Electronic Visit Verification
A program provider, FMSA or CDS employer must use an Electronic Visit Verification (EVV) vendor system or an HHSC-approved EVV proprietary system to electronically document the delivery of an EVV service. EVV is a computer-based system that electronically documents and verifies service delivery information, such as date, time, service type and location for certain Medicaid service visits. Please frequent this page often for Information on EVV such as Alerts & Notifications, training, and compliance requirements.
EVV is currently required for all programs and services as listed:
- Long-term Care Fee-for-Service (FFS)
- Community Attendant Services (CAS)
- Family Care (FC)
- Community Living Assistance and Support Services (CLASS) Waiver
- Primary Home Care (PHC)
- Deaf Blind Multiple Disability (DBMD) Waiver
- Home and Community-based Services (HCS) Waiver
- Texas Home Living (TxHmL) Waiver
- Family Care (FC)
- Primary Home Care (PHC)
- Home and Community-based Services (HCS) Waiver
- Acute Care FFS
- Personal Care Services (PCS)
- Community First Choice (CFC)
- Youth Empowerment Services (YES) Waiver
- Home and Community-based Services-Adult Mental Health (HCBS-AMH) Waiver
- MCOs are the payers for managed care services under contract with the state.
- Managed Care
- STAR Health
- STAR Health - Medically Dependent Children’s Program (MDCP) Covered Services
- STAR+PLUS
- STAR+PLUS Home and Community Based Services (HCBS)
- STAR Kids
- STAR Kids MDCP Covered Services
- UnitedHealthcare Connection (Medicare-Medicaid Plan) (MMP)
For more information, see HHSC's EVV webpage and TMHP's EVV webpage:
Resources
Contact Guides
The following guides have contact information for EVV inquiries:
- 02.04.2025 - EVV Visit Maintenance Process for Legacy Visits Resumes for PSOs
- 01.23.2025 - Register for the HHAeXchange Quarterly Refresher Training Webinar for CDS Employers - TMHP
- 01.14.2025 - HHSC Alert - EVV Correction January 14, 2025
- 01.08.2025 - EVV Visit Maintenance Unlock Request Updates
- 12.10.2024 - Reminder - Compliance Review Grace Period Ends Dec. 31
- 12.10.2024 - EVV PSO Operational Readiness Review Sessions Updates
- 11.04.2024 - Electronic Visit Verification (EVV) Alternative Device Reduction Schedule
- 10.24.2024 - EVV System Daylight Savings Time Change
- 10.04.2024 - EVV Compliance Grace Period Ends Dec. 31, 2024
- 09.27.2024 - EVV Policy Handbook Revision
- 09.16.2024 - Clarification Update: EVV Impacts due to the New STAR+PLUS MCO Contracts Beginning Sept. 1, 2024
- 09.11.2004 - Continuity of Care During the STAR+PLUS Transition
- 09.05.2024 - HHSC Phishing Alert for EVV Proprietary System Operators
- 09.01.2024 - EVV Impacts due to the New STAR+PLUS MCO Contracts Beginning Sept. 1, 2024
- 08.26.2024 - EVV Billing In-Home vs. Out-of-Home for HCS and TxHmL Home Health Care Services (HHCS)
- 08.23.2024 - State of Texas Access Reform (STAR+PLUS) Authorization for Services that Require the Use of EVV
- 08.09.2024 - Reminder: EVV Compliance Grace Period for PCS and HHCS
- 07.30.2024 - EVV Reminder Related to EVV System Outages
- 07.26.2024 - New EVV Portal Report - EVV Visit Maintenance Report
- 06.14.2024 - Waive Timely Filing of Electronic Visit Verification (EVV) Service Claims Impacted by the VMUR Hold
- 06.12.2024 - Reminder about EVV Home Phone Landline Requirements
- 05.20.2024 - EVV Compliance Grace Period Extended for Personal Care Services to Dec. 31, 2024
- 05.20.2024 - EVV Visit Maintenance Unlock Request Resources Available
- 05.20.2024 - Update to the EVV Visit Maintenance Process Hold for PSOs
- 05.10.2024 - Electronic Visit Verification (EVV) Program and Service Requirements for Schedules
- 05.07.2024 - EVV PSO 2024 Onboarding Schedule and Enrollment Available on TMHP EVV Proprietary Systems Webpage
- 05.07.2024 - Waive Timely Filing of Electronic Visit Verification (EVV) Service Claims Impacted by the VMUR Hold
- 04.30.2024 - Program and Service Requirements Schedules Available in EVV System
- 04.24.2024 - Updates to the EVV Visit Maintenance Processes Hold for HHAeXchange System Users for Dates of Service Prior to Go-Live Date
- 04.18.2024 - Cures Act Home Health Care Services: EVV HHCS Service Bill Codes Table Update Version 2.1
- 04.11.2024 - EVV Home Health Care Services (HHCS) Service Bill Codes Table Now Available
- 04.11.2024 - Frequently Asked Questions (FAQs) about using EVV with Home Health Care Services (HHCS)
