Revision 22-2; Effective March 1, 2022

The EVV Reports Policy covers EVV standard reports that HHSC and MCOs use for oversight and data analysis, such as but not limited to:

• EVV compliance reviews
• Contract monitoring
• Recoupment 
• Fraud, waste and abuse reviews  

Program providers and FMSAs must access the HHSC EVV standard reports located in the EVV Portal and EVV systems. 

CDS employers must access HHSC EVV standard reports in the EVV system.

13010 EVV Portal Standard Reports

Revision 23-1; Effective Jan. 6, 2023

Below are the EVV standard reports available to program providers, FMSAs, MCOs and state staff in the EVV Portal.

EVV Service Provider History Report

• Verifies which service providers and CDS employees provided services to a member for a requested date range.

EVV Claim Match Reconciliation Report 

• EVV01 Report:
  • Identifies claims that received a match code of EVV01 at the time of the claims matching process and receive a different match code on the report run date.
  • Displays the match code the claim would receive on the report run date. These include match codes EVV02, EVV03, EVV04, EVV05, EVV06, EVV07 or EVV08. 
  • Serves as a tool for program providers, FMSAs and payers to research claim matching codes. 
• EVV07 or EVV08 Report:
  • Identifies claims that received a match code of EVV07 or EVV08 and an informational match code of EVV02, EVV03, EVV04, EVV05 or EVV06 at the time of the claims matching process.
  • Displays the match code the claim would receive on the report run date. These include match codes EVV01, EVV02, EVV03, EVV04, EVV05 or EVV06. 
  • Serves as a tool for program providers, FMSAs and payers to research informational claim matching codes.

EVV CDS Employer Usage Report

• Displays the EVV Usage Score for the preceding quarter(s), for each Medicaid member that selects the CDS option with HHSC or an MCO. 
• Used by payers to determine the EVV Usage Score and conduct EVV Usage Reviews. 
• Allows CDS employers to monitor the EVV Usage compliance requirement. Refer to 10000 EVV Compliance Reviews and 11000 Usage for more information.

EVV Service Provider Clock In and Clock Out Report

• Displays the service provider’s and CDS employee’s:
  • Use of EVV clock in and clock out methods.
  • Total visits worked within a specific date range.
  • Percentage of total visits worked for each clock in and clock out method within a specific date range.

EVV Provider Report

• Displays contract or enrollment data used by the program provider or FMSA during setup in the EVV system.
• Displays the program provider or FMSA EVV system onboarding date, start date and end date.

EVV Reason Code Usage and Free Text Report

• Used to conduct EVV compliance reviews for reason code and required free text. Refer to 10000 EVV Compliance Reviews for more information.
• Displays the EVV reason code number, reason code description and any free text entered on accepted EVV visits transactions during a specified month, sorted by each program provider’s or FMSAs unique identifier. 
• Allows program providers and FMSAs, on behalf of the CDS employers, to search reason code usage and enters free text by Medicaid ID.

EVV Units of Service Summary 

• Displays daily, weekly and monthly totals of services delivered for a Medicaid ID.
• Allows for identifying breaks in service for a Medicaid ID.

EVV Usage Report

• Used to conduct EVV usage reviews. Refer to 10000 EVV Compliance Reviews and 11000 EVV Usage for more information.
• Displays the EVV Usage Score for each program provider and FMSA for the preceding quarter(s).

EVV Visit Log

• Displays the hours of service delivered by the service provider or CDS employee to the member. 
• Includes all EVV accepted visit data sent to the EVV Aggregator for service delivery visits on or after Sept. 1, 2019.
• Displays the: 
  • Schedule, if applicable.
  • Actual hours.
  • Location.
  • EVV clock in and clock out method for each visit.

13020 EVV System Standard Reports

Revision 23-1; Effective Jan. 6, 2023

Below are the EVV system standard reports available to program providers, FMSAs, CDS employers, MCOs and state staff in the EVV system.

