Top Mobile Menu Bottom Mobile Menu

Search For:

Medicaid Home Health Care Services (HHCS) Electronic Visit Verification (EVV) Project Update

Download PDF Download PDF
Effective Date:

All Home Health Providers, Services Facilitation Providers, and Managed Care Organizations Participating in the Virginia Medical Assistance Program
Cheryl J. Roberts, Acting Director Department of Medical Assistance Services (DMAS)

The Centers for Medicaid and Medicare Services (CMS) allows states to apply for a one-year Good Faith Extension for the implementation of Electronic Visit Verification (EVV) requirements for Home Health Care Services (HHCS).  The Department of Medical Assistance Services (DMAS) has applied for the Good Faith Extension and now is working toward a July, 2023 implementation date for this EVV requirement. DMAS will collaborate with provider representatives and DMAS contracted vendors to develop and implement a technical specification guide to support a transition to these requirements.

If you have any questions, please send your inquiry to



Virginia Medicaid Web Portal Automated Response System (ARS)

Member eligibility, claims status, payment status, service limits, service authorization status, and remittance advice.

Medicall (Audio Response System)

Member eligibility, claims status, payment status, service limits, service authorization status, and remittance advice.

1-800-884-9730 or 1-800-772-9996


Service authorization information for fee-for-service members.


Provider Appeals

DMAS launched an appeals portal in 2021. You can use this portal to file appeals and track the status of your appeals. Visit the website listed for appeal resources and to register for the portal.

Managed Care Programs

Medallion 4.0, Commonwealth Coordinated Care Plus (CCC Plus), and Program of All-Inclusive Care for the Elderly (PACE).  In order to be reimbursed for services provided to a managed care enrolled individual, providers must follow their respective contract with the managed care plan/PACE provider.  The managed care plan may utilize different guidelines than those described for Medicaid fee-for-service individuals.

Medallion 4.0

CCC Plus


Magellan Behavioral Health

Behavioral Health Services Administrator, check eligibility, claim status, service limits, and service authorizations for fee-for-service members.

For credentialing and behavioral health service information, visit:, email:,or

Call: 1-800-424-4046


Monday–Friday 8:00 a.m.-5:00 p.m.  For provider use only, have Medicaid Provider ID Number available.



Aetna Better Health of Virginia


Anthem HealthKeepers Plus


Molina Complete Care


1-800-424-4524 (CCC+)

1-800-424-4518 (M4)

Optima Family Care


United Healthcare


1-844-752-9434, TTY 711

Virginia Premier

1-800-727-7536 (TTY: 711),