What does Virginia require for Electronic Visit Verification (EVV)?

Virginia operates an open EVV model with multiple aggregators—Netsmart/Tellus for plans like Anthem and HHAeXchange for Humana Healthy Horizons—and requires EVV for PCS, HHA, adult day care, respite, palliative care, HCBS, and PDN services.

How does AlayaCare’s mobile EVV help Virginia providers align with different Medicaid MCO workflows?

AlayaCare captures EVV data for in‑home and community‑based services and can be configured to support plan‑specific EVV workflows, sending the right visit files to Netsmart/Tellus or HHAeXchange depending on each MCO contract or FFS policy.

Can Virginia agencies use AlayaCare as their EVV solution across multiple aggregators?

Yes—because Virginia does not mandate a single vendor, agencies can use AlayaCare as their core EVV platform and connect it to the aggregators required by each health plan while keeping caregiver workflows consistent.

What visit data do Virginia agencies need to capture, and how does the mobile app handle it?

Providers must capture caregiver, member, covered service, date, time in/out, and service location for EVV‑mandated services; AlayaCare’s EVV ties those fields to program and payer metadata for clean exports to each plan’s EVV system.

How does mobile EVV help Virginia providers when enforcement varies by MCO?

With no statewide numeric threshold and EVV expectations flowing through Medicaid MCO contracts, AlayaCare’s payer‑specific configuration, QA rules, and reporting help agencies keep each plan’s EVV rules aligned with the same underlying visit data.

How does AlayaCare support Virginia agencies after live‑in caregivers became EVV‑exempt?

As live‑in caregivers are newly exempt from EVV, AlayaCare’s visit types and documentation fields help agencies classify live‑in vs. non‑live‑in visits correctly so only required visits are sent to aggregators while exemptions remain well documented.

How does mobile EVV help Virginia providers manage growing PDN and pediatric high‑acuity scrutiny?

With rapid expansion in pediatric high‑acuity home care and increased focus on PDN EVV compliance, AlayaCare’s detailed visit history, audit trails, and PDN‑specific reporting help agencies demonstrate that high‑acuity visits are properly captured and billed.

How much does EVV software cost in Virginia?

Electronic Visit Verification (EVV) software pricing in Virginia typically varies based on the size and complexity of your agency. Contact us to receive detailed pricing information tailored to your organization.

EVV Compliance

The smartest platform for Virginia’s multi-payer EVV landscape

Eliminate fragmented workflows. AlayaCare connects scheduling, care management, mobile EVV, and direct integrations with state aggregators to keep home care visits moving seamlessly from field to claim.

Updated: October 1, 2026

Virginia providers need more than EVV compliance. They need a connected workflow that protects authorized hours, reduces write-offs, and keeps claims moving. When EVV, scheduling, documentation, and billing work together, agencies improve margin and cash flow while staying compliant.

EVV compliance made easy

While EVV follows the same core framework across Medicaid programs, each state can differ in its model, aggregator, covered services, and reporting requirements. The section below outlines key EVV details for Virginia based providers.

EVV model Open

EVV aggregator Netsmart / Tellus / HHAeXchange

AlayaCare EVV solution Ready

AlayaCare provides a flexible, open-vendor EVV platform built for complex state mandates and multi-payer requirements. Field clinicians have access to an intuitive mobile app, while direct EDI integrations automatically stream verified data to state aggregators like HHAeXchange, Netsmart/Tellus, and Sandata for complete audit readiness.

By catching exceptions in real time, AlayaCare seamlessly unifies your entire intake-to-billing workflow eliminates administrative rework, accelerates reimbursements, and gives your agency total operational control from first contact to final payment.

Service types mandated to use EVV

Personal Care Services (PCS)
Home Health Aide (HHA) Services
Adult Day Care Services
Respite Care
Palliative Care Services
Home and Community Based Services (HCBS)
Private Duty Nursing (PDN) Services

Top EVV Flags

Fragmented EVV enforcement across multiple Medicaid MCOs; multi‑state providers must align to different plan‑level workflows.
Live Ins have just been updated to be exempt from EVV and no longer have to process through aggregators
Rapid expansion in pediatric high‑acuity home care (Thrive) raises scrutiny on PDN EVV compliance.

Caregiver-friendly EVV guardrails

With AlayaCare’s EVV-enabled mobile app, caregivers can clock in and out only when they are within the approved radius of the client’s home during the scheduled visit. This gives agencies reliable proof-of-visit while replacing paper timesheets and manual phone calls with real-time, point-of-care verification.

EVV is fully integrated into AlayaCare’s mobile experience and agencies’ operations, unifying schedules, client information, visit documentation, and billing in a single intuitive platform instead of forcing staff to juggle multiple tools.

