September 29, 2020

HHSC has published IL 20-40 Changes to Determining Billable Units and EVV Claims Matching (PDF).

HHSC is amending Section 7600 of the CLASS Provider Manual and adding Section 11000 to the DBMD Program Manual on October 9, 2020 to implement changes in determining billable units for services that are billed on an hourly basis. These changes are being made to align the determination of billable units with EVV policy for providers that are required to use EVV beginning December 1, 2020. This letter also provides information about the EVV claims matching practice period.

Determining Billable Units

Starting no later than December 1, 2020, CLASS DSAs and DBMD program providers must determine billable units as described in Section 7600 of the CLASS Provider Manual and Section 11000 of the DBMD Program Manual.