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Update: EVV Compliance Oversight Reviews Delayed for EVV Usage and Misuse of EVV Reason Codes

Last updated on 1/22/2021

HHSC told managed care organizations to delay compliance oversight reviews for EVV Usage and Misuse of EVV Reason Codes. Evaluation of visit data collected during the grace period ensures the compliance measures continue to align with current EVV policy.

The compliance grace period ended on September 1, 2020, for EVV Usage and Misuse of EVV Reason Codes for EVV visits with dates of service from September 1, 2019, to August 31, 2020.

Next Steps

  • HHSC will notify program providers 90 calendar days before reviews begin for EVV Usage and Misuse of EVV Reason Codes for EVV visits with dates of service on and after September 1, 2020.
  • HHSC and MCOs will continue reviews for EVV Landline Phone Verification and Required Free Text.
  • Program providers can use the EVV Usage Report, and EVV Reason Code Usage and Free Text Report in the EVV Portal to track these compliance measures.

This information is for program providers who were required to use Electronic Visit Verification by state law prior to the Cures Act Implementation as identified on pages 3 and 4 of the Programs and Services Required to Use EVV (PDF) document.

Program providers can contact their payer or email HHSC EVV with questions or concerns.