Electronic visit verification
Electronic visit verification (EVV) 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 (HHSC) and managed care organizations.
EVV training schedule and materials
This section provides EVV training materials and training schedules specific to Wellpoint and Texas Health and Human Services Commission (HHSC).
- Register for the Upcoming HHAeXchange EVV Town Hall Webinar
- TMHP Published New EVV Visit Transaction Rejection Codes to Begin April 1
- Updates to HHAeXchange Training Resources for EVV Program Providers and FMSAs
- Register for HHAeXchange Webinar - February 23, 2024
- Register for the Texas EVV HHAeXchange Town Hall Webinars
- HHAeXchange Onboarding and Training Resources Available
- EVV Policy Training for CDS Employers available in Spanish
- HHSC EVV Training Resources
- TMHP EVV Training
- HHAeXchange Offers Additional Training Resources
- EVV HHAeXchange Questions & Answers (Q&As)
EVV policies and procedures
This section provides EVV policies and procedures specific to Wellpoint and HHSC. Wellpoint complies with all of HHSC’s EVV policies and procedures.
- EVV Home Health Care Service Implementation Onboard NOW!
- EVV Compliance Reviews for State Fiscal Year 2024 and Calendar Year 2024
- EVV Transition: Providers Must Take Action Now!
- EVV Data Conversion and Access to HHAeXchange
- EVV Take Action Now: Onboard with HHAeXchange
- Qualifications and Ordering an EVV Alternative Device from new State EVV Vendor, HHAeXchange
- EVV Updates for Home Health Care Service Implementation
- EVV Compliance Grace Period for EVV Usage and Home Phone Landline
- EVV Direction for FMSAs on CDS Employer Usage
- 90-Day Notice Before EVV Usage Reviews Begin for CDS Employers
- 90-Day Notice of Compliance for Cures Act Personal Care Services Notice
- EVV Required Free Text Reviews Postponed for CDS Option
- EVV Topics About Using an EVV System
- EVV Begin the Onboarding Process with HHAeXchange
- Next Steps and Timeline for Transition to New EVV Vendor System
- EVV Compliance Reviews for State Fiscal Year 2023 and Calendar Year 2023
- Enter Missing EVV Visits and New EVV TAC Rules
- Billing EVV Services as Secondary Insurance Claims
- EVV Claim Matching Begins April 1, 2024
- EVV Claim Matching Bypass from January 1, 2024 to March 31, 2024
- EVV Home Health Care Service Implementation Onboard NOW!
- EVV Claim Matching Resumes January 1, 2024
- EVV Optional Services Now Available in PCS Bill Codes Table
- EVV Transition: Providers Must Take Action Now!
- EVV Updates for Home Health Care Service Implementation
- HHSC EVV Policies: Reason Codes, Bill Time In, Bill Time Out, and Bill Hours
- EVV Practice Period for Home Health Care Service Implementation
- Update to EVV Home Health Care Services Bill Codes Table
- Home Health Care Services Required to Use EVV v2
- Billing for Financial Management Service (FMS) Fee Procedure Code T2040
- STAR+PLUS and MMP LTSS Billing Matrix Changes effective 12/1/2022 (crosswalk)
- STAR Kids LTSS Billing Matrix Changes effective 12/1/2022 (crosswalk)
- HHSC Billing Policy Changes for Providers Required to use EVV
- HHSC Notice: Provider EVV Claim Submission to TMHP
- Provider Notice: Submitting Corrected Claims using TexMedConnect
- HHSC Notice: STAR+PLUS, STAR Kids and STAR Health LTSS Billing Matrix and Service Authorization Updates for EVV-Required Services
- Cures Act Home Health Care Services: EVV Services Updates and Service Bill Codes Table Now Available
- Enter Missing EVV Visits and New EVV TAC Rules
- HHSC EVV PCS Service Bill Codes Table (Excel)
- HHSC EVV PCS Service Bill Codes Table (PDF)
EVV visit maintenance (VM) unlock request information
This section contains information for visit maintenance unlock requests.
