Skip Ribbon Commands
Skip to main content

Electronic Visit Verification

What's New

Updated EVV Service Bill Codes Table Available Posted September 9 2019

EVV Tool Kit - Module 15 Posted September 5 2019

EDI Companion Guides for LTSS EVV-Relevant Claim Submission Guidelines

New HHSC EVV Proprietary System Work Group Posted August 30 2019

EVV Webinar and Q & A Now Available Posted August 30 2019

EVV Computer-Based Training Course and Job Aids Now Available Posted August 26 2019

Claims Submission Requirements for MCO Only Program Providers Currently Required to Use EVV Posted August 27 2019

HHSC Electronic Visit Verification Reason Codes Effective September 1 2019

EVV Claims Submission Requirements for MCO only Enrolled Program Providers Currently Required to Use EVV Posted August 16 2019

HHSC Requests Cures Act Extension

Revised EVV Visit Maintenance Unlock Request Policy Effective September 1 2019

EVV Tool Kit - Modules 1-14

New and Revised EVV Policies Effective September 1, 2019

New EVV Claims Matching Process and EVV Portal Access Begins September 1, 2019 Posted July 29, 2019

EVV Computer-Based Training Courses Available August 2, 2019 Posted July 23, 2019

EVV Service Bill Codes Table Available Posted July 22, 2019

Update to Revised EVV Visit Maintenance Unlock Request Policy Posted July 12, 2019

EVV Roadshow Instructor Led Training Schedule Summer/Fall 2019 Posted July 10, 2019

EVV Claims Submission and Claims Matching Processes Effective September 1, 2019 Posted June,28, 2019

Electronic Visit Verification Training Begins August 1, 2019

Upcoming Webinars for EVV on August 1 and 15, 2019 Posted July 2, 2019

Electronic Visit Verification Monthly Bulletin Posted July 2019

EVV Visit Maintenance Unlock Request Policy Effective July 1, 2019

EVV Contact Information Matrix Updated June 20, 2019

EVV Rights and Responsibilities - English

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