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.
To comply with federal law, HHSC is implementing the federal 21st Century Cures Act (Section 12006) in the following two phases:
- Effective Jan. 1, 2021, EVV is required for Medicaid personal care services.
- Effective Jan. 1, 2023, EVV will be required for Medicaid home health care services.
- Note: Federal law allows states to request a one-year extension to Jan. 1, 2024.
States that do not implement EVV will receive reduced federal Medicaid funding.
Visit the 21st Cures Act webpage for additional information.
HHSC and managed care organizations, the payers, conduct EVV compliance reviews to ensure program providers, Financial Management Services Agencies and Consumer Directed Services employers are in compliance with EVV requirements and policies.
Review Section 10000 EVV Compliance Reviews from the EVV Policy Handbook for more information.
Policy Handbook
Policy Handbook Revisions
Policy Guidance and Temporary Policies
Program providers and FMSAs may seek HHSC approval to use an EVV proprietary system instead of an EVV vendor system to comply with EVV requirements.
More information is on the HHSC EVV Proprietary Systems webpage.
Program providers, FMSAs and CDS employers must select the most appropriate EVV Reason Code Number and Reason Code Description. When applicable, enter required free text.
Current HHSC EVV Reason Codes
Historical HHSC EVV Reason Codes
Contact Guides
- The following guides contains useful contact information for EVV:
Getting Started with EVV
The following guides are for getting started with Electronic Visit Verification:
Best Practices
- The following documents provide technical guidance to improve EVV claims matching results:
- Best Practices for Temporary EVV Policies for COVID-19 (PDF)
- This is a reference guide to help program providers avoid recoupments related to Temporary EVV Policies for COVID-19 (and only applies to visits with dates of service March 21 – Dec. 31, 2020.)
Form 1718, Responsibilities and Additional Information (MCO)
Glossary of Terms
Benefits of Using the EVV Mobile Method
Historical EVV Alerts
Statutes and Rules
- State
- Federal
The EVV Services Table below provides current billing codes and details for EVV-relevant services in Long-Term Care, Acute Care and Managed Care programs.
Program providers must use the appropriate Healthcare Common Procedure Coding System and modifier combinations to prevent EVV visit transaction rejections and EVV claim match denials.
Personal Care Services
An EVV Visit Maintenance Unlock Request allows a program provider, FMSA and CDS employer the opportunity to correct data element(s) on an EVV visit transaction(s) after the visit maintenance time frame has expired.
Program providers, FMSAs and CDS employers must follow the instructions on the EVV Visit Maintenance Unlock Request spreadsheets. Request emails must include a contact name, email address and phone number. Requests that are not sent securely could result in a Health Insurance Portability and Accountability Act (HIPAA) violation and the payer will deny the request.
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