- Wellpoint Electronic Visit Verification (EVV) Visit Maintenance Unlock Request Form (VMUR) for Program Providers and FMSAs
- EVV VMUR Job Aid for Program Providers and FMSAs
- Electronic Visit Verification (EVV) Visit Maintenance Unlock Request Form (VMUR) for Consumer Directed Services (CDS) Employers
- EVV VMUR Job Aid for CDS Employers
- TMHP Published New EVV Visit Transaction Rejection Codes to Begin April 1
- Provider Update: EVV VM on Hold for Dates of Service before Go-Live with Current EVV System
- EVV VMUR on Hold for Dates of Service prior to Go-Live Date with Current EVV System
- EVV Data Conversion and Access to HHAeXchange
- EVV Program Providers and FMSAs Must Download Visit Data by Dec. 22, 2023
- EVV Transition: Providers Must Take Action Now!
- Current EVV Users Must Complete Visit Maintenance Before They Lose Access on Dec. 22, 2023
- EVV Visit Transaction Rejection Guide from TMHP
- EVV Topics About Using an EVV System
- Enter Missing EVV Visits and New EVV TAC Rules
- Complete EVV Visit Maintenance and submit VMURs Before Losing Access
EVV quarterly compliance reviews
This section contains Wellpoint quarterly summary of the EVV compliance reviews.
EVV alerts
This section provides EVV alerts on changes or updated information specific to Wellpoint and HHSC.
- Billing EVV Services as Secondary Insurance Claims
- Register for the Upcoming HHAeXchange EVV Town Hall Webinar
- EVV Policy for Mobile Method Geo-Perimeter Expansion
- EVV Claim Matching Begins April 1, 2024
- Updates to HHAeXchange Training Resources for EVV Program Providers and FMSAs
- Provider Update: EVV VM on Hold for Dates of Service before Go-Live with Current EVV System
- Register for HHAeXchange Webinar - February 23, 2024
- EVV VMUR on Hold for Dates of Service prior to Go-Live Date with Current EVV System
- EVV Claim Matching Bypass from January 1, 2024 to March 31, 2024
- EVV Claim Matching Resumes January 1, 2024
- EVV Program Providers and FMSAs Must Download Visit Data by Dec. 22, 2023
- EVV Home Health Care Service Implementation Onboard NOW!
- EVV Compliance Reviews for State Fiscal Year 2024 and Calendar Year 2024
- EVV HHAeXchange Questions & Answers (Q&As)
- HHAeXchange Offers Additional Training Resources
- Register for the Texas EVV HHAeXchange Town Hall Webinars
- HHAeXchange Onboarding and Training Resources Available
- EVV Optional Services Now Available in PCS Bill Codes Table
- EVV Transition: Providers Must Take Action Now!
- Qualifications and Ordering an EVV Alternative Device from new State EVV Vendor, HHAeXchange
- EVV Begin the Onboarding Process with HHAeXchange
- EVV Data Conversion and Access to HHAeXchange
- EVV Take Action Now: Onboard with HHAeXchange
- EVV Systems AuthentiCare and Vesta Available for Use Through Sept. 30, 2023
- EVV Updates for Home Health Care Service Implementation
- EVV Practice Period for Home Health Care Service Implementation
- EVV Vendor Transition Overview
- EVV Compliance Reviews for State Fiscal Year 2023 and Calendar Year 2023
- EVV Cures Act Home Health Care Services Implementation Confirmed for Jan. 1, 2024
- MMP - STAR+PLUS, MMP and STAR Kids LTSS Billing Matrix Changes effective 12/1/2022
- EVV Direction for FMSAs on CDS Employer Usage
- 90-Day Notice of Compliance for Cures Act Personal Care Services Notice
- Update made to the EVV Provider Training Presentation
- Provider Notice Retrospective Review EVV07
- Provider Notice: Submitting Corrected Claims using TexMedConnect
- Next Steps and Timeline for Transition to New EVV Vendor System
- Current EVV Users Must Complete Visit Maintenance Before They Lose Access on Dec. 22, 2023
- Enter Missing EVV Visits and New EVV TAC Rules
- Complete EVV Visit Maintenance and submit VMURs Before Losing Access
- Register for the Upcoming HHAeXchange EVV Town Hall Webinar
- EVV Policy for Mobile Method Geo-Perimeter Expansion
- EVV Claim Matching Begins April 1, 2024
- Updates to HHAeXchange Training Resources for EVV Program Providers and FMSAs
- Provider Update: EVV VM on Hold for Dates of Service before Go-Live with Current EVV System
- Register for HHAeXchange Webinar - February 23, 2024
- EVV VMUR on Hold for Dates of Service prior to Go-Live Date with Current EVV System
- EVV Claim Matching Bypass from January 1, 2024 to March 31, 2024
- EVV Claim Matching Resumes January 1, 2024
- EVV Program Providers and FMSAs Must Download Visit Data by Dec. 22, 2023
- EVV Home Health Care Service Implementation Onboard NOW!
