You must have JavaScript enabled in order to access this part of the site. Please enable JavaScript and then reload this page in order to continue.

WARNING: THIS IS A TEXAS HEALTH AND HUMAN SERVICES INFORMATION RESOURCES SYSTEM THAT CONTAINS STATE AND/OR U.S. GOVERNMENT INFORMATION. BY USING THIS SYSTEM YOU ACKNOWLEDGE AND AGREE THAT YOU HAVE NO RIGHT OF PRIVACY IN CONNECTION WITH YOUR USE OF THE SYSTEM OR YOUR ACCESS TO THE INFORMATION CONTAINED WITHIN IT. BY ACCESSING AND USING THIS SYSTEM YOU ARE CONSENTING TO THE MONITORING OF YOUR USE OF THE SYSTEM, AND TO SECURITY ASSESSMENT AND AUDITING ACTIVITIES THAT MAY BE USED FOR LAW ENFORCEMENT OR OTHER LEGALLY PERMISSIBLE PURPOSES. ANY UNAUTHORIZED USE OR ACCESS, OR ANY UNAUTHORIZED ATTEMPTS TO USE OR ACCESS, THIS SYSTEM MAY SUBJECT YOU TO DISCIPLINARY ACTION, SANCTIONS, CIVIL PENALTIES, OR CRIMINAL PROSECUTION TO THE EXTENT PERMITTED UNDER APPLICABLE LAW.
-----------------------
AMA/ADA End User License Agreement
LICENSE FOR USE OF CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ("CPT® ")

You, your employees and agents are authorized to use CPT only as contained in materials on the Texas Medicaid & Healthcare Partnership (TMHP) website solely for your own personal use in directly participating in healthcare programs administered by THHS. You acknowledge that AMA holds all copyright, trademark and other rights in CPT.

Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CPT for resale and/or license, transferring copies of CPT to any party not bound by this agreement, creating any modified or derivative work of CPT, or making any commercial use of CPT. License to use CPT for any use not authorized herein must be obtained through the American Medical Association, Intellectual Property Services, 515 N. State Street, Chicago, Illinois, 60610. Applications are available at the American Medical Association website, www.ama-assn.org/go/cpt.

U.S. Government Rights

This product includes CPT which is commercial technical data and/or computer databases and/or commercial computer software documentation, as applicable which were developed exclusively at private expense by the American Medical Association, 515 North State Street, Chicago, Illinois, 60610. U.S. Government rights to use, modify, reproduce, release, perform, display, or disclose these technical data and/or computer databases and/or computer software and/or computer software documentation are subject to the limited rights restrictions of DFARS 252.227-7015(b)(2) (November 1995) and/or subject to the restrictions of DFARS 227.7202-1(a) (June 1995) and DFARS 227.7202-3(a) (June 1995), as applicable for U.S. Department of Defense procurements and the limited rights restrictions of FAR 52.227-14 (June 1987) and/or subject to the restricted rights provisions of FAR 52.227-14 (June 1987) and FAR 52.227-19 (June 1987), as applicable, and any applicable agency FAR Supplements, for non-Department of Defense Federal procurements.

Disclaimer of Warranties and Liabilities

CPT is provided "as is" without warranty of any kind, either expressed or implied, including but not limited to the implied warranties of merchantability and fitness for a particular purpose. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the American Medical Association (AMA) is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The responsibility for the content of this product is with THHS, and no endorsement by the AMA is intended or implied. The AMA disclaims responsibility for any consequences or liability attributable to or related to any use, non-use, or interpretation of information contained or not contained in this product.

This Agreement will terminate upon notice if you violate its terms. The AMA is a third party beneficiary to this Agreement.

Should the for egoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by clicking below on the button labeled "accept".

THE LICENSE GRANTED HEREIN IS EXPRESSLY CONTINUED UPON YOUR ACCEPTANCE OF ALL TERMS AND CONDITIONS CONTAINED IN THIS AGREEMENT. BY CLICKING BELOW ON THE BUTTON LABELED "ACCEPT", YOU HEREBY ACKNOWLEDGE THAT YOU HAVE READ, UNDERSTOOD, AND AGREED TO ALL TERMS AND CONDITIONS SET FORTH IN THIS AGREEMENT.

