The 21st Century Cures Act, Section 12006 (Cures Act) is a federal law requiring the use of Electronic Visit Verification for all Medicaid personal care services and home health care services. Texas must implement EVV for personal care services by Jan. 1, 2021.
Cures Act Program Providers and FMSAs
HHSC defines a Cures Act program provider and FMSA as a program provider or FMSA submitting claims for Medicaid personal care services not currently required to use EVV by state law.
Cures Act program providers and FMSAs are subject to federal EVV requirements mandated by the Cures Act. Review the Programs and Services section below to determine if you are included in the Cures Act EVV Expansion as a Cures Act program provider and FMSA.
Programs, Services and Service Delivery Options Affected by the Cures Act
To confirm if a Medicaid personal care service is subject to the Cures Act EVV requirement, refer to pages 1-2 of the Programs, Services and Service Delivery Options Required to Use EVV (PDF).
Cures Act EVV Expansion for Medicaid Personal Care Services
Throughout the 2020 calendar year, the Cures Act EVV Expansion will implement the Cures Act EVV requirement for Medicaid personal care services that are not currently required to use EVV by state law. HHSC already requires EVV for about 90 percent of Medicaid personal care services.
Cures Act EVV Expansion Timeline
There are several important dates and milestones that Cures Act program providers and FMSAs must meet throughout 2020.
Note: Dates are subject to change. Additional dates and milestones will be added below once known. HHSC encourages stakeholders to bookmark this page and check it often for updates.
Jan. 6, 2020 - May 1, 2020
Select an EVV vendor or elect to use your EVV proprietary system and submit the appropriate form to begin the onboarding process. If a selection is not made by May 1, 2020, HHSC will assign an EVV vendor to the program provider or FMSA.
July 1, 2020
Begin using the EVV vendor system during the practice period. If an EVV vendor system is selected, attendants should begin clocking in and out of the EVV system. The practice period can begin earlier once the EVV vendor onboarding process is complete. If an EVV proprietary system is selected the practice period can begin at any time.
Informational claims matching begins. Cures Act program providers and FMSAs will receive informational matching results after EVV claims are matched to EVV visit transactions. During this period, EVV claims will not be denied for a mismatch.
Dec. 1, 2020
EVV claim matching denials begins. EVV claims without a matching accepted EVV visit transaction in the EVV Portal will be denied.
Action Due by May 1: Select an EVV Vendor
By May 1, 2020, Cures Act program providers and FMSAs are required to select an EVV vendor system or elect to use their EVV proprietary system and submit the appropriate form to begin the onboarding process.
- To select an EVV vendor system submit the EVV Provider Onboarding Form. The form is on each EVV vendor’s website.
- To elect to use an EVV proprietary system submit the EVV Proprietary System Request Form. The form is on the TMHP EVV Proprietary System webpage.
- If a selection is not made by May 1, 2020, HHSC will assign an EVV vendor.
EVV Vendor Selection Resources
- Review the HHSC EVV Vendor Selection for Cures Act EVV Expansion Policy (PDF).
- Visit the TMHP EVV Vendors webpage for contact information and links to each vendor’s website.
- In March, register to attend a live EVV vendor system demonstration (PDF).
- Module 16 of the EVV Tool Kit: review the Cures Act EVV Expansion – EVV Vendor Selection and Onboarding for more details about the selection process.
EVV Proprietary Systems Resources
- Review the HHSC EVV Proprietary Systems Policy (PDF).
- Visit the HHSC EVV Proprietary Systems webpage for information about implementing an EVV proprietary system in Texas.
- The TMHP EVV Proprietary Systems webpage provides system requirements, information about the onboarding process, and the EVV Proprietary Systems Request Form.
Required EVV Training
The HHSC EVV Training Policy (PDF) requires program providers and FMSAs complete EVV vendor system, EVV policy and EVV Portal training.
- The Cures Act EVV Required Training Checklist (PDF) outlines training requirements and how to complete them.
Email EVV vendor questions to evv@TMHP.com.
Email EVV policy questions to Electronic_Visit_Verification@hhsc.state.tx.us.
For additional contact information, refer to the EVV Contact Information Guide (PDF).