- Register for the Texas EVV HHAeXchange Town Hall Webinars
- EVV Data Conversion and Access to HHAeXchange
- HHAeXchange Onboarding and Training Resources Available
- EVV Optional Services Now Available in PCS Bill Codes Table
- EVV Transition: Providers Must Take Action Now!
- EVV Take Action Now: Onboard with HHAeXchange
- Qualifications and Ordering an EVV Alternative Device from new State EVV Vendor, HHAeXchange
- EVV Systems AuthentiCare and Vesta Available for Use Through Sept. 30, 2023
- EVV Updates for Home Health Care Service Implementation
- EVV Begin the Onboarding Process with HHAeXchange
- EVV Vendor Transition Overview
- Home Health Care Services Required to Use EVV v2
- Cures Act Home Health Care Services: EVV Services Updates and Service Bill Codes Table Now Available
- EVV Cures Act Home Health Care Services Implementation Confirmed for Jan. 1, 2024
- EVV Direction for FMSAs on CDS Employer Usage
- CDS Employer EVV Usage Compliance Review Grace Period
- 90-Day Notice of Compliance for Cures Act Personal Care Services Notice
- EVV Visit Transaction Rejection Errors Guide Now Available
- TMHP Frequently Asked Questions
- TMHP Technical Information for Claim Submission
- Updated TMHP Companion Guides
- EVV Required Free Text Reviews Postponed for CDS Option
- Potential Electronic Visit Verification Changes Coming in 2023
- HHSC Notice: STAR+PLUS, STAR Kids and STAR Health LTSS Billing Matrix and Service Authorization Updates for EVV-Required Services
- EVV Program and Service Requirements for Schedules
- Next Steps and Timeline for Transition to New EVV Vendor System
- Current EVV Users Must Complete Visit Maintenance Before They Lose Access on Dec. 22, 2023
- Enter Missing EVV Visits and New EVV TAC Rules
- Complete EVV Visit Maintenance and submit VMURs Before Losing Access
- HHAeXchange Offers Additional Training Resources
- EVV HHAeXchange Questions & Answers (Q&As)
The 21st Century Cures Act
The 21st Century Cures Act, or Cures Act, is a federal law that passed in 2016 requiring states to implement electronic visit verification (EVV) for Medicaid personal care services and home health care services that require an in-home visit. States that do not implement EVV will receive reduced federal Medicaid funding.
- EVV Take Action Now: Onboard with HHAeXchange
- Qualifications and Ordering an EVV Alternative Device from new State EVV Vendor, HHAeXchange
- EVV Direction for FMSAs on CDS Employer Usage
- 90-Day Notice Before EVV Usage Reviews Begin for CDS Employers
- CDS Employer EVV Usage Compliance Review Grace Period
- 90-Day Notice of Compliance for Cures Act Personal Care Services Notice
- EVV Requirements for CDS Employers
- HHSC Information Letter 20-47 Clarification of EVV Requirements
- Cures Act EVV Practice Period Extended Through Dec. 31st
- Cures Act EVV: Practice Period Update and Important Dates
- Submit CDS and SRO Managed Care EVV Claims to TMHP
- EVV Guidance for FMSAs and Notice for CDS Employers
- HHSC Information Letter 20-33
- 21st Century Cures Act and EVV
- EVV Home Health Care Service Implementation Onboard NOW!
