In response to the recent severe weather, HHSC is issuing the following guidance for EVV program providers, financial management services agencies (FMSAs), and Consumer Directed Services (CDS) employers.
Key Details:
All service delivery for an EVV-required service must be documented in the EVV system. If an EVV clock-in and clock-out method (home phone landline, mobile, or alternative device) was not available due to severe weather, service providers and CDS employees must make best efforts to document service delivery visits according to program policies.
For visits that were not recorded using an EVV clock-in and clock-out method, program providers, CDS employers, and FMSAs must:
- Create manual visits in the EVV system based on the program requirements, and ensure the visit is accepted into the EVV Aggregator/Portal within 95 calendar days from the date of the visit.
- Keep all supporting service delivery documentation available as required by program policy.
See the following EVV reason code example when performing visit maintenance on visits affected by the hurricane (including creating manual visits):
- Reason Code: Disaster
- Number: 130
- Description: B – Hurricane
Additional Information:
As a reminder, claims matching for all EVV required services began April 1, 2024. If a claim is submitted for an EVV required service, a valid EVV visit must be on file.
Next steps for Providers:
Providers should share this communication with their staff.
Community First Resources:
https://communityfirsthealthplans.com/provider-newsletter
https://communityfirsthealthplans.com/providers/
Contact:
Email ProviderRelations@cfhp.com or call 210-358-6294.