By design, AlayaCare supports EVV and compliance requirements without making caregivers feel tracked or mistrusted, embedding GPS verification and audit-ready documentation into everyday workflows while keeping the focus on delivering safe, person‑centered care.

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All-in-one platform to meet EVV compliance thresholds, protect revenue, and operate with confidence in Virginia

When EVV is hard on caregivers, it creates downstream problems for the whole agency: missed check-ins, more manual follow-up, disconnected documentation, and more cleanup before billing or audits. AlayaCare is designed to make EVV part of the broader care delivery workflow, helping agencies reduce friction for caregivers while improving accuracy, visibility, and operational control.

Caregiver frustrations with EVV	How AlayaCare’s caregiver‑first mobile app solves them
Juggling multiple apps and logins just to get through a visit	Centralize clock-in and out, schedules, client information, visit documentation, and secure messaging in one mobile app Reduce logins Real‑time alerts for schedule changes and new visits Includes an offline mode so caregivers can clock in/out even when they’re out of cellular or Wi‑Fi range
Documentation that takes time away from providing care	Use prompts to guide caregivers through required fields Offer voice‑to‑form so caregivers can speak notes and have them structured automatically Cut down on typing while still meeting clinical and compliance requirements Record visit notes in offline mode and upload notes once back online Reduce miscommunication with an app supporting more than 10 languages, including Spanish
Arriving at visits without the full picture – outdated client information leading to confusion and extra calls to the office	Surface visit safety information, client profile, real‑time care plans, and tasks to complete in the app Access critical notes from the care team before and during the visit Reduce phone calls by giving caregivers the context they need at the point of care
Paper timesheets and manual EVV workflows – increasing errors, back‑office workload, and compliance risk	Embed GPS‑enabled EVV directly into the mobile app Capture each caregiver’s clock‑in/clock‑out time, date, service type, and location at the client’s home Replace paper processes with reliable, audit‑ready proof of visit Interactive voice response (IVR) option available in multiple languages and dialects
Fragmented EVV tools that don’t talk to core systems – multiple vendors, duplicate work, and messy audits	Deliver fully integrated EVV as part of an end‑to‑end, cloud‑based EMR platform Apply configurable EVV QA rules and exception flags to streamline revenue cycle management Feed EVV data straight into reporting, billing, and compliance workflows from a single source of truth

EVV Overview for leadership

Gain real-time oversight with a clear view of EVV exceptions, manual edits, and missed clock events across locations
Spot early warning signs with dashboards that surface gaps before they trigger denials from payors, audit issues, or margin loss
Strengthen operational control with branch-level visibility into where teams need coaching, process fixes, or staffing
Improve accountability with audit trails and standardized workflows that show where breakdowns start and who needs to act
Target faster intervention with insight into the locations and caregivers driving the most EVV risk

AlayaCare dashboard showing EVV visit verification metrics, exception breakdown, and violations by employee.

Choosing the right EVV approach in Virginia can be complex — especially with evolving requirements and aggregator changes. Below are answers to common questions from Virginia providers evaluating EVV solutions and preparing for compliance.

Virginia EVV frequently asked questions

Virginia operates an open EVV model with multiple aggregators—Netsmart/Tellus for plans like Anthem and HHAeXchange for Humana Healthy Horizons—and requires EVV for PCS, HHA, adult day care, respite, palliative care, HCBS, and PDN services.
AlayaCare captures EVV data for in‑home and community‑based services and can be configured to support plan‑specific EVV workflows, sending the right visit files to Netsmart/Tellus or HHAeXchange depending on each MCO contract or FFS policy.
Yes—because Virginia does not mandate a single vendor, agencies can use AlayaCare as their core EVV platform and connect it to the aggregators required by each health plan while keeping caregiver workflows consistent.
Providers must capture caregiver, member, covered service, date, time in/out, and service location for EVV‑mandated services; AlayaCare’s EVV ties those fields to program and payer metadata for clean exports to each plan’s EVV system.
With no statewide numeric threshold and EVV expectations flowing through Medicaid MCO contracts, AlayaCare’s payer‑specific configuration, QA rules, and reporting help agencies keep each plan’s EVV rules aligned with the same underlying visit data.
As live‑in caregivers are newly exempt from EVV, AlayaCare’s visit types and documentation fields help agencies classify live‑in vs. non‑live‑in visits correctly so only required visits are sent to aggregators while exemptions remain well documented.
With rapid expansion in pediatric high‑acuity home care and increased focus on PDN EVV compliance, AlayaCare’s detailed visit history, audit trails, and PDN‑specific reporting help agencies demonstrate that high‑acuity visits are properly captured and billed.
Electronic Visit Verification (EVV) software pricing in Virginia typically varies based on the size and complexity of your agency. Contact us to receive detailed pricing information tailored to your organization.