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HHSC Publishes Clarification of Electronic Visit Verification Requirements for FMSAs (IL 2020-47)

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Texas Health and Human Services Commission (HHSC) has published Information Letter IL 2020-47, Clarification of Electronic Visit Verification (EVV) Requirements (PDF).

The purpose of this letter is to notify financial management services agencies (FMSAs) that HHSC is requiring all types of Medicaid personal care services provided through the Consumer Directed Services (CDS) option be documented using Electronic Visit Verification (EVV) beginning January 1, 2021. For a personal care service requiring EVV that is provided on or after January 1, 2021, HHSC will reimburse an FMSA for the service only if the EVV visit transaction matches the service claim submitted to HHSC.

This letter clarifies the EVV requirements for FMSAs for the following topics:

  • EVV visit maintenance
  • Billing for EVV-required services
  • Selecting an EVV vendor and completing required training