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VA Overtime Increase

Attention all Attendants! Effective July 1, 2021 (dates of work) attendants may work up to 16 hours of overtime per work week. If you live with your consumer, you are not eligible for overtime payments. You may not exceed your consumer’s bi-weekly authorized hours.

If you qualify for overtime, you must use an approved EVV method to submit your time. This includes the Time4Care mobile application or IVR system.

Update: VA Appendix K Flexibilities

Temporary Attendant Update: If you are a COVID-19 emergency parent or spouse caregiver, the Appendix K emergency response has been extended and will not end August 1, 2021. More information will be provided when there is an end date.  

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Virginia Optima Health


Virginia's Consumer-Directed Fiscal/Employer Agent Services support people who are eligible for Medicaid through Managed Care Organizations (MCOs) and choose to direct their own services. Attendants provide personal care services for participants in these programs:

  • Commonwealth Coordinated Care Plus Waiver (Formally known as EDCD/Tech Waiver)
  • Early and Periodic Screening, Diagnosis and Treatment (EPSDT)

Participants can

  • Manage authorized service hours to meet assessed needs and goals
  • Recruit, hire, manage, and dismiss employees
  • Monitor the utilization of services online whenever they want
  • Submit and monitor timesheets online using the BetterOnline™ web portal


Who we serve

  • The elderly
  • Individuals with disabilities



  • Enrollment support - We help you with participant and worker enrollment
  • Employment tax requirements - PPL handles all employment-related tax requirements for participants
  • Payroll - PPL processes payroll for the service workers using funds from the participant's allocated budget
  • Customer service - Our professional Customer Service Representatives are available 6 days a week to assist you