EVV Proprietary Systems

What is an EVV Proprietary System?

An Electronic Visit Verification proprietary system is an HHSC-approved EVV system that a program provider or Financial Management Services Agency may opt to use instead of an EVV vendor system from the state vendor pool that:

  • Is purchased or developed by a program provider or FMSA;
  • Is used to exchange EVV information with the EVV Aggregator;
  • Complies with Section 531.024172 of the Texas Government Code and
  • Complies with all HHSC EVV standards, rules and reporting requirements.

EVV Proprietary System Approval Paths

A program provider and FMSA may seek HHSC approval to use an EVV proprietary system through two paths.

  • Path 1 is the request process for a program provider or FMSA to use a system that has never been approved by HHSC.
  • Path 2 is the request process for a program provider or FMSA to use an operational proprietary system that has been previously approved by HHSC. EVV Proprietary Systems Approved by HHSC can be found on the TMHP EVV Proprietary Systems webpage.

Refer to Proprietary System Approval Process Update (PDF) for more information about onboarding paths.

Operational Readiness Review Registration Requirements

An Operational Readiness Review (ORR) session is a validation process conducted by HHSC prior to the approval of an EVV Proprietary System Operator to operate an EVV proprietary system.

Program providers and FMSAs that want to register for an ORR session should submit the EVV Proprietary System Request Packet to TMHP at EVV_PSO@tmhp.com. Forms to complete the packet are located on the TMHP EVV Proprietary Systems webpage, and include the:

  • EVV Proprietary System Request Form
  • Proprietary System Detailed Questionnaire
  • TMHP Interface Access Request

A program provider or FMSA must have a developed and compliant proprietary system which meets all HHSC requirements by the ORR session begin date for their chosen session.

Reimbursement

HHSC allows program providers to report costs for developing and operating an EVV proprietary system in their Medicaid cost reports. HHSC also collected EVV cost information from FMSAs through a cost survey in 2021. HHSC considers these reports during its regular biennial fee reviews and legislative appropriation request process to calculate Medicaid reimbursement rates.

Email HHSC Provider Finance with questions about the cost reporting process.

2022 Implementation Timeline

Path 1 - ORR Sessions for a PSO Using a System That Has Never Been Approved by HHSC
Session Connectivity Checkpoint with TMHP Planning Meeting with Assigned Program Providers/FMSAs ORR Begin Date System Go-Live date
Session 1 Jan. 31, 2022 Feb. 22, 2022 March 1, 2022 45-90 days after approval from HHSC
Session 2 April 29, 2022 May 25, 2022 June 1, 2022 45-90 days after approval from HHSC
Session 3 July 28, 2022 Aug. 25, 2022 Sept. 1, 2022 45-90 days after approval from HHSC
Session 4 Oct. 31, 2022 Nov. 21, 2022 Dec. 1, 2022 45-90 days after approval from HHSC
Path 2 - ORR Sessions for a PSO Using a System Previously Approved by HHSC
Session Planning Meeting with Assigned Program Providers/FMSAs ORR Begin Date System Go-Live date
Session 1 Jan. 10, 2022 Jan. 17, 2022 45-90 days after approval from HHSC
Session 2 April 11, 2022 April 18, 2022 45-90 days after approval from HHSC
Session 3 July 11, 2022 July 18, 2022 45-90 days after approval from HHSC
Session 4 Oct. 10, 2022 Oct. 17, 2022 45-90 days after approval from HHSC

Proprietary System Access and Training

The EVV Proprietary System Access and Training Guide (PDF) provides a list of contacts for managed care organizations and state staff to request system access and training from approved EVV Proprietary System Operators.

Contact Information

To submit feedback or questions, email the HHSC EVV Proprietary Systems Mailbox.