- Register for the Texas EVV HHAeXchange Town Hall Webinars
- HHAeXchange Onboarding and Training Resources Available
- EVV Updates for Home Health Care Service Implementation
- EVV Practice Period for Home Health Care Service Implementation
- Home Health Care Services Required to Use EVV v2
- Cures Act Home Health Care Services: EVV Services Updates and Service Bill Codes Table Now Available
EVV archive information
This section provides historical information for EVV.
- Vesta Windows Ends 8/31/2022
- Provider Update EVV Claim Submission
- Provider Update Providers billing for EVV required services
- Provider Update EVV Upfront Denials
- Provider Update STAR+PLUS Long-Term Services and Supports
- HSC Updates to STAR+PLUS LTSS Billing Matrix and Authorizations
- Provider Update: EVV Timeline CDS and SRO Services
- 90-Day Notice of EVV Compliance for State-Required Personal Care Services Providers
- Misuse of EVV Reason Codes Requirements Removed
- EVV Compliance Reviews for State Fiscal Year 2022
- EVV Data Access Request Form
- Change to Access of Historical EVV Records Stored by Sandata
- Providers Transitioning to DataLogic VESTA
- EVV Policy Handbook Revisions - September 2022
- EVV Policy Handbook Revisions - June 2022
- EVV Policy Handbook Revisions - March 2022
- EVV Policy Handbook Revisions - January 2022
- EVV Policy Handbook Revisions – November 2021
- HHSC Guidance for Payment to CDS Employees on or after 1/1/2021
- CDS Employer EVV Usage Compliance Review Grace Period
- HHSC to Request Extension of EVV Cures Act Home Health Care
- HHSC Alert: Temporary EVV Policies for Severe Winter Weather
- EVV Policy Update: 180 Day & 90 Day Visit Maintenance Temporary Policy
- Guidance Related to DataLogic Vesta EVV System Outage in Dec 2020
- EVV Transition: Providers Must Take Action Now!
- Reminder to Correct Historical MEDsys Visit Data
- Second Reminder EVV Providers Transitioning to DataLogic
- EVV Correction of MEDsys Historical Data
- Access to MEDsys Data for Transitioned Providers
- Reminder to EVV Providers Transitioning to DataLogic
- Final Reminder to EVV Providers Transitioning to DataLogic
- Third Reminder to EVV Providers Transitioning to DataLogic
- EVV Providers Transitioning to DataLogic
- Transitioning Providers — EVV Claims May be Denied or Recouped
- MEDsys Providers — Key Dates, Transition Instructions and FAQs
- MEDsys Issued SAD Return Policy
- MEDsys Transition to DataLogic
- Data Collection Information for Providers Transitioning to DataLogic
- Information Sessions EVV Providers Transitioning to DataLogic
- Transition to DataLogic Timeline
- HHSC MEDsys Contract Expiration
Additional EVV resources
- HHSC EVV Contact Guide for Program Providers and FMSAs
- HHSC EVV Contact Guide for CDS Employers
- Wellpoint STAR+PLUS, STAR Kids and MMP Service Coordination Contact List
- HHSC Uniform Managed Care Manual – Chapter 8.7.1 Electronic Visit Verification Requirements
- How to file an EVV-related complaint or payment dispute
Provider tools & resources
- Log in to Availity
- Launch Provider Learning Hub
- Learn about Availity
- Precertification Lookup Tool
- Prior Authorization Requirements
- Claims Overview
- Member Eligibility & Pharmacy Overview
- Provider Manuals and Guides
- Referrals
- Forms
- Training Academy
- Pharmacy Information
- Electronic Data Interchange (EDI)
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