Authorizations
How to Become a Medicaid Provider for Home Care
To bill Medicaid for home care you need a state license, a Type 2 NPI, state Medicaid enrollment and screening, waiver or managed care contracts, EVV and authorizations.
Which Medicaid managed care plans do home care agencies contract with in Virginia?
Last verified October 17, 2026 · All Virginia resources
Virginia delivers long-term services and supports through 5 managed care plans in Cardinal Care Managed Care. Virginia's Cardinal Care Managed Care covers long-term services and supports, including nursing facility care and community-based waiver services such as personal care. DMAS lists five health plans: Aetna Better Health of Virginia, Anthem HealthKeepers Plus, Humana Healthy Horizons of Virginia, Sentara Health Plans and UnitedHealthcare Community Plan. Humana replaced Molina on July 1, 2025.
Which plans are there?
- Aetna Better Health of Virginia
- Anthem HealthKeepers Plus
- Humana Healthy Horizons of Virginia
- Sentara Health Plans
- United Healthcare of the Mid-Atlantic, Inc (UnitedHealthcare Community Plan)
For the programs that pay for home care, see Virginia Medicaid waivers.
What should you confirm with the state?
If you previously contracted with Molina, those members moved to Humana or another plan in 2025.
Sources
More for Virginia
Medicaid managed care by state: other states
Related guides
Authorizations
How Do You Keep Caregiver Hours Inside a Medicaid Authorization?
Track units remaining, the end date and the service code for every client, and check them before each schedule change. Hours over the cap are unbillable.
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