IF YOU DO NO AGREE WITH ALL TERMS AND CONDITIONS SET FORTH HEREIN, CLICK BELOW ON THE BUTTON LABELED "DO NOT ACCEPT" AND EXIT FROM THIS COMPUTER SCREEN.

IF YOU ARE ACTING ON BEHALF OF AN ORGANIZATION, YOU REPRESENT THAT YOU ARE AUTHORIZED TO ACT ON BEHALF OF SUCH ORGANIZATION AND THAT YOUR ACCEPTANCE OF THE TERMS OF THIS AGREEMENT CREATES A LEGALLY ENFORCEABLE OBLIGATION OF THE ORGANIZATION. AS USED HEREIN, "YOU" AND "YOUR" REFER TO YOU AND ANY ORGANIZATION ON BEHALF OF WHICH YOU ARE ACTING.

1. Subject to the terms and conditions contained in this Agreement, you, your employees and agents are authorized to use CDT only as contained in the following authorized materials and solely for internal use by yourself, employees and agents within your organization within the United States and its territories. Use of CDT is limited to use in programs administered by Centers for Medicare & Medicaid Services (CMS). You agree to take all necessary steps to ensure that your employees and agents abide by the terms of this agreement. You acknowledge that the ADA holds all copyright, trademark and other rights in CDT. You shall not remove, alter, or obscure any ADA copyright notices or other proprietary rights included in the materials.

2. Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CDT for resale and/or license, transferring copies of CDT to any party not bound by this agreement, creating any modified or derivative work of CDT, or making any commercial use of CDT. License to use CDT for any use not authorized herein must be obtained through the American Dental Association, 211 East Chicago Avenue, Chicago IL 60611. Applications are available at the American Dental Association web site, http://www.ADA.org.

3. U.S. GOVERNMENT RIGHTS. Applicable Federal Acquisition Regulation Clauses (FARS)\Department of Defense Federal Acquisition Regulation Supplement (DFARS) Restrictions Apply to Government Use. This product includes CDT, which is commercial technical data and/or computer data bases and/or commercial computer software and/or commercial computer software documentation, as applicable, which was developed exclusively at private expense by the American Dental Association, 211 East Chicago Avenue, Chicago Illinois, 60611. U.S. Government rights to use, modify, reproduce, release, perform, display, or disclose these technical data and/or computer data bases and/or computer software and/or computer software documentation are subject to the limited rights restrictions of DFARS 252.227-7015(b)(2) (June 1995) and/or subject to the restrictions of DFARS 227.7202-1(a) (June 1995) and DFARS 227.7202-3(a) (June 1995), as applicable for U.S. Department of Defense procurements and the limited rights restrictions of FAR 52.227-14 (June 1987) and/or subject to the restricted rights provisions of FAR 52.227-14 (June 1987) and FAR 52.227-19 (June 1987), as applicable, and any applicable agency FAR Supplements, for non-Department of Defense Federal Procurements.

4. ADA DISCLAIMER OF WARRANTIES AND LIABILITIES. CDT is provided “as is” without warranty of any kind, either expressed or implied, including but not limited to, the implied warranties of merchantability and fitness for a particular purpose. No fee schedules, basic unit, relative values or related listings are included in CDT. The ADA does no t directly or indirectly practice medicine or dispense dental services. The sole responsibility for the software, including any CDT and other content contained therein, is with TMHP or the CMS; and no endorsement by the ADA is intended or implied. The ADA expressly disclaims responsibility for any consequences or liability attributable to or related to any use, non-use, or interpretation of information contained or not contained in this file/product. This Agreement will terminate upon notice to you if you violate the terms of the Agreement. The ADA is a third party beneficiary to this Agreement.

