02 Oct Virginia EVV Update – Humana Healthy Horizons
Virginia Medicaid: Humana Healthy Horizons to Implement EVV via HHAeXchange
What Home Care Agencies Need to Know
Starting October 29, 2025, Humana Healthy Horizons, a Medicaid payer in Virginia, will require all personal care and home health providers to route their Electronic Visit Verification (EVV) data through HHAeXchange, the state-designated aggregator. This new requirement affects visit verification, claims submission, and provider operations statewide. The move is part of broader efforts to comply with the federal 21st Century Cures Act and standardize EVV protocols across payers.
In this blog, we will break down what this change means, what agencies must do to comply, and how Alora is already helping agencies across Virginia succeed, with the Virginia EVV software that meets compliance standards while streamlining workflows.
What’s Changing: Humana Healthy Horizons + HHAeXchange (Effective Oct 29, 2025)
Key Details
- Aggregator Required: HHAeXchange will serve as the EVV aggregator for Humana Healthy Horizons.
- Deadline: All claims for visits on or after October 29, 2025 must flow through HHAeXchange.
- Soft Billing Period: Providers can submit claims outside HHAeXchange for testing but must transition before the cutoff.
- Onboarding: Agencies must complete a Provider Onboarding Form to get access to the HHAeXchange Portal.
Two Options for Providers
- Use HHAeXchange’s free EVV tools.
- Continue using your current EVV platform, as long as it integrates with HHAeXchange via EDI/API. This allows agencies to preserve their workflows.
Key Requirements for Agencies
- Data Capture: Providers must ensure the system captures the 6 federally required EVV elements.
- Visit Maintenance: Visits must be reviewed and approved within the HHAeXchange portal.
- Auth & Claims: Claims submitted without proper authorizations in HHAeXchange may be denied.
How Alora Has Been Supporting Virginia Home Care Agencies
Alora has long served as a trusted partner to home health and personal care providers across the state. With a fully integrated EVV system for Virginia, Alora offers a reliable, agency-friendly solution that goes beyond compliance.
Here is how Alora helps:
- Built-In, DMAS-Compliant EVV
Alora’s home care software for Virginia includes a native EVV module designed specifically for Virginia Medicaid and Managed Care Organizations. It captures all required visit data and syncs seamlessly into clinical documentation, billing, and payroll workflows, reducing duplication and manual entry.
- Real-Time Monitoring
Supervisors can view live visit status dashboards, receive alerts for missed or delayed visits, and act quickly, improving care continuity and reducing compliance risks.
- Integrated EVV and Billing for Virginia Payers
Alora supports EVV-compliant claims for DMAS and all major Virginia MCOs. Agencies can generate claims directly from completed visits, minimizing delays and rejections.
- Excellent Support & Intuitive Design
Alora has earned a strong reputation for customer support and ease of use. Agency staff and caregivers alike find the system simple to learn and reliable in the field.
Preparing for the October 29 Deadline
To ensure a smooth transition, agencies should:
- Complete onboarding with HHAeXchange
- Verify that their EVV software can interface with HHAeXchange
- Train staff and caregivers on new visit verification processes
- Use the soft billing period to test data flows and resolve errors
The Takeaway
The implementation of HHAeXchange as the EVV aggregator for Humana Healthy Horizons is a major shift, but not one agencies must face alone. Alora is working to support the required EVV capture, manage integrations, and streamline compliance under Virginia’s Medicaid landscape.
If your agency is looking for a trusted partner with robust, fully integrated Virginia home health software, Alora delivers a solution to help your agency thrive.
DMAS Resources
- To visit the DMAS official website, visit: https://www.dmas.virginia.gov/
- For EVV Regulatory information visit: www.townhall.virginia.gov
- For FAQS on DMAS EVV visit: https://www.dmas.virginia.gov/files/links/4821/EVV%20FAQs%20as%20of%2010-8-19.pdf
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