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Electronic Visit Verification

What's New

EVV Roadshow Instructor Led Training Schedule Summer/Fall 2019

EVV Claims Submission and Claims Matching Processes Effective September 1, 2019

Electronic Visit Verification Training Begins August 1, 2019

Upcoming Webinars for EVV on August 1 and 15, 2019

Electronic Visit Verification Monthly Bulletin July 2019

EVV Tool Kit - Modules 1-13

EVV Visit Maintenance Unlock Request Policy

EVV Contact Information Matrix

Changes to Electronic Visit Verification Vendor System - Effective 06.01.19

EVV Visit Transaction Validation Enhancements - Effective 06.01.19

EVV Mobile Application Policy

Reminder: All EVV Relevant Claims Must Be Submitted to TMHP Starting September 1, 2019

Live Webinar EVV Aggregator and EVV Portal FAQ

EVV Rights and Responsibilities - English

Live Webinar EVV Maintenance and Visit Transactions FAQ

Update to March 15, 2019 Billing Policy Changes for Providers Required to Use EVV, Effective September 1, 2019

All EVV-Relevant Claims Must Be Submitted to TMHP Starting September 1, 2019

New Electronic Visit Verification Provider Data Validation Process

Changes to Electronic Visit Verification Vendor System Effective April 1, 2019

EVV Mobile Application Available April 1, 2019

EVV Updated Billing Policy Requirements

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

Electronic Visit Verification Visit Maintenance of MEDsys EVV Historical Data

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

21st Century Cures Act: Texas EVV Implementation

Change to Access of Historical EVV Records Stored by Sandata

Communication from Unaffiliated Third Party Regarding EVV

EVV Rights and Responsibilities - Spanish


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 impleme3nted 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.

Click here to learn more about EVV


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