Why Clock-In & Clock-Out Matter

Limitations

Vendor screens differ. This page teaches integrity and workflow, not a specific app's button labels. 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.

Important definitions

Short definitions used on this page. Program manuals may phrase lists slightly differently.

• EVV: Electronic Visit Verification — a federal and Virginia requirement to record visit facts such as member, service, caregiver, date, location, and start/end time for many personal care, respite, and companion visits.

Plain-English summary

A plain-language visit workflow: arrive, verify the assignment, clock in on the approved system, follow the care plan, document, clock out at the actual end of service, and never falsify EVV.

Why accurate times matter

Clock-in and clock-out support client safety, continuity of care, service documentation, payroll, authorization utilization, Medicaid compliance, billing integrity, quality assurance, audits, and fraud prevention. They are not optional extras when EVV applies.

Visit duration

Recorded visit duration is actual clock-out minus actual clock-in. This website does not teach anyone how to reshape times to match an authorization. Do not use the site to learn billing manipulation.

Never falsify EVV

Integrity rules are not optional.

• Never clock in for another worker.
• Never share credentials.
• Never fabricate a visit.
• Never pre-clock a visit before you arrive and start care.
• Never intentionally alter service time to create false documentation.
• Never sign for a client.
• Never ask someone to verify care that was not delivered.

Missed clock-in or clock-out

If you forget, device problems occur, or you are offline, follow Eden's assigned EVV vendor process and notify a supervisor. Manual or exception entries, when a program allows them, still must be truthful.

Corrections

Some systems allow documented corrections after supervisor review. A correction is not permission to create a visit that did not happen.

Eligibility and applicability

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.

Assessment and documentation

Depending on the program and service, an assessment and supporting documentation may be required. A nurse does not automatically visit first for every request.

Authorization and approval

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.

Hours and limits

Requested, assessed, authorized, scheduled, and EVV-verified hours can all differ. This site does not invent a universal hour number.

How services can interact

Personal care, respite, companion, adult day, and transportation follow separate rules. A plan may authorize one, more than one, or none.

Family caregiver implications

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 vs consumer-directed

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.

Insurance and MCO implications

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.