- 04.05.2024 - Update for the EVV PSO 2024 Waitlist
- 03.28.2024 - EVV Policy Updates Now Available for the Mobile Method Geo-Perimeter Expansion
- 03.27.2024 - Billing Electronic Visit Verification (EVV) Services as Secondary Insurance Claims
- 03.21.2024 - TMHP Published New EVV Visit Transaction Rejection Codes to Begin April 1
- 03.08.2024 - EVV Claims Matching Resumes April 1, 2024; Unmatched EVV Claims will Deny for Payment
- 03.08.2024 - Updates to HHAeXchange Training Resources for EVV Program Providers and FMSAs
- 02.27.2024 - EVV Visit Maintenance Processes on Hold for Dates of Service Prior to Go-Live Date with Current EVV System
- 02.23.2024 - New EVV Visit Transaction Rejection Codes - Effective April 1, 2024
- 02.13.2024 - Update: EVV Claims Matching Bypass from Jan. 1 to March 31
- 02.12.2024 - EVV Visit Maintenance Processes on Hold for Dates of Service Prior to Go-Live Date with Current EVV System
- 02.09.2024 - EVV Known Issues and Resolutions, Volume 3
- 01.31.2024 - EVV Claims Matching Bypass from Jan. 1 to March 31
- 01.12.2024 - Update: EVV Visits on Hold in the EVV Transaction Manager in HHAeXchange - LTC Authorization Issue
- 01.09.2024 - Enter Missing EVV Visits and New EVV TAC Rules
- 01.05.2024 - Reminder about EVV Home Phone Landline Requirements
EVV Compliance Quarterly Oversight Reviews:
For more information on EVV Compliance Review timeframes, please visit the HHSC website for EVV Handbook section 11000, EVV Compliance Reviews | Texas Health and Human Services
- 12.28.2023 - New EVV TAC Rules
- 12.27.2023 - API EVV Third-Party Software System Integration
- 12.27.2023 - HHSC Launched Direct Care Careers
- 12.27.2023 - Update for the EVV PSO 2024 ORR Session Requests
- 12.27.2023 - EVV Program Providers, FMSAs and CDS Employers Must Act Now
- 12.19.2023 - Reminder: EVV Claims Matching Resumes Jan. 1, 2024 – Claims Without Matching EVV Visits Will Deny for Payment
- 12.19.2023 - TMHP Publishes EVV Known Issues and Resolutions, Vol. 2
- 12.12.2023 - Reminder: Prepare for EVV Cures Act Home Health Care Services Implementation
- 12.04.2023 - EVV Third-Party Software System Integration with HHAeXchange
- 11.20.2023 - Prepare for EVV Cures Act Home Health Care Services (HHCS) Implementation – HHCS Claims Must be Submitted to TMHP Starting Dec. 1, 2023
- 11.16.2023 - EVV Claims Matching Resumes January 1, 2024
- 11.16.2023 - Updates to the Long-Term Care and HCS and TxHmL Bill Code Crosswalks for EVV Home Health Care Services Implementation
- 10.30.2023 - Required EVV Portal Training and Other Training Resources Available on tmhp.com
- 10.09.2023 - EVV Optional Services Now Available in PCS Bill Codes Table
- 09.25.2023 - Cures Act Home Health Care Services: EVV HHCS Service Bill Codes Table Update
- 09.25.2023 - Electronic Visit Verification Data Access and Conversion
- 09.20.2023 - Correction to EVV Policy Updates Now Available for Alternative Devices
- 09.14.2023 - EVV Policy Updates Now Available for Alternative Devices
- 09.12.2023 - Qualifications and Ordering an EVV Alternative Device Policy
- 09.12.2023 - Ordering EVV Alternative Devices from HHAeXchange
- 09.11.2023 - EVV Portal Updates and Reminder for Required Training
- 08.30.2023 - Correction to Qualifications to Purchase an EVV Alternative Device
- 08.22.2023 - Update: EVV Alternative Device Policy
- 08.09.2023 - EVV Contact Information Guides
- 08.03.2023 - CORRECTION: EVV System Integration to HHAeXchange
- 08.01.2023 - HHAeXchange Third-Party EVV System Integration
- 07.31.2023 - EVV Updates Now Available for Policy, Reason Codes, Visit Maintenance Unlock Request and EVV Policy Training
- 07.28.2023 - TexMedConnect and Electronic Visit Verification (EVV) Portal Access
- 07.25.2023 - Upcoming EVV Alternative Device Policy
- 07.25.2023 - EVV Compliance Grace Period for EVV Usage and Home Phone Landline
- 06.21.2023 - Electronic Visit Verification (EVV) Optional Services
- 05.24.2023 - EVV Resources Updates
- 05.11.2023 - HHSC Alert: EVV Vendor Transition Overview
- 05.05.2023 - EVV Portal Webinar Recordings and Q&A Documents Now Available for Program Providers and FMSAs
HHSC Policies
EVV Training
Authored by UnitedHealthcare
- How To Submit and Correct Claims for EVV Services Reference Guide
- Electronic Visit Verification (EVV) Overview - UnitedHealthcare Community Plan in Texas
- Electronic Visit Verification Policy Training
- Electronic Visit Verification Roles and Usage
- Electronic Visit Verification Visit Maintenance Training