EVV Alternative Device Order Status Report

• Used to verify and track the status of alternate devices orders.

EVV Service Provider History*

• Verifies which service providers and CDS employees provided services to a member for a requested date range.

EVV CDS Service Delivery Log

• Displays EVV visit data for CDS employers for a requested date range.
• Data is based only on completed and verified visits from the EVV system.

EVV CDS Employer Usage Report

• Displays the EVV Usage Score for the preceding quarter(s), for each Medicaid member that selects the CDS option with HHSC or an MCO. 
• Used by payers to determine the EVV Usage Score and conduct EVV Usage Reviews. 
• Allows CDS employers to monitor the EVV Usage compliance requirement. Refer to 10000 EVV Compliance Reviews and 11000 Usage for more information.

EVV Service Provider Clock In and Clock Out Report*  

• Displays the service provider’s and CDS employee’s:
  • Use of EVV clock in and clock out methods.
  • Total visits worked within a specific date range.
  • Percentage of total visits worked for each clock in and clock out method within a specific date range.

EVV Landline Phone Verification Report

• Used to conduct EVV compliance landline phone reviews. Refer to 10000 EVV Compliance Reviews for more information.
• Displays the phone number used for clocking in and clocking out of the EVV system to ensure the home phone landline number is an allowable phone type.

EVV Reason Code Usage and Free Text Report*

• Used to conduct EVV compliance reviews for reason code and required free text. Refer to 10000 EVV Compliance Reviews for more information.
• Displays the EVV reason code number, EVV reason code description and any free text entered on accepted EVV visits transactions during a specified month, sorted by each program provider’s or FMSAs unique identifier. 
• Allows program providers and FMSAs, on behalf of the CDS employers, to search reason code usage and enters free text by Medicaid ID.

EVV Service Delivery Exception Report 

• Shows the number of visits that varied from the schedule or authorization, as well as the number of visits that were not approved, for a requested date range.  
• Data must include services regardless of service delivery locations including home or community location, and ‘GPS’ coordinates when the mobile method is used to clock in and clock out. 

EVV Units of Service Summary*

• Displays daily, weekly and monthly totals of services delivered for a Medicaid ID.
• Identifies breaks in service for a Medicaid ID.

Non-EVV Relevant Time Logged Report

• Displays service provider and CDS employee time spent on non-EVV services during each visit for a requested date range.

*The report is exported from the EVV Portal.

13030 EVV Vendor Ad Hoc Reporting

Revision 21-1; Effective November 1, 2021

Ad hoc reports are EVV non-standard reports. HHSC and MCOs will not use ad hoc reports for contract oversight monitoring or compliance reviews. 

The EVV vendor, or EVV PSO where applicable, must provide ad hoc reporting of any EVV data available in the EVV system at no additional cost to HHSC, MCOs, program providers, FMSAs or CDS employers.

Contact your EVV vendor or EVV PSO with questions about ad hoc reporting.

13040 EVV Portal Search Tools 

Revision 22-2; Effective March 1, 2022

HHSC, MCOs, program providers and FMSAs can perform the following searches for EVV visit transactions in the EVV Portal. 

Accepted Visit Search

• Displays the current accepted EVV visit transactions within a specific date range. 

Visit History Search

• Allows users to search for EVV visit transactions that have been accepted or rejected by the EVV aggregator. 
• Search results display all changes made to an EVV visit transaction through visit maintenance in the EVV system; including EVV visit transactions rejections and the EVV rejection code(s).

EVV Claim Search

• Allows users to search for EVV claims. 
• Search results display EVV claims, claims match result codes and other claim information. 
• Claims with a claim mismatch result codes will not have an EVV Visit ID because the EVV Aggregator was unable to match those claims to a visit. 

For questions about: 

• EVV standard reports in the EVV Portal, contact EVV@TMHP.com.
• EVV standard reports in the EVV system, contact your EVV vendor or EVV PSO. 
• EVV policy, contact your payer.