Virginia EVV: Aggregator, Model, and Provider Portal
Last verified 2026-05-09
- Aggregator
- MCO-specific: Netsmart (Anthem HealthKeepers Plus) / HHAeXchange (Humana Healthy Horizons)
- Model
- State-offered with opt-out (choice model)
- Telephonic backup
- Yes
- State provider portal
- www.dmas.virginia.gov ↗
Virginia DMAS operates a provider-choice EVV model: agencies select any DMAS-approved EVV vendor at their own expense, provided it integrates with the required MCO-specific aggregator. There is no single state-mandated aggregator; instead, each managed care organization designates its own — Netsmart (Tellus) for Anthem HealthKeepers Plus and HHAeXchange for Humana Healthy Horizons. EVV is required for personal care, companion, respite, and (since July 1, 2023) home health care services under the 21st Century CURES Act. A live-in caregiver exemption has been in place since January 1, 2021.
What is EVV?
Electronic Visit Verification is the federal requirement (under the 21st Century Cures Act §12006) that personal-care and home-health visits paid by Medicaid be electronically captured at the point of care — who provided the service, who received it, where, when it started, and when it ended. CMS pushed enforcement to the states, which is why the day-to-day experience varies so much.
What "state-offered with opt-out (choice model)" means in Virginia
The state offers a default aggregator (typically free) and lets providers opt out for a third-party vendor. The third-party path may require certification or interface fees.
How does Caregiver Scheduling integrate?
Caregiver Scheduling captures the six required EVV data points on every visit (caregiver, recipient, start time, end time, location, service type) with GPS-stamped clock-in and clock-out, and telephonic backup for caregivers without a smartphone. In open-model states, our visits are EVV-compliant on their own. In mandated-aggregator states, we forward verified visits to the state system on a nightly schedule so payroll and Medicaid billing stay in sync without double-entry.