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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.

EVV Proprietary Systems

Last updated on 12/17/2020

Program providers and financial management services agencies (FMSAs) that want to use an EVV proprietary system will have two opportunities to obtain HHSC approval of their system in fiscal year 2021. Refer to the article titled EVV Proprietary System Updates for more information about the Readiness Review sessions.

Program providers and FMSAs can choose to use an HHSC-approved EVV proprietary system to comply with EVV requirements instead of an EVV vendor system from the state vendor pool.

An EVV proprietary system:

  • Is purchased or developed by the program provider or FMSA.
  • Is used to exchange EVV information with the EVV Aggregator.
  • Must comply with the requirements of Texas Government Code §531.024172.
  • Must comply with all HHSC EVV standards, rules, and reporting requirements.

EVV Proprietary System Request Form

The EVV Proprietary System Request Form must be completed to indicate the program provider or FMSA has made the decision to operate an EVV proprietary system in Texas. The program provider or FMSA must complete, sign, and submit it to TMHP at EVV_PSO@tmhp.com.

HHSC EVV Business Rules for Proprietary Systems

Program providers and FMSAs that use a proprietary system are referred to as Proprietary System Operators (PSOs). PSOs are responsible for ensuring that their system complies with the HHSC EVV Business Rules for Proprietary Systems.

The Business Rules document refers to several appendices that can be accessed through the links in the document or accessed directly below:

Appendix C – EVV Visit Transaction File (138.5 KB) Effective Date: 11/02/2020
Appendix D – EVV Master Provider Web Service (281.34 KB) Effective Date: 1/31/2020
Appendix E – x12 270/271 (Long-Term Care) (647.28 KB) Effective Date: December 2016
Appendix E – x12 270/271 (Acute Care) (560.79 KB) Effective Date: 1/10/2018
Appendix F – EVV Prior Authorization File (245.27 KB) Effective Date: 1/31/2020
Appendix G – EVV Standard Reports (2.23 MB) Effective Date: 12/3/2020
Appendix H – Mobile Method Community Locations (172.64 KB) Effective Date: 1/31/2020
Appendix I – Texas-EVV Specific Terms (183.76 KB) Effective Date: 1/31/2020
Appendix J – Payer Plan Code Web Service (277.28 KB) Effective Date: 1/31/2020
Appendix K – EVV Visit Data Layout Edits Crosswalk (560.72 KB) Effective Date: 11/02/2020
Appendix P - EVV Auto Verification (427.3 KB) Effective Date: 6/04/2021

For questions about the EVV Business Rules, email EVV_PSO@hhs.texas.gov.

To view archived appendices for the HHSC EVV Business Rules for Proprietary Systems, click here.

EVV Proprietary System Operator (PSO) Onboarding Process

The Proprietary System Operator Onboarding Process guide contains all of the details that a PSO needs to onboard their proprietary system in the Texas EVV operating environment.

The Proprietary System Operator Onboarding Process refers to several documents that can be accessed through the links in the document or accessed directly below:

PSO Onboarding Process Overview (132.36 KB) Effective Date: 03/02/2021
PSO Detailed Questionnaire (392.83 KB) Effective Date: 11/20/2020
EVV Proprietary System Compliance Method – Documentation (152.38 KB) Effective Date: 12/03/2020
EVV Proprietary System Compliance Method – Demonstration (868.13 KB) Effective Date: 12/03/2020

To view archived PSO Onboarding Process documents, click here.

For questions, please send an email to TMHP at EVV_PSO@tmhp.com.

EVV Data Transfer

Vendors and program providers/FMSAs should use the EVV Data Transfer Guide to transfer data between vendors, between a vendor and a PSO, and between a PSO and a PSO.