aggregator that states and MCOs mandate; Statewise is the provider-side Medicaid IDD platform that documents visits, submits EVV to aggregators like CareBridge, and bills claims. For an IDD agency's own system of record, Statewise is the right tool.
What is the difference between Statewise and CareBridge?
CareBridge operates the EVV aggregator that several state Medicaid programs and MCOs use to verify and validate visits on the payer side. Statewise is a provider-side Medicaid IDD EHR with native GPS EVV, waiver documentation, and AI Medicaid billing that submits EVV to aggregators like CareBridge.
Does Statewise replace CareBridge?
No. Where a state mandates CareBridge as its EVV aggregator, Statewise submits EVV to CareBridge rather than replacing it. Statewise replaces a provider's separate documentation, EVV capture, and billing tools with one system that then feeds CareBridge automatically.
Can Statewise submit EVV to CareBridge?
Yes. Statewise captures GPS EVV natively and submits it to state aggregators, including CareBridge in states that mandate it, so agencies meet the EVV requirement from the same system that documents the visit and bills the Medicaid claim.
Who should use CareBridge instead of Statewise?
CareBridge serves states and managed-care organizations running an EVV mandate across many providers. Individual IDD and HCBS agencies that need a provider-side system of record for documentation, EVV capture, and Medicaid billing should use Statewise, which then submits to CareBridge where required.
See Statewise on your Medicaid workflows.
Book a 20-minute call. We'll walk through your EVV, documentation, and billing requirements and show you exactly how Statewise handles them - no generic demo.