👥 Who We Help / A Quién Ayudamos
At CARIUS4U+, we support individuals and families navigating Virginia Medicaid — whether you're seeking long-term care, consumer-directed support, or bilingual guidance through forms and options.
- ✔️ Older adults and individuals with disabilities
- ✔️ Family caregivers and trusted friends
- ✔️ Coordinators and social workers in need of clear referral tools
English or Español — we walk with you step by step.
📝 Medicaid Eligibility & UAI / Elegibilidad y Evaluación
To qualify for Medicaid long-term services, individuals must meet both financial and functional eligibility. This includes completing the Uniform Assessment Instrument (UAI), a state-required tool that reviews care needs and daily living tasks.
- ✔️ Financial Eligibility — determined by income and household size
- ✔️ Functional Eligibility — based on UAI results showing need for help with ADLs/IADLs
- ✔️ Completed by a local social worker or screening team
El Medicaid de Virginia requiere que los solicitantes completen el formulario UAI para evaluar sus necesidades diarias de atención.
🏥 Choosing Your Care Model / Elija su Modelo de Atención
Virginia Medicaid offers two ways to receive long-term support — and you get to choose what fits best.
🧑🤝🧑 Consumer-Directed Care
- ✔️ You choose and manage your caregiver
- ✔️ Often a family member or trusted person
- ✔️ Payroll handled by CDVA or PPL
- ✔️ Support from your Service Facilitator
🏢 Agency-Directed Care
- ✔️ A licensed agency assigns your caregiver
- ✔️ No hiring or payroll to manage
- ✔️ Clinical oversight from professionals
- ✔️ Less flexibility in who provides care
Usted elige el modelo que funcione para usted — con orientación cálida en cada paso.
🤝 Meet Your Support Team / Conozca su Equipo de Apoyo
You’re never alone. Three key people help guide your care and paperwork:
- 👩💼 Service Facilitator: Your personal navigator for hiring, paperwork, and day-to-day support. Bilingual, compassionate, and detail-focused.
- 🏥 MCO Care Coordinator: Works for your Medicaid health plan to approve services, manage your care plan, and support health outcomes.
- 🧾 Fiscal Intermediary (CDVA or PPL): Processes payroll and tracks care hours. Provides mobile EVV apps to record shifts and tasks.
Su equipo está aquí para ayudarlo a cada paso — con claridad, respeto y apoyo bilingüe.
⏳ How Care Hours Are Calculated / Cómo se Calculan las Horas de Atención
Virginia Medicaid uses two official forms to determine how much care time you qualify for:
- 📄 DMAS-99: Evaluates how much help you need with daily tasks like bathing, dressing, eating, and mobility.
- 🧮 DMAS-97A/B: Adds up estimated daily time for each task — totaling your weekly care hours.
Your weekly care hours must match the Level assigned from your DMAS-99 score.
⛔ Reminder: You cannot exceed the hours for your assigned level. If more time is needed, your Service Facilitator can help request a reassessment or provide supporting documentation.
Su Facilitador de Servicios lo ayudará a completar estos formularios y a solicitar las horas adecuadas de atención. Si necesita más tiempo de cuidado, podemos evaluar sus necesidades médicas adicionales.
📅 Timeline: From Initial Meeting to Care Plan Approval
The full process usually takes 30 to 45 days. Here's what to expect:
- ✔️ Week 1: Meet with Service Facilitator (intake, EOR setup, plan overview)
- ✔️ Week 2: UAI screening completed by DSS or screening team
- ✔️ Week 3: DMAS-99 and DMAS-97A/B completed
- ✔️ Week 4: Care plan submitted to MCO for approval
- ✔️ Week 5–6: MCO response & setup with PPL or CDVA begins
El proceso inicial suele tardar entre 30 y 45 días. Podemos ayudarle a mantenerse informado y avanzar paso a paso.
🚧 Common Delays & How to Avoid Them
- ❗ Employer of Record (EOR): Must approve timesheets and respond to emails from CDVA/PPL — delays if documents are unsigned
- ❗ Background Checks: Required for attendants — delays if forms are incomplete or ID isn’t verified
- ❗ Missed Emails: Setup or EVV activation may stall if EOR doesn’t respond to onboarding links
- ❗ No App Installed: Time4Care or CareAttend must be downloaded by both EOR & attendant to begin service
CARIUS4U+ is here to help — we offer warm reminders, checklist support, and app guidance to keep everything on track.
