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Electronic Visit Verification (EVV)

Electronic Visit Verification (EVV) electronically verifies that service visits occur and documents the date and time service delivery begins and ends.

21st Century Cures Act

Last updated on 1/13/2023

21st Century Cures Act and Electronic Visit Verification Implementation Dates and Milestones

The 21st Century Cures Act Section 12006 (Cures Act) is a federal law requiring Electronic Visit Verification (EVV) for all Medicaid home health care services (HHCS); including services delivered through the consumer directed services option and the service responsibility option.

Texas Health and Human Services Commission (HHSC) is implementing EVV in the following two phases:

Visit the Texas Health and Human Services Commission (HHSC) EVV webpage for detailed information about the Cures Act and how it affects providers in Texas.

EVV PRACTICE PERIOD

The EVV practice period allows home health care services providers and FMSAs that are impacted by the 21st Century Cures Actto practice using the EVV system, EVV Portal, and EVV claim submission. CDS employers can practice using the EVV system of their choice. EVV claims for program providers and FMSAs impacted by this Cures Act Expansion will not be denied for a mismatch during the practice period. Practice period dates will be announced in a future provider notification.

JANUARY 1, 2024

EVV CLAIMS MATCHING WITH DENIALS BEGINS FOR HOME HEALTH CARE SERVICES (HHCS) CLAIMS

When an HHCS EVV claim is submitted without a matching EVV visit transaction, the EVV claim will be denied. This applies to all program providers and FMSAs required to use an EVV system. Program providers and FMSAs will be able to view EVV claim match results on the EVV Portal.