Managed care organizations and fee-for-service payers may resume recoupments of MEDsys EVV claim(s) after receipt of the re-exported files from DataLogic.
The re-export of files applies to payers who approve visit maintenance can be opened on or after Feb. 11, 2019.
DataLogic has 60 business days from the received approval date from the payer to open visit maintenance, make the approved changes, and re-export to the payer.
MCO providers who have EVV recoupment complaints with their MCO payer should email HPM_Complaints@hhsc.state.tx.us with supporting documentation.
Fee-for-service providers who experience issues with fee-for-service contract monitoring related to MEDsys EVV data should email HHSC at Electronic_Visit_Verification@hhsc.state.tx.us.
Please send questions regarding this notice to HHSC EVV Operations.