What is Electronic Visit Verification?
Electronic visit verification (EVV) is a telephone and computer-based system that electronically verifies service visits occur and documents the precise time service begins and ends. It is required for certain home and community-based services provided by the Texas Health and Human Services Commission (HHSC), Texas Department of Aging and Disability Services (DADS), and certain Managed Care Organizations (MCOs).
Texas implemented EVV to verify that individuals/members receive the services authorized for their support and for which the state is being billed. Time will be logged using an HHSC-approved EVV System and an individual/member home landline telephone, or a small alternative device.
Electronic Visit Verification At-a-Glance
Which Providers Must Use EVV?
Dual Eligible Integrated Care Demonstration
|STAR Kids (effective Nov. 1, 2016)||
|Acute-care Fee for Service||
|Community Living Assistance and Support Services (CLASS)||
|Medically Dependent Children Program (MDCP)||
|Community Attendant Services (CAS)||
|Family Care (FC)||
|Primary Home Care (PHC)||
**EVV is optional for members who have selected the Consumer Directed Services (CDS) option
What are the EVV Initiative Service and Billing Codes?
Providers must use these service codes when completing EVV operations.
How does EVV Work?
When an attendant provides services to an individual/member in the home or the community, the attendant must use the HHSC approved EVV system and:
- The individual/member home landline telephone; or
- An HHSC-approved small alternative device (SAD).
How do I get started with EVV?
- Research HHSC-approved EVV vendors
- Select an HHSC-approved EVV vendor
- Complete the Form H1002, Provider Electronic Visit Verification Vendor System Selection
- Send the completed Provider EVV Vendor System Selection Form to Texas Medicaid and Healthcare Partnership (TMHP) at:
Texas Medicaid Healthcare Partnership (TMHP) / Accenture
Who do I Call if I Have Questions?
Approved EVV Vendors
Managed care policy questions email: firstname.lastname@example.org
Website: http://www.tmhp.com/Pages/Topics/EVV.aspx (link is external)
Phone: 1-800-925-9126, Option 5
Phone: 1-800-306-8612 Chose option 2, then 2 again
Blue Cross Blue Shield (BCBS)
Children’s Medical Center Health Plan
Phone: 214-456-2765 or Toll-free at 1-800-947-4969
Cook Children’s Health Plan
Community First Health
Driscoll Health Plan
Phone: STAR Kids Nueces Service Delivery Area: 1-844-508-4672
STAR Kids Hidalgo Service Delivery Area: 1-844-508-4674
Website: http://www.molinahealthcare.com/en- us/Pages/home.aspx
Texas Children’s Health Plan
Phone: 832-828-1008 or 1-800-731-8527
United Health Group