Virginia Cardinal Care Program

Anthem HealthKeepers Plus



Aging (Adult)


Physical Disability (18 and under)


Physical Disability (Adult)


Effective July 1, 2024, the attendant hourly pay rate will increase two percent for the Consumer Direction Program. The new rate will be reflected on the June 20th – July 3rd payroll for Schedule A and the June 27th – July 12th payroll for Schedule B and forward. No action is required.

DMAS received approval to extend some of the current processes for paying legally responsible individuals (LRI)s. This delay will support families while changes to the program rules are being discussed in the General Assembly. The only changes that will go into effect on March 1, 2024, are those which have costs. DMAS will implement the following on March 1, 2024:

  1. LRI payments will be limited to 40 hours per week. LRIs are permitted to find other caregivers for the additional hours approved in the plan of care.
  2. Respite will not be available when there is a paid LRI.
    All other rules will be delayed until a decision has been made by the General Assembly. Directions from the General Assembly will go into effect after they are federally approved. More information about these changes will be posted on the DMAS website.

As an attendant in the Consumer-Directed Services Program, unemployment taxes are paid by your fiscal employer agent (F/EA) on behalf of your Consumer-Directed Employer to the Virginia Employment Commission (VEC). Should an attendant meet the rules set by the VEC, you may be eligible to apply for unemployment.


  • A Message from the Department of Medical Assistance Services (DMAS)
  • Virginia Sick Leave Information and Frequently Asked Question
  • MyAccount web portal
  • Learn About MyAccount
  • MyAccount User Guides and Frequently Asked Questions
  • Payroll Schedule A
  • Payroll Schedule B
  • Time4Care


This program helps people who are aging and/or living with intellectual/physical disabilities who may have difficulty with three or more of the following: self-care, understanding and expressing themselves using words, learning, decision-making,being able to live without help, and moving around.

If you qualify, you will be able to: 

Participants can 

Select services and support to meet your needs.

Find, hire, manage, and dismiss your careworkers.

Use MyAccount to review your budget and approved services.

Use MyAccount to monitor your careworker’s hours and spending.

Use MyAccount or Time4Care to review, approve, and submit your careworker’s timesheets.

Services include

Payroll – We process payroll for your careworker using money from your budget.

Employment tax requirements – We handle all employment-related taxes for you, including federal, state, local, and unemployment.

Enrollment support – We help you and your careworker with enrollment and training through your enrollment specialist,

Customer service – Our friendly and professional customer service agents are available five days a week to help you with any questions.

How to get started

Take the questionnaire


Both participants (employers) and caregivers (employees) have lots of timekeeping to do when working in a self-direction program.

Time4Care is our highly rated mobile solution for Apple and Android smart devices.

Reminders to submit timesheets

Timesheet submission and approval alerts

Timesheet error checking

Offline time entry

Simple calendar interface

Privacy features


Instant timesheet approval

Works right in the MyAccount/BetterOnline portal


MyAccount has everything you need to make sure your self-direction journey is a success. Designed for participants and caregivers, it lets you complete and check all required paperwork, timesheets, budgets and spending, with a focus on making the enrollment process easy.

It’ll make smooth sailing of any choppy waters you encounter while you’re getting set up, giving you the answers and forms you need, right when you need them.

Electronic Visit Verification (EVV)

Electronic Visit Verification (EVV) is used in your program. Submit and approve timesheets with Time4Care EVV, our easy-to-use mobile app.

Download on App Store Download on Google Play

Here are some things that will help you learn more about EVV and how to use the Time4Care mobile app:

EVV and Time4Care FAQ Time4Care Quick Guide

Telephone Option for EVV

The telephony option is for Providers who do not have access to a smart device, such as a smart phone or tablet, to clock-in and clock-out via the PPL mobile application. In order to use the telephony option, the Participant’s landline must be registered with Customer Service. 

Telephony will not work until after the landline is registered. If you call the telephony number from any phone that is not registered, you will not be able to submit or approve shifts through the system. 

Phone Line Registration

Participant should first call PPL customer service to register their landline phone. Customer Service can be reached at: 833-549-5672

Submitting and Approving Shifts

To submit a shift as a Provider or approve/reject a shift as a Participant you will call this dedicated telephony number: 833-204-9047

Providers will

  1. Dial 833-204-9047
  2. Enter last 4 digits of your Social Security Number (SSN) and Date of Birth
  3. Select Program Participant from list
  4. Follow prompts to start new, modify, or end shift
  5. If needed follow prompts to correct and resubmit entries

Participant/Authorized Representative will

  1. Dial 833-204-9047
  2. Verify identity by entering Last 4 digits of SSN and DOB
  3. Select Provider from list
  4. Follow prompts to review and approve or reject any submitted shifts 

Log in

Select the system your program uses to go to the login page.


Log time, review, approve, and submit timesheets, and handle electronic visit verification with ease.

Learn more about the benefits of Time4Care

Download in App Store Download in Google Play

Our complete web app that puts everything you need as a self-director (or case manager, or caregiver!) right at your fingertips.

PPL Connect

If you’re looking to hire a caregiver, PPL Connect lets you search people available to interview in your area.

If you’re a caregiver; sign up, highlight your unique capabilities, and get ready to interview!

Program Documents


Click the button to access Service Facilitator/Case Manager Documents

Service Facilitator/Case Manager Documents

Contact Information

TTY: 800-360-5899