I have just double checked this here, using VS2022 and VA 2471.0, in an Unreal Engine solution, with IDE intellisense disabled via the same option, and I am getting mouse hover tooltips from VA just fine.
Do you have the VA options:
VA Options -> Display -> Show Quick Info tooltips for more symbols
Show additional comments when available
Show tooltips for braces and structural keywords
On or Off? If all of these are Off does turning them On make any difference?
Can you please try adding the very simple test case:
short verySimpleTooltipHoverTarget() { return 2; }
short verySimpleTooltipCaller() { return verySimpleTooltipHoverTarget() * 3; }
to one of your cpp files. After VA has applied syntax colouring to the function names, so we know it has parsed the edit, which should be nearly instantly, you should get a tooltip when hovering the mouse pointer over any of the three function names.
Can you show VA View, then place keyboard focus back into the editor, and now hover the mouse over the function names. You should see both function names, plus any other free (non class member) functions in the current file listed in the bottom section of VA View.