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Eden Home Health Care helps individuals and families explore dependable in-home support based on their needs, schedule, eligibility, and service availability. Complete the secure form and our team will contact you to discuss the next steps.
Secure family inquiry. Our team will review your information and contact you to discuss caregiver services, eligibility, scheduling, insurance, and next steps.
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Eden's public care journey: contact, intake, coverage review, assessment if required, authorization if required, decision, matching, scheduling, EVV, and ongoing review.
Last reviewed August 23, 2026
Anyone considering Eden personal care, respite, companion, adult day, or transportation support in Virginia.
Submitting a form does not start services and does not approve hours.
A family, member, or referral partner contacts Eden or submits Start Care / Get Care.
A coordinator gathers client, contact, location, care-need, and coverage information.
Eden determines which program or payer appears applicable. This is not a coverage guarantee.
If the program requires screening, nursing assessment, waiver determination, or another evaluation, Eden coordinates that step. A nurse does not automatically evaluate every request.
Needs are documented for the service type being requested.
Documentation is submitted through the payer, MCO, or authorization process that applies to that program — not a single universal “nurse sends to insurance” rule.
Possible outcomes: approved, partially approved, more information requested, or denied.
Eden explains what the decision means for scheduling and staffing.
Only authorized service types and units can be scheduled.
Matching depends on skills, availability, location, and authorized services.
Visits are scheduled within authorized hours and caregiver availability.
Care starts only after required documents, authorization, and staffing are in place.
Where required, visits are verified electronically.
Supervision, EVV review, and authorization tracking continue for the authorization period.
Submitting a form does not start services and does not approve hours. Eden educational resources are not a substitute for official Medicaid, waiver, or health-plan determinations. Rules vary by program, assessment, authorization, and plan. Confirm current details with DMAS, your MCO, and Eden intake.
Short definitions used on this page. Program manuals may phrase lists slightly differently.
Eden's public care journey: contact, intake, coverage review, assessment if required, authorization if required, decision, matching, scheduling, EVV, and ongoing review.
There is no single payer workflow. Medicaid waiver personal care, Medicare skilled home health, commercial insurance, and private pay follow different rules.
No. Depending on the program and service, an assessment by a nurse or other qualified professional may be required.
Conditional, not universal
Only say a nurse submits to insurance when that is true for the specific program.
Separate requested hours, assessed need, authorized hours, scheduled hours, and EVV-verified hours. They are often different numbers.
Program rules, assessments, and payer authorization decide what can start. Medicaid enrollment, waiver enrollment, service eligibility, service authorization, and authorized hours are not the same status.
Depending on the program and service, an assessment and supporting documentation may be required. A nurse does not automatically visit first for every request.
When authorization is required, the payer or MCO reviews the requested service and hours. Outcomes can include approval, partial approval, a request for more information, or denial. Eden does not approve the benefit.
Requested, assessed, authorized, scheduled, and EVV-verified hours can all differ. This site does not invent a universal hour number.
Personal care, respite, companion, adult day, and transportation follow separate rules. A plan may authorize one, more than one, or none.
A parent or spouse is not automatically a paid caregiver. Virginia LRI rules apply only in defined relationships and only when the current official policy and authorization allow it.
Agency-directed: a licensed agency is the employer. Consumer-directed: the member or representative is the employer of record, with services-facilitator support where the waiver allows. Eden's typical public role is agency-directed care.
Managed-care members usually follow their plan's authorization and appeal process. Fee-for-service members follow DMAS processes. A plan existing on the official roster does not mean Eden is in-network.
Collect intake facts, review which payer or program appears applicable, coordinate required assessments, submit requested documentation, and schedule after a payer decision.
Eden cannot approve Medicaid eligibility, waiver enrollment, MCO enrollment, service authorization, or a specific number of hours. Those decisions belong to DMAS, the health plan, or another payer.
Intake reviews your information and coverage. If your program requires an assessment or authorization, Eden coordinates those steps. After the payer decides, we explain approved services or next options.
The payer or plan issues the determination. Eden communicates operational next steps when we have the decision.
Virginia DMAS
Cardinal Care membersVerified August 23, 2026
Virginia DMAS
CCC Plus WaiverVerified August 23, 2026
Eden educational resources are not a substitute for official Medicaid, waiver, or health-plan determinations. Rules vary by program, assessment, authorization, and plan. Confirm current details with DMAS, your MCO, and Eden intake.
Last reviewed August 23, 2026.
Start Care or contact Eden. Submitting a request does not approve services or hours.