5. CMS DISCLAIMER. The scope of this license is determined by the ADA, the copyright holder. Any questions pertaining to the license or use of the CDT should be addressed to the ADA. End Users do not act for or on behalf of the CMS. CMS DISCLAIMS RESPONSIBILITY FOR ANY LIABILITY ATTRIBUTABLE TO END USER USE OF THE CDT. CMS WILL NOT BE LIABLE FOR ANY CLAIMS ATTRIBUTABLE TO ANY ERRORS, OMISSIONS, OR OTHER INACCURACIES IN THE INFORMATION OR MATERIAL COVERED BY THIS LICENSE. In no event shall CMS be liable for direct, indirect, special, incidental, or consequential damages arising out of the use of such information or material.

The license granted herein is expressly conditioned upon your acceptance of all terms and conditions contained in this agreement. If the foregoing terms and conditions are acceptable to you, please indicate your agreement by clicking below on the button labeled "ACCEPT". If you do not agree to the terms and conditions, you may not access or use the software. Instead, you must exit from this computer screen.

EVV Proprietary Systems

Last updated on 8/7/2025

An EVV Proprietary System is an approved EVV system that a program provider or financial management services agency (FMSA) may use instead of the state provided EVV system and:

Has been purchased or developed by a program provider or an FMSA.
Is used to exchange EVV data with the EVV Aggregator.
Complies with HHSC EVV Policy as it relates to EVV proprietary systems.
Complies with the HHSC EVV Business Rules for proprietary systems.
Complies with the requirements of 1 Texas Administrative Code (TAC) § 354.4009 (Part 15, Chapter 354, Subchapter O, Electronic Visit Verification).
Complies with the requirements of Texas Government Code (TCG) § 532.0251 (Chapter 532, Subchapter F).

An EVV Proprietary System Operator (PSO) is a program provider or FMSA that is approved to operate an EVV proprietary system.

Refer to the EVV Policy Handbook, including Section 5000 , for more information.

EVV PSO Onboarding Process

Step 1: Submit an EVV Proprietary System Request Form

Program providers and FMSAs that select to use an EVV proprietary system instead of the state provided EVV system must complete, sign, and submit the EVV Proprietary System Request Form located in the EVV Portal to start the PSO onboarding process.

Note: Program providers and FMSAs that select to transfer to a new EVV proprietary system from the state provided EVV system or from a different proprietary system must submit an EVV Proprietary System Request Form.

Program providers and FMSAs must have EVV Portal access to submit a request form. HHSC and TMHP will not accept forms that are emailed. For information on how to access the EVV Portal, refer to the Accessing the EVV Portal for Program Providers and FMSAs job aid.

After the request form is submitted, program providers and FMSAs receive a confirmation number (Request Form ID) and a confirmation date and time (Request Form Submission Date and Time).

For instructions on submitting an EVV Proprietary System Request Form, refer to the EVV Proprietary System Request Form Job Aid located in the TMHP Learning Management System (LMS).

Note: The submission of a request form does not guarantee an assignment to a PSO Operational Readiness Review (ORR) session. TMHP will notify program providers and FMSAs of their assignment status after the request form and PSO ORR session requirements are reviewed and validated.

EVV PSO Onboarding Paths

On the EVV Proprietary System Request Form, program providers and FMSAs must select an onboarding path based on the EVV system they have chosen:

The standard path is for program providers that are requesting approval to use an EVV system that has not been previously approved.

Important: TMHP strongly encourages proprietary system vendors that are preparing for demonstrations during the Standard Path ORR to consider all EVV system functionality that onboarding program providers or FMSAs may require to support their EVV-required service delivery. A program provider or FMSA that wants to onboard with a proprietary system that hasn’t been approved for EVV functionality that the program provider or FMSA requires must complete a modified Standard Path ORR with the proprietary system vendor to get approval to use the new functionality.
The expedited path is for program providers that are requesting approval to use an EVV system that has already been approved and is operational.

Important: Program providers and FMSAs must contact the selected EVV proprietary system vendor and confirm their availability to participate in an expedited path before submitting the request form.

