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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 12/1/2021

Program providers and financial management services agencies (FMSAs) that want to use an Electronic Visit Verification (EVV) proprietary system will have multiple opportunities to obtain HHSC approval of their system in fiscal year 2022. Refer to the EVV Proprietary System Approval Process Update and Announcement of 2022 Operational Readiness Review Sessions document for more information.

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 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:

EVV Proprietary System Request Form (92.98 KB) Effective Date: 12/01/2021
PSO Detailed Questionnaire (403.14 KB) Effective Date: 12/01/2021

There are two paths that a Provider or FMSA can use to become a PSO:

  • Path 1 is the current approval process for a program provider or FMSA who chooses an EVV system that has not been previously approved by HHSC.
  • Path 2 is a new expedited approval process for a program provider or FMSA who chooses an existing operational EVV system with features that HHSC has previously approved. See the EVV Proprietary Systems Approved by HHSC document for more information.

See the PSO Onboarding Process Overview document for timeline and requirement differences between Path 1 and Path 2 onboarding.

The program provider or FMSA must complete, sign, and submit the EVV Proprietary System Request Form and Detailed Questionnaire to EVV_PSO@tmhp.com.

EVV Operational Readiness Review (ORR)

Path 1 ORR Sessions for a PSO Using a System Not Yet Approved by HHSC

  • Session 1: March 1, 2022
  • Session 2: June 1, 2022
  • Session 3: September 1, 2022
  • Session 4: December 1, 2022

Path 2 ORR Sessions for a PSO Using a System Previously Approved by HHSC

  • Session 1: January 17, 2022
  • Session 2: April 18, 2022
  • Session 3: July 18, 2022
  • Session 4: October 17, 2022
Effective Date: 12/03/2020
Effective Date: 12/03/2020

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 A – HHSC EVV Reason Codes (72 KB) Effective Date: 1/01/2021
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 EVVPSO@hhs.texas.gov.

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

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.