Virginia Medicaid / Cardinal Care
Cardinal Care is Virginia's Medicaid and FAMIS program, administered through the Virginia Department of Medical Assistance Services (DMAS).
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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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Resources
Virginia Medicaid, Cardinal Care, MCO verification, Medicare overview, and commercial insurance guidance.
Cardinal Care is Virginia's Medicaid and FAMIS program, administered through the Virginia Department of Medical Assistance Services (DMAS).
Virginia Medicaid managed care plans may include: Aetna Better Health of Virginia; Anthem HealthKeepers Plus; Humana Healthy Horizons of Virginia; Sentara Health Plans / Sentara Community Plan; UnitedHealthcare of the Mid-Atlantic. We help verify benefits. Coverage depends on eligibility, authorization, documentation, medical necessity, and plan approval.
Original Medicare and Medicare Advantage may cover certain skilled home health services when eligibility and medical necessity criteria are met. We help verify benefits and explain documentation requirements.
For commercial plans, we help families gather policy information and verify whether home health services may be covered. Coverage depends on plan rules, documentation, and authorization approval.
Insurance card copies, physician orders when applicable, identification, emergency contacts, medication lists, and recent hospital or clinic records help speed verification.
Many home health services require a physician, nurse practitioner, or physician assistant order, documented medical necessity, plan authorization, and managed care organization (MCO) verification when applicable.
Payers may request additional clinical documentation, updated orders, or clarification of medical necessity before approving services.
Benefits must be verified before services begin. Our intake team reviews eligibility, required orders, and authorization requirements with you. Coverage depends on eligibility, authorization, documentation, medical necessity, and plan approval. Eden Home Health Care helps families verify benefits, but we do not guarantee coverage with any specific payer or managed care organization.