EVV Proprietary Systems

2020 Implementation Update: Four program providers and FMSAs completed the readiness review and testing process and received HHSC approval to begin using their EVV proprietary systems on Oct. 30, 2020. Program providers and FMSAs that want to use an EVV proprietary system in 2021 can refer to the 2021 Implementation Timeline below for more information and key dates.

What is an EVV Proprietary System?

An EVV proprietary system is an HHSC-approved EVV system that a program provider or financial management services agency may opt to use, instead of an EVV vendor system from the state vendor pool that:

  • Is purchased or developed by a program provider or FMSA;
  • Is used to exchange EVV information with the EVV Aggregator;
  • Complies with Section 531.024172 of the Texas Government Code and
  • Complies with all HHSC EVV standards, rules and reporting requirements.

EVV System Options

Texas Medicaid program providers and FMSAs have two options for complying with the requirement to use an EVV system.

Option 1: State EVV Vendor Pool

Program providers and FMSAs can choose to use an EVV vendor system from the state EVV vendor pool managed by the Texas Medicaid & Healthcare Partnership.

TMHP contracts with EVV vendors to provide EVV systems at no cost to program providers and FMSAs. See the TMHP EVV Vendors webpage for more information and instructions for choosing a vendor system.

Option 2: EVV Proprietary System

Program providers and FMSAs may choose to seek HHSC approval to use an EVV proprietary system instead of an EVV vendor system from the state vendor pool.

HHSC may recognize a proprietary system, whether purchased or developed by the program provider or FMSA. EVV proprietary system operators will be responsible for their system meeting all provisions of state and federal laws, rules, regulations, policies, and guidelines, including the requirements of Section 531.024172(g) of the Texas Government Code and all other EVV requirements.

See the TMHP EVV Proprietary Systems webpage for the HHSC requirements for selecting a proprietary system.

2021 Implementation Timeline

Program providers and FMSAs that want to use a proprietary system have two opportunities to get HHSC-approval during fiscal year 2021.

Registration Requirements

A program provider or FMSA must have a developed and compliant proprietary system which meets all HHSC requirements by the Readiness Review begin date for their chosen session.

HHSC will allow up to six program providers and FMSAs to register for each Readiness Review session by submitting a completed an EVV Proprietary System Request Form to TMHP. Program providers and FMSAs will be accepted into a session on a first-come, first-served basis determined by the date a complete and signed form is received.

The HHSC EVV proprietary system requirements and EVV Proprietary System Request Form are available on the TMHP EVV Proprietary Systems webpage.

Session 1: Readiness Review Schedule

Oct. 26, 2020: Registration begin date

Nov. 30, 2020: Registration end date

Dec. 7, 2020: Planning meeting with registered program providers and FMSAs

Jan. 19, 2021: Connectivity Checkpoint with TMHP

Feb. 1, 2021: Readiness Review begin date

April 30, 2021: System go-live date

Session 2: Readiness Review Schedule

Oct. 26, 2020: Registration begin date

Jan. 11, 2021: Registration end date

Jan. 19, 2021: Planning meeting with registered program providers and FMSAs

May 17, 2021: Connectivity Checkpoint with TMHP

May 31, 2021: Readiness Review begin date

Aug. 27, 2021: System go-live date

Reimbursement

HHSC is allowing program providers to report costs for developing and operating an EVV proprietary system beginning in cost report year 2020. HHSC will consider these reports during its regular biennial fee reviews and legislative appropriation request process to calculate rates related to proprietary systems. The soonest rates may be affected is fiscal year 2024.

HHSC is also working on a process to collect enough financial information to review rates for providers and FMSAs who do not submit cost reports. HHSC will update this webpage and notify providers and FMSAs when more information is available.

EVV Proprietary Systems Workgroup

Senate Bill 1991 (86th Legislature) required HHSC to consult with industry stakeholders about creating an open model for EVV and using an EVV proprietary system. Accordingly, HHSC hosted workgroup meetings in 2019. Materials discussed during each workgroup are below.

Note: Materials presented in the workgroup are drafts only used for discussion purposes. Final versions of these materials are available on the TMHP EVV Proprietary Systems webpage.

Meeting 1: Oct. 1, 2019

Meeting 2: Oct. 22, 2019

Meeting 3: Nov. 12, 2019

Meeting 4: Dec. 3, 2019

Contact Information

To submit feedback or questions, email Electronic_Visit_Verification@hhsc.state.tx.us.