Electronic Visit Verification

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

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.

Learn more about the Cures Act and EVV.

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

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

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.

Training Resources

Learn more about all EVV training materials and resources.

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