HHSC told managed care organizations to delay compliance oversight reviews for EVV Usage and Misuse of EVV Reason Codes. Evaluation of visit data collected during the grace period ensures the compliance measures continue to align with current EVV policy.

The compliance grace period ended on Sept. 1, 2020 for EVV Usage and Misuse of EVV Reason Codes for EVV visits with dates of service from Sept. 1, 2019 to Aug. 31, 2020.

Next Steps
• HHSC will notify program providers 90 calendar days before reviews begin for EVV Usage and Misuse of EVV Reason Codes for EVV visits with dates of service on and after Sept. 1, 2020.
• HHSC and MCOs will continue reviews for EVV Landline Phone Verification and Required Free Text.
• Program providers can use the EVV Usage Report, and EVV Reason Code Usage and Free Text Report in the EVV Portal to track these compliance measures.

This information is for program providers who were required to use Electronic Visit
Verification by state law prior to the Cures Act Implementation as identified on pages 3 and
4 of the Programs and Services Required to Use EVV (PDF) document.


Program providers can contact their payer or email HHSC EVV with questions or concerns.

Community First Members who have been impacted by the floods can contact Member Services at 1-800-434-2347.

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