Virginia EVV Compliance

Virginia Has No Single EVV Aggregator.
Agencies Choose from the DMAS Approved List.

Virginia's Provider Choice EVV model means there is no single state-mandated system like Sandata or HHAeXchange. Agencies select any vendor from DMAS's approved list. The right choice depends on your operational platform and which approved vendors integrate with it. CareBravo manages exception resolution and billing readiness regardless of which approved vendor your agency selects.

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Virginia EVV — Quick Reference

What Virginia Requires

Requirement
Detail
State Agency
DMAS — Virginia Department of Medical Assistance Services
EVV Model
Provider Choice — no single state aggregator; agencies select from DMAS approved vendor list
Approved Vendors
Multiple vendors approved by DMAS — verify current list with DMAS before selecting
Services Covered
Personal Care Services, Home Health aide services, qualifying HCBS waiver services
Key Programs
CCC Plus Waiver (Commonwealth Coordinated Care Plus), Building Independence Waiver
Critical Step
Verify your chosen EVV vendor is on the current DMAS approved list before using it for Virginia Medicaid billing

Virginia's Provider Choice model requires a verification step that most states don't. Before committing to an EVV vendor for Virginia Medicaid billing, confirm the vendor is on DMAS's current approved list. Approved vendor lists are updated periodically — a vendor that was approved at the time of your last check may have changed status. Verify with DMAS directly before your first billing cycle.

How Provider Choice Works

Flexibility in Vendor Selection, Strict Requirements for Data Format

Virginia's Provider Choice model distributes the EVV aggregation function across multiple approved vendors rather than routing everything through a single state system. This gives agencies more flexibility in choosing an EVV platform that integrates well with their existing operational tools. The tradeoff is that agencies carry responsibility for verifying their chosen vendor's current approved status and ensuring that vendor submits data to DMAS in the required format.

The approved vendor list changes. Vendors are added and removed as DMAS reviews certifications. An agency that set up an EVV vendor two years ago and hasn't verified current status may be using a vendor whose approved status has lapsed — a situation that surfaces at billing time, not at visit time.

Exception management follows the same pattern as any EVV system. Missed check-ins, location discrepancies, time mismatches generate exceptions in the vendor's platform that must be resolved before billing. The resolution interface is vendor-specific — whichever DMAS-approved vendor your agency uses.

CareBravo manages exception resolution and billing readiness for Virginia agencies, working within the Provider Choice framework to ensure visit data meets DMAS submission requirements through whichever approved vendor the agency has selected.

The CCC Plus Environment

Virginia's Primary HCBS Waiver Is a Large Compliance Obligation

The CCC Plus Waiver is Virginia's primary managed long-term services and supports program. Agencies serving CCC Plus members are typically contracted with one or more managed care organizations that administer the waiver. EVV requirements for CCC Plus services apply through the agency's DMAS-approved EVV vendor — and MCOs may have additional documentation requirements layered on top of the DMAS baseline. Verify EVV and documentation requirements with each CCC Plus MCO you are contracted with, in addition to DMAS's baseline requirements.

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Questions

Virginia EVV — Common Questions

No. Virginia's Provider Choice model has no single mandated aggregator. Agencies select any EVV vendor from DMAS's current approved list. Sandata, HHAeXchange, and other vendors may be on the approved list — verify the current approved list with DMAS before selecting a vendor for Virginia Medicaid billing.

Contact DMAS's provider relations team or access the DMAS provider portal to find the current approved EVV vendor list. The list is maintained by DMAS and updated periodically. Do not rely on a vendor's self-reported approved status — verify directly with DMAS before your first Virginia Medicaid billing cycle using that vendor.

The CCC Plus Waiver (Commonwealth Coordinated Care Plus) is Virginia's primary HCBS program for elderly individuals and adults with disabilities who qualify for nursing facility level of care. Services delivered in the home under CCC Plus — personal care, aide services, respite — are subject to EVV requirements. Agencies must use a DMAS-approved EVV vendor and may have additional MCO-specific documentation requirements. Verify requirements with each CCC Plus MCO you are contracted with.

CareBravo manages EVV integration, exception resolution, and billing readiness for Virginia agencies as delivered operational work, working within the Provider Choice framework through DMAS-approved vendors. Virginia agencies receive billing-ready outputs without managing exception queues themselves.

Virginia EVV Compliance, Delivered

CareBravo manages EVV exception resolution and Virginia Medicaid billing readiness under the Provider Choice framework — working with your DMAS-approved vendor to deliver billing-ready outputs as completed operational work.

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