What is Electronic Visit Verification?
Electronic Visit Verification is a computer-based system that verifies the occurrence of authorized personal attendant service visits by electronically documenting the precise time a service delivery visit begins and ends. Texas requires EVV for certain Medicaid funded home and community-based services provided through the Health and Human Service Commission and managed care organizations.
Programs and Services Required to Use EVV
- See the current Programs and Services Required to Use EVV on page 3.
21st Century Cures Act Updates
The 21st Century Cures Act is a federal law requiring all states to use EVV for Medicaid personal care services and home health care services.
The Jan. 1, 2020 EVV start date is delayed for the programs, services, and service delivery options affected by the Cures Act.
Contact Information
The EVV Contact Information Guide (PDF) provides a detailed listing of topics and points of contact for EVV-related questions and issues.
Forms and Handbooks
EVV Rights and Responsibilities
- Fee-for-Service EVV Rights and Responsibilities - English (PDF)
- Fee-for-Service EVV Rights and Responsibilities - Spanish (PDF)
- Form 1718 – MCO EVV Rights and Responsibilities (English and Spanish)
Visit Maintenance
Handbook
Policy and Compliance
HHSC EVV Policy
Compliance and Oversight
Compliance Oversight Reviews monitor program providers contracted with HHSC and managed care organizations on the use of an EVV system to electronically document authorized service delivery visits. Program providers will be reviewed on a regular basis to ensure they are following EVV policy.
Historical Compliance Plans
Reason Codes
Program providers must select the most appropriate EVV reason code numbers, reason code description option, and enter any required free text when performing visit maintenance in the EVV system.
Current HHSC EVV Reason Codes
Historical HHSC EVV Reason Codes
Service Bill Codes Table
The EVV Services table below provides current billing codes for EVV-relevant services in Long-Term Care, Acute Care, and Managed Care programs, including billing codes with changes effective Sept. 1, 2019 for STAR+PLUS services.
Program providers must use the appropriate Healthcare Common Procedure Coding System (HCPCS) and modifier combinations in the EVV Services table to prevent EVV visit transaction rejections and EVV claim match denials.
Statutes and Rules
State
- Texas Administrative Code, Title 1, Part 15, Chapter 354
- Texas Administrative Code, Title 40, Part 1, Chapter 41
- Texas Administrative Code, Title 40, Part 1, Chapter 49
- Texas Administrative Code, Title 40, Part 1, Chapter 68
- Texas Government Code, Section 531.024172
Federal
Training
Computer-Based Training
Online EVV training courses are available in the HHS Learning Portal and TMHP Learning Management System. Completing these courses help program providers meet EVV training requirements. Training topics include EVV policy, the EVV Portal, Standard Reports and Search Tools in the EVV Portal, and EVV Claims submission and billing.