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CCHP – Compliance Plan

Electronic Visit Verification

What's New

Reminder: Transitioned MEDsys Providers Have Until May 7, 2019 to Request The Unlocking of Visit Maintenance to Correct Historical MEDsys Visit Data

EVV Tool Kit - Module 3: EVV Roles and Responsibilities Part 2 of 2, Feb. 15, 2019

EVV Tool Kit Alert-Module Three: EVV Roles and Responsibilities

Electronic Visit Verification Visit Maintenance of MEDsys EVV Historical Data

EVV Tool Kit - Module 2: EVV Roles and Responsibilities, Part 1 of 2, Feb. 1, 2019

Access to EVV Data for Providers Not Active with an Approved EVV Vendor

EVV Tool Kit Alert - Module One: An Introduction to EVV

EVV Tool Kit - Module 1: An Introduction to EVV January 15, 2019

21st Century Cures Act: Texas EVV Implementation

Change to Access of Historical EVV Records Stored by Sandata

Communication from Unaffiliated Third Party Regarding EVV

Spanish-EVV Rights and Responsibilities

Proprietary EVV System Survey for Providers v2.0 11.05.18

Access to Medsys Data v4.0 11.02.18

Information Notice - Potential Evaluation of Increasing EVV Vendor Pool

Final Reminder to Transitioning EVV Providers

Reminder to EVV Providers Transitioning to DataLogic

EVV Rights and Responsibilities

Reminder to EVV Providers Transitioning to Datalogic Final

HHSC EVV Visit Maintenance Unlock Request Form

21st Century Cure Act and EVV

Reminder to EVV Providers Transitioning to Datalogic

EVV Visit Maintenance Unlock Spreadsheet Request

EVV Providers Transitioning to DataLogic

Notice of Billing Policy Changes to Providers Required to Use EVV - Effective September 01, 2019

Transitioning Providers: EVV Claims May Be Denied or Recouped

EVV Revises Unallowable Phone ID and Recoupment Policy

MEDsys Providers – Key Dates, Transition Instructions and FAQ's

EVV Update - Failed to Export Report

Electronic Authorization Pilot

Revision to MEDsys-Issued Small Alternative Devices Return Policy

Visit Maintenance Reduction Solutions - Effective July 1, 2018

Temporary Reduction In Minimum EVV Compliance - Effective June 1, 2018

MEDsys Providers Must Initiate Transition to DataLogic

Small Alternative Device Zip Tie Policy Change - Effective June 1, 2018

Update: Temporary Reduction in Minimum EVV Compliance Score Requirement Visit Dates Have Changed - Effective June 1, 2018

Click Click here Archived EVV News


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 time sheets

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?

STAR Kids providers that provide the following services:

  • Personal care services
  • In-home respite services
  • Flexible family support services
  • Community First Choice - Personal assistance services and habilitation

**EVV is optional for members who have selected the Consumer Directed Services option or the Service Responsibility Option.


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 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.


How do I get started with EVV?

  1. Research HHSC approved EVV vendors:
    • Data Logic (VESTA) Software
    • MEDsys Software Solutions (Contract is expiring on November 6; MEDsys is not currently accepting new providers)
  2. Select an HHSC approved EVV vendor < DataLogic
  3. Complete the Vesta EVV Agency Information Form (PDF)
  4. Submit the completed Vesta EVV Agency Information Form to the email address or fax number detailed in the form.

Claims Validation

CCHP will administer EVV compliance based on claims validation against submitted EVV transactional data. For EVV covered services, we will evaluate billed claims against verified visits (logged in the EVV system selected by the provider) which are transferred daily to CCHP.

After standard claim adjudication rules, we will execute an additional verification based on matching Provider ID, Member ID, dates of service, procedure codes, and billed units. If the EVV transactional units match the billed units, the claims will pay appropriately.

If there is no corresponding EVV transactional data, the claim is subject to denial.

If the billed units exceed the EVV validated transactional units, the claim is subject to denial or partial payment for units that were validated.


Additional Information

HHSC EVV Visit Maintenance Unlock Request Form
CCHP – Compliance Plan
HHSC – Compliance Plan
TMHP EVV Page
HHSC EVV Page
EVV Reason Codes


Who do I call if I have questions?

DataLogic (Vesta)
Website: Vesta
Phone: 844-880-2400

MEDsys (Contract is expiring on November 6, 2018; MEDsys is not currently accepting new providers)

Health and Human Services Commission
General Questions and complaints regarding and EVV Vendor
Electronic_Visit_Verification@hhsc.state.tx.us

Complaints regarding an MCO
HPM_Complaints@hhsc.state.tx.us

Texas Medicaid & Healthcare Partnership
Website: TMHP EVV Page
Phone: 1-800-925-9126, Option5
Email: EVV@tmhp.com

Cook Children’s Health Plan
Phone: 1-844-843-0004
Email: CCHPEVV@cookchildrens.org

 

If you have any questions please call Provider Services at 1-888-243-3312 Monday through Friday from 8 a.m. to 5 p.m. or Contact us here