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Aetna and Amerigroup Issuing New Authorizations for the STAR Kids Program in the Dallas SDA

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Children’s Medical Center Health Plan will be exiting the STAR Kids program in the Dallas service delivery area in September 2020. This area includes Collin, Dallas, Ennis, Hunt, Kaufman, Navarro, and Rockwall counties.

Aetna and Amerigroup will issue new authorizations on August 16, 2020, for program providers required to use Electronic Visit Verification (EVV) in the Dallas Service Delivery Area (SDA).

To avoid EVV visit transaction rejections at the EVV Aggregator and EVV claim mismatches and denials, program providers must:

  1. Log-in to your MCO provider portal to view new authorizations for your members.
  2. Log-in to the EVV system and create a new authorization. Contact your EVV vendor if you need help adding authorizations into the EVV system.

DataLogic/Vesta

  • Phone: 844–880-2400
  • Email: info@vestaevv.com

First Data/AuthentiCare:

  • Phone: 877-829-2002
  • Email: AuthentiCareTXSupport@firstdata.com
  1. Log-in to the EVV Portal to confirm that visits for these services are accepted at the EVV Aggregator before submitting a claim.
  2. Submit claims using the new authorization to Texas Medicaid & Healthcare Partnership with dates of service on or after Sept. 1, for the claims matching process to occur. The claim will be forwarded to the appropriate MCO for final processing.
  3. Contact your managed care organization (payer) for questions about this notice:

Aetna

  • Phone: 844-787-5437
  • Email: evvmailbox@aetna.com

Amerigroup

  • Phone: 800-454-3730

Email: TXEVVSupport@amerigroup.com