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EVV Claims Matching Resumes April 1, 2024; Unmatched EVV Claims will Deny for Payment

Date: 03/08/24

The Texas Health and Human Services Commission (HHSC) implemented a claim matching bypass on February 1, 2024 for Electronic Visit Verification (EVV) claims with dates of service from January 1, 2024 through March 31, 2024 to be paid without a matching EVV visit.

EVV claims submitted for dates of service on or after April 1, 2024:

  • Will be required to match for EVV services to be processed for payment.
  • With mismatched claim information will be denied.

Program providers and Financial Management Services Agencies (FMSAs) are encouraged to use the HHSC EVV Best Practices to Avoid EVV Claim Mismatches (PDF) as guide to prevent EVV claim mismatches when submitting EVV claims.

If you have any questions, please email Superior’s EVV Department at: SHP_EVV@SuperiorHealthPlan.com.