What is Electronic Visit Verification?
Electronic Visit Verification is a computer-based system that electronically verifies the occurrence of authorized personal attendant service visits by electronically documenting the precise time a service delivery visit begins and ends. The EVV program was implemented to replace paper-based attendant timesheets.
Texas requires EVV for certain Medicaid funded home and community-based services provided through the Health and Human Services Commission and health plans.
Which Providers Must Use EVV?
Dual Eligible Integrated Care Demonstration
|Community Living Assistance and Support Services||
|Community Attendant Services||
|Primary Home Care||
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 a client in the home or the community, the attendant must use one of three approved EVV time recording methods to clock in when services begin and clock out when services end. Below is an example of how the attendant would use each approved EVV time recording method.
Home Landline Telephone
The attendant arrives at the home and before starting services, uses the client’s landline phone to call a toll-free number, issued by the EVV vendor, to clock in. The attendant may be prompted to enter their EVV ID or other identifying data elements, depending on the EVV vendor’s system. The attendant follows this same process when clocking out.
Small Alternative Device
The attendant arrives at the home and before starting services, locates the placement of a small alternative device in the home and writes down the numeric code displayed on the device. The attendant can then begin providing services. When the visit is complete, the attendant writes down a second numeric code displayed on the device. The attendant then calls a toll-free number, issued by the EVV vendor, and enters the first numeric code for clocking in and enters the second numeric code for clocking out. The numeric codes displayed on the small alternative device are like electronic time stamps, capturing the date and time of the visit.
Global Positioning System Mobile Application
The attendant arrives at the home or starts the visit in the community (shopping for the client, meeting the client at a doctor’s appointment, etc.) and before starting services, opens the EVV vendor’s mobile application to clock in. The mobile app may prompt the attendant to select other options depending on the vendor’s technology. The attendant will follow the same process when clocking out. The GPS mobile app captures the geolocation coordinates of where the attendant clocks in and out as well as the date and time of the visit.
How do I get started with EVV?
- Research HHSC-approved EVV vendors
- Data Logic (VESTA) Software
- MEDsys Software Solutions - Contract is expiring on Nov. 6. MEDsys is not currently accepting new providers.
- Select an HHSC-approved EVV vendor < DataLogic
- Complete the Vesta EVV Agency Information Form (PDF)
- Submit the completed Vesta EVV Agency Information Form to the email address or fax number detailed in the form.
Who do I Contact if I Have Questions?
HHSC-Approved EVV Vendors
MEDsys (Contract is expiring on November 6, 2018. MEDsys is not currently accepting new providers.)
Managed Care Organizations
Phone: 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, 800-947-4969
Cook Children’s Health Plan
Driscoll Children’s Health Plan
Phone: STAR Kids Nueces Service Delivery Area: 844-508-4672
STAR Kids Hidalgo Service Delivery Area: 844-508-4674
Molina Healthcare of Texas
Website: http://www.molinahealthcare.com/en- us/Pages/home.aspx
Superior Health Plan
United Health Group
What is the status of the 21st Century Cures Act?
The 21st Century Cures Act requires all states to use EVV for Medicaid personal care and home health services or risk a loss of federal Medicaid matching dollars. The Cures Act requires states to implement EVV by Jan. 1, 2019, for in-home personal care services and Jan. 1, 2023, for home health care services.
Where does the 21st Century Cures Act define personal care services and home health care?
- The statute defines PCS to include personal care services provided under 42 U.S.C. section 1396d(a)(24), 1396n(c), 1396n(i) or 1396n(k) or under a waiver of 42 U.S.C. section 1115.
- The statute defines home health services to include services provided under 42 U.S.C. section 1396d(a)(7) or under a waiver of the state plan.
What is the latest update from HHSC?
Based on the last guidance from the Centers for Medicare & Medicaid Services, Texas Health and Human Services is working to detail the effects of the federal requirements, including the policy, operational and technology changes needed for compliance. Deeper engagement with stakeholders has begun to collaborate on developing EVV solutions to meet the needs of those the changes affect.
HHSC is considering a variety of ways to improve state’s existing EVV system, CMS’ expectations, and meet the Cures Act requirements. .