What is the Brightstar Care franchisee's responsibility regarding State Electronic Visit Verification (EVV) requirements?
Brightstar_Care Franchise · 2025 FDDAnswer from 2025 FDD Document
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- NOTE 11. State Electronic Visit Verification ("EVV") is required by some states when a franchisee participates in certain Medicaid programs. If EVV is required by the state, this fee covers the cost of integrating ABS with the state or third party selected by the state. The integration enables the data required to authorize and approve payment to flow automatically between ABS and the state. Without this automation, the state may require the franchisee to enter the data manually on its portal or website. The one-time fee per aggregator covers the initial set-up and testing of the integration. The on-going "per record" charge covers the ongoing maintenance costs of supporting the integration. It is your responsibility to understand your state's EVV requirements and notify us with sufficient lead time to integrate into ABS.
You have the option of using another state EVV provider whom we approve; however, you still must pay us the $1,000 integration fee per aggregator. All other fees required by the third-party provider would be paid by you directly to the third-party provider.
NOTE 12. Director of Nursing. In most states, personal care licenses do not require a nurse to be identified on the license, though there are some states in which the license covers both personal care and skilled (including but not limited to FL, NH, KS, OK, TX, MN, VA, WI, WY, and WA).
In those states, you would need a DON identified as part of your license application. The high end in this range includes salary for a part-time DON to satisfy that requirement.
NOTE 13. Insurance Excluding Workers Comp. The estimate in the table above represents your estimated insurance costs (excluding workers comp) for the first 3 months you operate your Agency.
Source: Item 7 — ESTIMATED INITIAL INVESTMENT (FDD pages 34–41)
What This Means (2025 FDD)
According to Brightstar Care's 2025 Franchise Disclosure Document, it is the franchisee's responsibility to understand their state's Electronic Visit Verification (EVV) requirements and to notify Brightstar Care with sufficient lead time to integrate with their Automated Business System (ABS). This is particularly important in states where EVV is required for participation in certain Medicaid programs. The franchisee must stay informed about these regulations to ensure compliance.
If EVV is required, a fee is charged to cover the cost of integrating ABS with the state's system or a third-party vendor selected by the state. This integration facilitates the automatic flow of data needed to authorize and approve payments. Without this integration, the franchisee may have to manually enter the required data on the state's portal or website, which could be time-consuming and increase the risk of errors.
The initial investment table outlines an estimated cost of $0 to $2,000 for State Electronic Visit Verification. This fee is drafted monthly from the franchisee's bank account via EFT, as per the terms of the invoice, and is payable to BrightStar Technology or another approved vendor. Additionally, franchisees have the option to use another state EVV provider approved by Brightstar Care, but they must still pay Brightstar Care a $1,000 integration fee per aggregator. All other fees required by the third-party provider would be paid directly by the franchisee to that provider.