Great for intake folders, coordinator kits, or email attachments
📱 Using EVV Apps / Uso de las Aplicaciones EVV
To track care hours for Consumer-Directed services, Virginia Medicaid uses electronic visit verification (EVV) apps. The app you'll use depends on your health plan:
| Fiscal Agent | Medicaid Plans | EVV App |
|---|---|---|
| PPL (Public Partnerships) | Aetna Better Health, Anthem HealthKeepers Plus | 🕒 Time4Care |
| CDVA (Consumer Direct Virginia) | Aetna Fee-for-Service, DMAS FFS, Humana, Sentara | 💚 CareAttend |
📥 How to Download
- ✔️ Available free on Apple App Store and Google Play Store
- ✔️ Both the Employer of Record (EOR) and Attendant must download and use the app
- ✔️ Use the same email you provided to PPL or CDVA during onboarding
👤 Role of the Employer of Record (EOR)
- ✅ Approves submitted timesheets weekly in the app
- ✅ Confirms hours match the DMAS-97A/B care plan
- ✅ Must respond promptly to emails from PPL or CDVA
- ✅ App setup must be complete before services begin
🧑⚕️ Role of the Attendant (Caregiver)
- ✅ Clocks in/out using the correct EVV app at scheduled times
- ✅ Completes care tasks from the approved Plan of Care
- ✅ Submits timesheets for EOR approval
- ✅ Uses the registered email and device tied to onboarding documents
- ✅ Should report missed shifts or login issues to the Service Facilitator
Note: While attendants follow the Plan of Care and submit hours through the app, they do not report to the EOR for supervision. The EOR’s role is limited to approving submitted time — not managing job performance.
🔒 Why EVV Is Required in Virginia
The Department of Medical Assistance Services (DMAS) requires EVV for select Medicaid waiver services to ensure accountability and quality care. EVV applies to:
- ✔️ Personal care services
- ✔️ Respite care
- ✔️ Companion services
- ✔️ Home Health Aide (HHA) services
Each EVV system must collect six key data points:
- 📋 Type of service performed
- 🙍 Individual receiving the service
- 📅 Date of service
- 📍 Location of delivery (start and end)
- 👤 Provider of the service
- ⏰ Start and end times
Non-compliance with EVV may result in denied claims, loss of funding, or other penalties. CARIUS4U+ ensures families stay informed and compliant — with help every step of the way.
🔄 Reassessments & Renewals / Reevaluaciones y Renovaciones
Your care authorization typically lasts for 1 year. CARIUS4U+ helps prevent lapses through regular reassessments and guidance before renewal.
- 📆 Monthly & Annual Assessments: Your Service Facilitator (SF) monitors care needs consistently
- 📑 DMAS-97A/B: Reviewed annually to reflect personal care tasks and support level
- 📄 DMAS-99: Documents medical need and caregiver feedback for authorization
- 🛌 Respite Care: Automatically renews if there’s an active authorization — no reassessment needed
🛎️ If Your Needs Change
Let your SF know anytime. New diagnoses, task delays, or changes in condition may qualify for additional hours through reassessment and resubmission.
⏳ Staying Ahead of Expiration
- 📅 Renewal process begins 30 days before expiration
- 📤 SF resubmits forms and coordinates with your MCO
- 📣 If you're aware your authorization is expiring soon, feel free to contact your SF early
- 🆘 If there’s a lapse, SF submits an escalation request — note: not all MCOs have escalation teams
📞 Need Help During Renewal?
If processing feels delayed or you're unsure of your end date, reach out to your SF. We’ll help keep services active and uninterrupted.
Su Facilitador de Servicios maneja todas las reevaluaciones y renovaciones. Comuníquese con nosotros antes de que expire su autorización para evitar interrupciones en el cuidado.
🧭 Need Help? Contact CARIUS4U+
- 📍 SF Map: Visit our website to find your assigned facilitator
- 📞 Oversight: Monique Hower – 804-251-0070
(facilitator assignments, intake issues)