The Changing EVV Landscape in Virginia: What Should Home Care Providers Know for 2027?
Published on September 27, 2026 by Anna from Aaniie
In Virginia, Electronic Visit Verification (EVV) is already a familiar part of providing Medicaid-funded home care. As 2027 approaches, the landscape continues to evolve.
On October 1, 2026, Virginia removed an existing EVV exemption for live-in caregivers providing certain services.
At the same time, broader regulatory developments make this a useful moment for home care agencies to review how EVV works within their operations – and make sure their teams are ready for what comes next.
Aaniie Care integrates with both HHAeXchange & Netsmart to support EVV providers in Virginia.
Aaniie captures required information and integrates with both aggregators in the state, making compliance with Virginia’s regulations simple and accessible.
What’s changing for live-in caregivers in Virginia?
Until October 1, 2026, qualifying live-in caregivers in Virginia had been exempt from EVV requirements.
From that date forward – whether they live with the person receiving care or not – all agency-directed aides and consumer-directed attendants providing personal care or personal assistance, respite care, or companion care services are required to use an EVV-compliant method to record and submit their shifts.
This isn’t an entirely new EVV system. But it is an expansion of requirements.
For agencies with affected live-in caregivers, the priority is this: make sure everyone knows how visits should be recorded and is confident using the appropriate EVV process.
How does EVV work in Virginia?
Virginia’s EVV requirements cover six key pieces of visit information:
- Type of service performed
- Individual receiving the service
- Date of service
- Location of service delivery
- Individual providing the service
- Time the service begins and ends
For agency-directed care, Virginia operates a provider-choice model.
- Agencies can select the EVV system that best suits their business, provided it meets Virginia’s regulatory requirements and offers reliable functionality in the geographic area where it will be used.
Consumer-directed services work differently.
- EVV is managed through the Fiscal/Employer Agent (F/EA), with DMAS identifying the F/EA mobile application and Interactive Voice Response (IVR) system as compliant methods. Its web portal does not qualify as EVV.
Providers should also remember that managed care plans may have their own requirements and processes, so there isn’t necessarily one identical EVV pathway for every visit.
What should home care providers review heading into 2027?
Start by identifying any live-in caregivers who were previously exempt, and confirm everyone understands the new requirements. Review training, clock-in and clock-out processes, and how your team handles exceptions or corrections.
It’s also worth looking beyond EVV: how easily does verified visit information move into scheduling, documentation, and billing? Are your teams re-entering information or switching between systems? Could a more connected process make compliance easier for your caregivers and back-office team?
Could anything else change in Virginia?
Virginia’s EVV requirements continue to develop. Beyond the live-in caregiver change, broader regulatory activity concerning EVV for home health and waiver services remains in Virginia’s fast-track process, although it is not yet final or effective.
But there’s a difference between changes that have already been confirmed – such as the October 1 requirement – and regulatory developments still moving through the pipeline.
Monitoring current DMAS guidance and making sure your EVV processes stay accurate and connected to your wider workflows will leave your agency in the best position as things unfold.
Make EVV part of the everyday workflow
The right technology makes visit verification part of the natural flow of care – connecting caregivers in the field with scheduling, documentation, billing, and the wider operation.
Capable of integrating with HHAeXchange and Netsmart, Aaniie Care’s EVV-related capabilities include:
- One-touch clock-in/out
- GPS geofencing
- Schedules
- Care notes
- Mileage and expense reporting
- Signatures
- Mobile and offline functionality
And Virginia’s provider-choice model gives agencies flexibility to choose a home care platform that works for their organization. With the right processes in place, EVV can become one less thing to worry about… and one part of a more connected operation that’s ready for 2027 and beyond.
