May 28, 2019

EVV Visit Transaction Validation Enhancements Effective June 1, 2019

Effective June 1, 2019, HHSC will enhance the Electronic Visit Verification process by standardizing EVV visit data to improve accuracy and reduce data corrections required by program providers. These enhancements will help program providers prepare for the new claims matching process by ensuring that the data is complete and correct and begins in September 2019. Program providers should use the time between June 1, 2019 and Aug. 31, 2019 to clean up data in the Vesta EVV system to prepare for the new claims matching process.

The implementation of the validation enhancements for EVV visit transactions with a date of service of June 1, 2019 or later, applies to program providers who submit EVV-relevant claims to the following payers:

  • Aetna
  • Children’s Medical Center Health Plan
  • Cigna
  • Cook Children’s Health Plan
  • Driscoll Health Plan
  • Fee-for-Service – Acute Care
  • Fee-for-Service – Long Term Care

Program providers who submit EVV-relevant claims to all other payers will see the results of this EVV Aggregator validation process in the DataLogic Vesta system on Sept. 1, 2019.

Click here for more information about the EVV visit transaction validation enhancements (PDF).

For more information, contact TMHP.


Changes to EVV Vendor System Effective June 1, 2019

Effective June 1, 2019, HHSC is making additional enhancements to the Electronic Visit Verification provider data validation process that was implemented on April 1, 2019. These enhancements will improve data quality by standardizing EVV data within the Vesta EVV system.

The Vesta EVV system will alert program providers when discrepancies are found between the program provider data currently in the Vesta EVV system and the Medicaid enrolled program provider data stored in the EVV Aggregator.

Click here for more information about the enhancements to the EVV provider data validation process (PDF).

Please contact HHSC or your MCO for EVV questions.