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 Amerigroup and Texas Health and Human Service Commission (HHSC).
Amerigroup Training Information
Texas Health and Human Service Commission (HHSC) Training Information
- EVV Policy Training for CDS Employers available in Spanish
- EVV Portal and Training Updates for February 2021
- TMHP EVV Portal Changes and Training Updates
- June 29 EVV Portal and Training Updates
- March 12th & 13th 2020 EVV Training and Registration
- HHSC EVV Training Sessions in Austin (March 12th & 13th 2020)
- March 23rd thru 26th 2020 EVV Training and Registration
- HHSC Cures Act EVV Training Sessions in Austin (March 23rd thru 26th 2020)
- HHSC March 2019 – Live Q&A Webinar
- HHSC April 2019 – Live Q&A Webinar
- TMHP EVV Webinar Training
- HHSC EVV Training Communication
- HHSC EVV Training Schedule
EVV Policies and Procedures
This section provides EVV policies and procedures specific to Amerigroup and HHSC. Amerigroup complies with all of HHSC’s EVV policies and procedures.
EVV Provider Policy Handbook
EVV Compliance
- EVV Compliance Reviews for State Fiscal Year 2023 and Calendar Year 2023
- 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
- 90-Day Notice of EVV Compliance for State-Required Personal Care Services Providers
- New EVV TAC Rules
- EVV Compliance Reviews for State Fiscal Year 2022
- EVV Required Free Text Reviews Postponed for CDS Option
- EVV Topics About Using an EVV System
EVV Claims and Billing
- STAR+PLUS and MMP LTSS Billing Matrix Changes effective 12/1/2022 (crosswalk)
- STAR Kids LTSS Billing Matrix Changes effective 12/1/2022 (crosswalk)
- Electronic Visit Verification Service Bill Codes Table
- HHSC Guidance for Payment to CDS Employees on or after 1/1/2021
- 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
- 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 Visit Maintenance (VM) Unlock Request Information
This section contains information for visit maintenance unlock requests.
Amerigroup VM Unlock Request Form
Visit Maintenance Information
EVV Quarterly Provider Compliance Reviews
This section contains Amerigroup quarterly summary of the EVV Provider Compliance Reviews.
EVV Quarterly Provider Compliance Reviews
Documents will be posted as they become available.
EVV Alerts
This section provides EVV alerts on changes or updated information specific to Amerigroup and HHSC.
Amerigroup
- 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
- Updates to Texas Health and Human Services Commission EVV Service Bill Codes Table
- Misuse of EVV Reason Codes Requirements Removed
- CDS Employer EVV Usage Compliance Review Grace Period
- 90-Day Notice of Compliance for Cures Act Personal Care Services Notice
- 90-Day Notice of EVV Compliance for State-Required Personal Care Services Providers
- Update made to the EVV Provider Training Presentation
- Provider Update: EVV Timeline CDS and SRO Services
- Provider Notice Retrospective Review EVV07
- Provider Notice: Submitting Corrected Claims using TexMedConnect
- EVV Compliance Reviews for State Fiscal Year 2022
- Vesta Windows Ends 8/31/2022
Texas Health and Human Service Commission (HHSC)
- 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
- HHSC to Request Extension of EVV Cures Act Home Health Care
- Misuse of EVV Reason Codes Requirements Removed
- CDS Employer EVV Usage Compliance Review Grace Period
- 90-Day Notice of Compliance for Cures Act Personal Care Services Notice
- 90-Day Notice of EVV Compliance for State-Required Personal Care Services Providers
- HHSC EVV Alert: Home Health Care Services Required to Use EVV by Jan. 1, 2023
- Updates to HHSC EVV Mailboxes and Website
- 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
- Update EVV Compliance Oversight Reviews Delayed for EVV Usage and Misuse of EVV Reason Codes
- EVV Portal Improvements and Training Updates for January 2021
- EVV Policy Updates effective December 1, 2020
- October 29 EVV Portal and Training Updates
- EVV Policy Updates Effective Nov. 1, 2020
- EVV Proprietary System Update
- Revised EVV Policies Effective Oct. 1
- Updated EVV Service Bill Codes Table Effective Oct. 1
- EVV Visit Transaction Rejection Errors Guide Now Available
- April 24th EVV Portal Update
- HHSC EVV Alert: COVID-19 Temporary EVV Policies
- HSC Updates to STAR+PLUS LTSS Billing Matrix and Authorizations
- HHSC Provider Notice EVV Extension
- Reminder EVV Visit Maintenance Extension
- Announcement of EVV Vendors
- HHSC Communication from Unaffiliated Third Party Regarding EVV
- HHSC EVV Mobile Application Available
- HHSC Changes to EVV Vendor System Effective 6/1/2019
- HHSC EVV Visit Transaction Validation Enhancements Effective 6/1/2019
- EVV Contact information
- HHSC Request Approval from CMS to Delay EVV Start Date for PCS
- TMHP Frequently Asked Questions
- TMHP Technical Information for Claim Submission
- Updated TMHP Companion Guides
- EVV Proprietary Systems — New PSO Information Available
- EVV Portal Updates to Standard Reports and TexMedConnect
- EVV Required Free Text Reviews Postponed for CDS Option
- Vesta Windows Ends 8/31/2022
- 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 System Transfer
This section provides information related to providers transitioning from one EVV system to another EVV system.
EVV System Transfer Information
The 21st Century Cures Act
The 21st Century Cures Act Section 12006, is a federal law requiring all states to use EVV for Medicaid personal care services and home health services; including services delivered through the Consumer Directed Services option and the Service Responsibility Option.
The 21st Century Cures Act
- EVV Direction for FMSAs on CDS Employer Usage
- 90-Day Notice Before EVV Usage Reviews Begin for CDS Employers
- HHSC to Request Extension of EVV Cures Act Home Health Care
- CDS Employer EVV Usage Compliance Review Grace Period
- 90-Day Notice of Compliance for Cures Act Personal Care Services Notice
- HHSC EVV Alert: Home Health Care Services Required to Use EVV by Jan. 1, 2023
- List of Home Health Care Services Required to Use EVV by Jan. 1, 2023
- EVV Requirements for CDS Employers
- HHSC Information Letter 20-47 Clarification of EVV Requirements
- EVV Policy Training for CDS Employers on Dec. 11
- 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
- Updated EVV Service Bill Codes Table & Cures Act EVV Practice Period
- Updated Timeline for Cures Act EVV Expansion
- Cures Act EVV: The EVV Practice Period Begins July 1, 2020
- New Approval Process for EVV Proprietary Systems
- New May 1 Deadline to Select an EVV System
- HHSC Request to Delay 1/1/2020 EVV Start Date is Approved
- 21st Century Cures Act and EVV
- Awareness Only – No Impact to Current EVV Program or Providers
- EVV Provider Proprietary EVV System Survey
- 21st Century Cures Act – Texas EVV 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.
EVV Historical Information
- Provider Update Providers billing for EVV required services
- Provider Update STAR+PLUS Long-Term Services and Supports
- Provider Update EVV Claim Submission
- Provider Update EVV Upfront Denials
- EVV Data Access Request Form
- Change to Access of Historical EVV Records Stored by Sandata
- Providers Transitioning to DataLogic VESTA
MEDsys Transitions
- 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
Provider tools & resources
- Log in to Availity
- Launch Provider Learning Hub Now
- 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)