EVV Compliance Grace Period Ends December 31

Date: 10/07/24

Effective January 1, 2025, the payers, The Texas Health and Human Services Commission (HHSC) and Managed Care Organizations (MCOs), will begin Electronic Visit Verification (EVV) Usage reviews to ensure state-required personal care services and home health care services, are in compliance with EVV requirements and policies.

Payers will begin contract or enforcement action for dates of service on or after January 1, 2025, for program providers, Financial Management Services Agencies (FMSAs) and Consumer Directed Services (CDS) employers who do not meet EVV compliance requirements for EVV Usage and home phone landline reviews.

Program providers, FMSAs, and CDS employers are encouraged to review their EVV Usage reports monthly to ensure compliance with EVV requirements.

EVV Usage reports can be accessed in the following ways:

• Program providers and FMSAs can generate EVV Usage reports from the Texas Medicaid & Healthcare Partnership (TMHP) EVV PortalExternal Link.
• Option 1 and Option 2 CDS employers can generate EVV Usage reports directly from their EVV system.
• Option 3 CDS employers must request a copy of their EVV Usage report from their FMSA.

For questions about EVV compliance, please email Superior HealthPlan’s EVV Department at SHP_.EVV@SuperiorHealthPlan.com.

For more information about the EVV compliance grace period, review section 11000 of the EVV Policy HandbookExternal Link.