Skip to Main Content

Electronic Visit Verification (EVV) Direction for FMSAs on Consumer Directed Services (CDS) Employer Usage

Date: 08/10/22

On July 13, 2022, the Texas Health and Human Services Commission (HHSC) published Information Letter No. 2022-40. Superior HealthPlan is republishing this information at HHSC’s request.

The purpose of this notice is to require Financial Management Services Agencies (FMSA) to provide copies of the Electronic Visit Verification (EVV) notices listed below to Consumer Directed Services (CDS) employers and Designated Representatives (DRs), as applicable. This notice also informs FMSAs of their responsibilities related to CDS employer EVV Usage Reviews.

Requirement to Provide EVV Notices to CDS Employers and DRs

FMSAs must provide the two notices listed below to their CDS employers and DRs, as applicable. The notices are included below.

  1. Reminder: EVV Usage Reviews Begin for CDS Employers on September 1, 2022

    This notice reminds CDS employers that payers will begin conducting EVV Usage Reviews for CDS employers for dates of service on or after September 1, 2022.

    FMSAs must provide a copy of the Reminder: EVV Usage Reviews Begin for CDS Employers on Sept. 1, 2022 notice to all their CDS employers by ten business days after the publication date of this letter.

  2. Notice to CDS employers with EVV Usage Scores below 40%

    This notice informs CDS employers that their current EVV Usage Score is below 40%. The CDS Employer Usage grace period will end Aug. 31, 2022. Effective September 1, 2022, CDS employers will be expected to meet a minimum EVV Usage Score of 40% for the first fiscal year quarter, September 1, 2022 through November 30, 2022. The notice reminds CDS employers that their CDS employees must use an HHSC-approved clock in and clock out method to capture EVV visits in the EVV system.

    HHSC will email each FMSA a list of CDS employers below the 40% EVV Usage Score. The email will be from EVVcompliance@hhs.texas.gov. FMSAs must provide a copy of the Notice to CDS employers with EVV Usage Scores below 40% to the CDS employers identified by HHSC, within 10 Business Days from date of HHSC’s email.

FMSA Responsibilities Related to CDS Employer EVV Usage Reviews

HHSC and Managed Care Organizations (MCOs) will conduct CDS EVV Usage Reviews for dates of service on or after September 1, 2022. The reviews will occur on a state fiscal quarter basis after the visit maintenance time frame has expired for the last date in the quarter. When HHSC or an MCO identifies CDS employer non- compliance, FMSAs must perform the following actions:

  • Deliver non-compliance notices from HHSC or the MCO to the CDS employer, as requested.
  • Facilitate the delivery of correspondence between the CDS employer and HHSC or the MCO, as requested.
  • If applicable, assist in the development of, and require completion of, a corrective action plan (CAP) by the CDS employer, as requested by HHSC or the MCO, within 10 business days of the notice of non-compliance.

Email questions or concerns about this letter to HHSC EVV Operations at EVV@hhs.texas.gov.