Find the Illinois home care margin you already earned and never got paid for.
You delivered the visits.
Your caregivers clocked in on EVV. But somewhere between the authorization, the HHAeXchange record, the claim, and the remittance, hours slip. Reeve is a free, read-only Margin Review that runs in your own browser, reconciles what was authorized against what was delivered, billed, and paid, and shows you the gaps with the record attached. Reeve reads. It does not write, does not file a claim, and does not move your money.
Illinois home care runs on a stack that leaks at the seams, not at the center. The care gets delivered. The money gets lost in reconciliation between systems that were never built to check each other. Here is the honest picture of where your dollars live in this state.
Most Illinois home care sits inside Medicaid administered by HFS, across roughly six HCBS waivers for Personal Care Services, plus State Plan Home Health, the Department on Aging Community Care Program, and the Division of Rehabilitation Services. Most recipients are enrolled through HealthChoice Illinois, so your authorizations often come from a managed care organization, not the state directly.
Illinois runs an open, hybrid EVV model. HHAeXchange was selected as the state EVV aggregator in March 2022, and you may use any qualified EVV vendor, but your visit data must still be submitted to HHAeXchange. Home health EVV requirements took effect December 31, 2023, and DoA and DRS data integrates as of March 2, 2026.
Your claims go to HFS fee-for-service or, more often, to a HealthChoice Illinois MCO. Personal care is commonly billed on time-based codes such as T1019, per 15 minutes, though the exact code and modifier depend on the program, the waiver, and the payer. Reeve reads whatever code set is actually in your export.
The remittance is the only column that tells the truth about what you kept. It is also the column almost nobody reconciles back against the authorization and the EVV record, line by line, before the filing window closes.
The money does not leak in any one column. It leaks in the gaps between them.
- 01Visits delivered and verified in EVV that never turned into a clean, paid claim line.
- 02Authorized units that lapsed or went underused because no one watched the ceiling against the calendar.
- 03EVV records that never matched cleanly to the claim, so the line sat, short-paid or unpaid, with no one assigned to chase it.
- 04Rate or modifier mismatches between what the waiver or MCO authorized and what the claim carried.
- 05Claims that aged past the 180-day non-institutional timely-filing window before anyone caught the gap.
Every number is illustrative and synthetic. Because your own export may not carry a rate for every code, findings on this page are expressed in hours, units, and records to check against your own rate sheet.
41 visits across the last two quarters show a completed EVV record with no matching paid claim line. That is roughly 78 authorized service hours delivered and verified, sitting with no remittance attached. Records listed. Price them against your own T1019 rate.
120 claim lines where the billed units do not match the verified EVV duration for the same visit, date, and coded client reference. In this example the billed side is short by about 15 minutes per visit, roughly 120 units, 30 hours, of drift you delivered and verified but did not bill. The individual visits are flagged so your biller can confirm and correct at the source.
9 client authorizations expiring within the next 45 days that are tracking well under their approved ceiling, about 210 authorized hours that will simply expire unused unless scheduling closes the gap. This one is not a claim to refile. It is margin you are authorized to deliver and still can.
17 unpaid or partially paid visit lines now past 150 days from date of service, inside the final stretch of the Illinois 180-day non-institutional timely-filing window. Roughly 34 hours of delivered care that will become permanently unbillable if they cross the line uncorrected. Sorted by days remaining, soonest first.
23 lines where the modifier carried on the claim does not match the modifier implied by the authorizing waiver or plan, the kind of mismatch that produces a quiet short-pay rather than a clean denial. Flagged for your biller to reconcile against the authorization.
Why the annual audit or the EMR alone misses this.
The timely-filing window is faster than an audit. Illinois gives non-institutional providers 180 days from the date of service to file. An annual or even quarterly audit finds the leak long after the window has closed. By the time the finding lands in a report, the dollars are already unrecoverable. Reconciliation has to run on a cadence that beats 180 days, not on an audit calendar.
The EVV-to-claim gap lives between systems, not inside one. Your EVV vendor knows the visit happened. HHAeXchange holds the aggregated record. Your billing system knows what went out. The MCO knows what it paid. No single one of those systems sees all four columns at once, so a visit that is verified but never billed clean, or billed short, does not throw an error anywhere. It just quietly never becomes a paid dollar.
Your biller is closing this month, not re-reading last quarter. The people who could catch these gaps are heads-down on current claims. Delivered-but-unbilled and short-paid lines from 90 or 120 days ago do not surface on their own. Reeve does the one boring pass across all four columns that nobody has time to do by hand.
Reeve reads across the seam that the EMR and the audit both skip, and it reads it now rather than next year.
Plain answers, on the record.
What Illinois agencies ask before they run their first review.
Collect is money you never captured. Cover is money a payer can still take back.
Reeve reports the two separately and never adds them together, because only one of them is yours to go and get. The Margin Review reads both on your own export and costs nothing.
One pass over your own export, in your browser. The findings are yours to keep, with no obligation.
The recovery lane. Care you delivered and never billed, units short of what was authorized, lines paid under the published rate.
Everything in Collect, plus the exposure lane. Retired codes, authorizations at the end of their period, care delivered past what was approved.
Month to month, no annual contract. Read-only in every tier. Run the free review.
Try it yourself. Run a free Margin Review.
You do not have to book a call, sign anything, or grant access to a live system. Pull an export you already have, open the Margin Review in your browser, and see where your authorized, delivered, billed, and paid columns stop agreeing. If there is nothing to find, you will know in an afternoon. If there is, you will have the list of records, in your hands, before the 180-day window closes on them.
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Read-only. Reeve reads your data. It does not write to your EMR, does not file or edit a claim, and does not move money.
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Names coded locally. Names and identifiers are replaced with a coded reference unique to your agency in your own browser before any math runs.
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Your file is processed in your browser, and no name is written into any output. No client name, no staff name, no address is uploaded. You keep your data. Reeve keeps none of it.
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Nothing leaves your building and there is no obligation. Reeve never invents a rate; dollars come from the rate on your own export or the rate your own remittances actually paid most often. No automated scanning and no guarantee language.
Any dollar figures in examples are illustrative and synthetic, method rather than results.