Note: The Approved EVV Proprietary Systems document lists the approved EVV proprietary systems for expedited onboarding.

Step 2: Complete the ORR Session

TMHP will assign the program provider or FMSA to an ORR session after reviewing and approving the EVV Proprietary System Request Form. The ORR session is a validation process to determine approval for a PSO. Depending on the availability of sessions, TMHP may add the program provider or FMSA to a waitlist for the next open ORR session.

Note: TMHP may request that the program provider or FMSA provide additional information about what they entered on an EVV Proprietary System Request Form. The program provider or FMSA must provide the requested information before TMHP can assign them to an ORR.

EVV ORR Sessions

The following PSO Onboarding Process Overview and Timeline documents outline the steps and timeframes that are required for a program provider or FMSA to onboard their EVV proprietary system in the Texas EVV operating environment that is managed by HHSC and TMHP:

The final submission date of the EVV Proprietary System Request Form and the availability of ORR session slots determine ORR session assignment. TMHP will contact program providers and FMSAs that submitted an EVV Proprietary System Request Form when they have been assigned to an ORR Session.

View the high-level schedule for PSO onboarding in 2025 and early 2026 in the following table:

Session	Slots Available	Planning Meeting Date	ORR Start Date	Session Approval Date	Earliest Go-Live Date
2025-1: Standard	3 PS vendors	Jan. 21, 2025	Feb. 3, 2025	Mar. 19, 2025	May 1, 2025
2025-2: Standard	10 PS vendors	Apr. 15, 2025	April 28, 2025	Jun. 11, 2025	Jul. 15, 2025
2025-3: Expedited	200 program providers or FMSAs	Jul. 1, 2025	Jul. 7, 2025	Aug. 4, 2025	Sept. 1, 2025
2025-4: Standard	10 PS vendors	Sept. 9, 2025	Sept. 22, 2025	Nov. 28, 2025	Dec. 1, 2025
2025-5: Expedited	200 program providers or FMSAs	Jan. 6, 2026	Jan. 12, 2026	Feb. 9, 2026	Mar. 15, 2026

Important: TMHP has a limited number of slots based on the available capacity. The schedule is subject to change.

A program provider or FMSA must have developed a compliant EVV proprietary system that meets all requirements by the ORR start date.

Refer to the PSO Business Rules to learn more about the compliance standards for EVV proprietary systems in Texas Medicaid.

EVV Proprietary System Maintenance

PSOs are fully responsible for the ongoing maintenance and compliance of their EVV proprietary systems.

The PSO must ensure that updates to the EVV proprietary system that conflict with any EVV standards and policy requirements are completed and approved. The PSO must inform HHSC and TMHP within two business days of discovery if the EVV proprietary system is not compliant with any EVV standards and policy requirements. The PSO must inform TMHP of any planned system changes that alter an approved component of the EVV proprietary system. Depending on the nature of the change, TMHP may need to approve the change before the PSO implements it.

HHSC may modify EVV standards and policy requirements, including the HHSC EVV Business Rules for Proprietary Systems. HHSC will notify PSOs of any such changes. The PSO must ensure that the EVV proprietary system complies with the latest versions of policy and the HHSC EVV Business Rules for Proprietary Systems within the approved time frame and that the system receives proper certification.

HHSC will specify a time frame to update the EVV proprietary systems with changes that result from modifications to policies, requirements, and HHSC EVV Business Rules for Proprietary Systems. HHSC typically provides a minimum of 90 calendar days to complete the modifications that are necessary to comply with updated standards and requirements but may provide a different time frame depending on the nature of the change. If HHSC requires an emergency system or policy change, HHSC and the PSO will mutually agree on an earlier effective date. HHSC may require that changes be made in less than 90 days if the change concerns an immediate need. The PSO must meet with the EVV proprietary system vendor to address an immediate need.

The PSO must ensure that the EVV proprietary system vendor meets all required deadlines related to ongoing maintenance.

TMHP will assist the PSO in resolving production problems in their EVV proprietary system that are related to data exchange with the EVV Aggregator, as needed.