Effective January 1, 2025, the payers, HHSC and MCOs, will begin EVV Usage reviews to ensure state-required personal care services and home health care services, are in compliance with EVV requirements and policies.
Payers will begin contract or enforcement action for dates of service on or after January 1, 2025, for program providers, financial management services agencies (FMSAs) and CDS employers who do not meet EVV compliance requirements for EVV Usage and home phone landline reviews.
Usage Score Impacts Reminder:
- Creating a new visit would be a manual visit, which negatively impacts the usage score of CDS employers.
- Deactivating a visit and creating a new one would also count against their score, because they’re manually creating another visit.
- Downward adjustments of visits do not count against their compliance score.
Resources:
Review section 11000 of the EVV Policy Handbook for more information about EVV Compliance grace period.
Providers are encouraged to share this information with their staff. If you have any questions about this notice, please email Provider Relations at ProviderRelations@cfhp.com or call 210-358-6294. You can also contact your Provider Relations Representative directly.
To access all Provider alerts:
- Log into the Community First Provider Portal
- Go to CommunityFirstHealthPlans.com/Provider-News
- Sign up for the Community First Provider eNewsletter