Texas Medicaid EVV

TEXAS EVV INFORMATION

In compliance with the 21^st Century Cures act, Texas like all states in the U.S, will have to implement an approved computer-based Electronic Visit Verification system capable of verifying the occurrence of authorized personal attendant service visits. The solutions must electronically document the precise time a service delivery visit begins and ends. Due to the impacts of coronavirus, HHSC extended the implementation deadline to May 1, 2020, to select an EVV system and initiate the onboarding process. (The original deadline for EVV implementation was April 1).

Update: Jan 2021

HHSC issued a notice that while the organization understands that program providers, financial management services agencies, and consumer-directed services employers have experienced difficulties due to COVID-19 and its impacts on their members and employees, and subsequently temporarily relaxed deadlines last year. As of January 2021, federal law does not allow any further delays to the implementation of the Cures Act EVV requirement for Medicaid personal care services. If HHSC fails to implement by Jan. 1, 2021, Texas runs the risk of losing federal dollars for state Medicaid programs.

TEXAS MEDICAID EVV REQUIREMENTS

Texas is mandating a requirement for EVV for certain Medicaid funded home and community-based services provided through the Health and Human Service Commission, and additionally for managed care organizations.

By the implementation date in January 2021, program providers and FMSAs must:

1. Choose an EVV vendor solution or elect to use their EVV proprietary system.
2. Submit the appropriate forms to initiate the onboarding process. Note-The onboarding process does not have to be completed by May 1.
3. Providers and FMSAs who fail to select an EVV system and begin the onboarding process by the deadline of May 1, will have an Electronic Visit Verification vendor solution assigned by HHSC.

TYPES OF CARE & SERVICES

Texas HHS currently requires Electronic Visit Verification for about 90 percent of Medicaid personal care services. The programs and services currently required to use EVV are:

• CFC PAS/HAB
• In-Home Respite
• Personal Attendant Services
• Flexible Family Supports
• Protective Supervision

*EVV is not currently required for services being self-directed through the Consumer Directed Services or Service Responsibility Options.

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