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EVV Claims for HCS and TxHmL Will Deny for Dates of Service Starting Sept. 1

Last updated on 6/29/2022

HHSC has extended the start date when Electronic Visit Verification claims for Home and Community-based Services and Texas Home Living will deny for no matching EVV visit. This will begin for dates of service of Sept. 1, 2022, and after.

The extension gives HCS and TxHmL program providers and Financial Management Services Agencies more time to improve their claims matching. Texas Medicaid and Healthcare Partnership will provide more outreach and training on this topic. Trainings will be announced at a future date.

Refer to the HCS and TxHmL Best Practices to Avoid EVV Claim Mismatches (PDF) for technical guidance.

HCS and TxHmL EVV claims must continue to be submitted through the Client Assignment and Registration System or TMHP.

  • Submit EVV claims to CARE for dates of service before May 1, 2022.
  • Submit EVV claims to TMHP for dates of service of May 1 and after.

Program Providers, FMSAs, and CDS employers must continue to use EVV during this period; however, HCS and TxHmL claims will not be denied for an EVV mismatch. HCS and TxHmL claims during this period are still subject to HHSC provider fiscal compliance reviews conducted by HHSC Provider Fiscal Compliance.

We will continue to post related notices before Sept. 1.

Email EVV Operations for questions.