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
HHSC and TMHP Training Information
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
- EVV Required Free Text Reviews Postponed for CDS Option
- EVV Topics About Using an EVV System
EVV Claims and Billing
- Update to EVV Home Health Care Services Bill Codes Table
- 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
- 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
- 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.
Amerigroup VM Unlock Request Form
Visit Maintenance Information
EVV Quarterly Compliance Reviews
This section contains Amerigroup quarterly summary of the EVV Compliance Reviews.
EVV Quarterly 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 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
Texas Health and Human Service Commission (HHSC)
- 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
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..
Cures Act Personal Care Services
- 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
Cures Act Home Healthcare Services
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
- 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
- 90-Day Notice of EVV Compliance for State-Required Personal Care Services Providers
- EVV Compliance Reviews for State Fiscal Year 2022
- HHSC Guidance for Payment to CDS Employees on or after 1/1/2021
- Misuse of EVV Reason Codes Requirements Removed
- CDS Employer EVV Usage Compliance Review Grace Period
- Provider Update: EVV Timeline CDS and SRO Services
- Vesta Windows Ends 8/31/2022
- 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
- HSC Updates to STAR+PLUS LTSS Billing Matrix and Authorizations
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
Additional EVV Resources
- HHSC EVV Contact Guide for Program Providers and FMSAs
- HHSC EVV Contact Guide for CDS Employers
- Amerigroup STAR+PLUS, STAR Kids and MMP Service Coordination Contact List
- HHSC EVV website
- HHSC EVV Training website
- HHSC STAR+PLUS Handbook
- HHSC STAR Kids Handbook
- HHSC Uniform Managed Care Manual – Chapter 8.7.1 Electronic Visit Verification Requirements
- TMHP EVV website
- TMHP EVV Training website
- TMHP EDI website
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)