24-1, Handbook Changes | Texas Health and Human Services

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Revision Notice 24-1; Effective Sept. 12, 2024

The following change(s) were made:

Section	Title	Change
1000	Electronic Visit Verification Policy Handbook Introduction	Updates text.
1100	EVV Overview	Updates text.
1300	Federal Law	Updates text.
1600	Key Terms	Updates key terms.
2000	EVV Stakeholders	Updates text.
2100	Payers	Updates text.
2200	Texas Medicaid and Health Care Partnership	Updates text.
2300	EVV Vendor	Updates section title to State Provided EVV System Vendor. Updates text.
2400	EVV Proprietary System Operator	Updates text.
2500	Program Provider	Updates text.
2600	Financial Management Services Agency	Updates text.
2700	Member	Updates text.
2800	CDS Employer	Updates text.
3000	Programs and Services Required to Use EVV	Updates text.
4000	EVV System and Setup	Updates text.
4100	EVV System Selection	Updates text.
4110	EVV Vendor System	Updates section title to State Provided EVV System. Updates text.
4120	EVV Proprietary Systems	Updates text.
4130	Select an EVV System	Updates text.
4200	EVV Training	Updates text.
4210	EVV Training Requirements for Program Providers	Updates text.
4220	EVV Training Requirements for FMSAs	Updates text.
4230	EVV Training Requirements for CDS Employers	Updates text.
4240	Training Requirements for Service Providers and CDS Employees	Updates text.
4250	EVV Training Registration	Updates text.
4300	Credentialing	Updates text.
4400	Data Collection	Updates text.
4500	Service Authorizations	Updates text.
4600	Schedules	Updates text.
4610	Schedule Types	Updates text.
4700	EVV System Transfer	Updates text.
4710	How to Transfer to an EVV System	Updates section title to How to Transfer to the State Provided EVV System. Updates text.
4720	How to Transfer to an EVV Proprietary System	Updates text.
5000	EVV Proprietary System	Updates text.
5010	Reimbursement for Use of an EVV Proprietary System	Updates text.
5030	EVV Proprietary System Onboarding Process	Updates text.
5040	EVV Proprietary System Operational Readiness Review	Updates text.
5050	Success or Failure of the Operational Readiness Review	Updates text.
5060	EVV Proprietary System General Operations	Updates text.
5080	Proprietary System Operator Compliance	Updates text.
6000	EVV Visit Transaction	Updates text.
6100	EVV System	Updates text.
7000	Clock In and Clock Out Methods	Updates text.
7010	Manually Entered EVV Visits	Updates text.
7020	Mobile Method	Updates text.
7030	Home Phone Landline	Updates text.
7040	Alternative Device	Updates text.
7050	Using Multiple Clock In and Clock Out Methods	Updates text.
7060	EVV Services Delivered Outside the Member’s Home	Updates text.
7070	Multiple EVV Visit Transactions	Adds section.
8000	Visit Maintenance	Deletes section. Moves content to 9000.
8010	Required Visit Maintenance	Deletes section. Moves content to 9010.
8020	Auto-Verification	Deletes section. Moves content to 9020.
8030	EVV System Validation	Deletes section. Moves content to 9030.
8040	EVV Aggregator Validation	Deletes section. Moves content to 9040.
8050	Visit Maintenance Time Frame	Deletes section. Moves content to 9050.
8060	Visit Maintenance Unlock Request	Deletes section. Moves content to 9060.
8070	Visit Maintenance and Billing EVV Claims	Deletes section. Moves content to 9070.
8080	Last Visit Maintenance Date	Deletes section. Moves content to 9080.
8090	Rounding Rules	Deletes section. Moves content to 8020.
8100	Visit Maintenance Reduction Features	Deletes section. Moves content to 9090.
8000	Calculation of Bill Hours	Adds section.
8010	Bill Time In and Bill Time Out	Adds section.
8020	Rounding	Adds section. Previously section 8090. Updates title and text.
8030	Bill Hours	Adds section.
9000	EVV Reason Code	Deletes section. Moves content to 10000.
9010	EVV Reason Code Free Text Requirements	Deletes section.
9000	Visit Maintenance	Adds section. Previously section 8000. Updates text.
9010	Required Visit Maintenance	Adds section. Previously section 8010. Updates text.
9020	Auto-Verification	Adds section. Previously section 8020. Updates text.
9030	EVV System Validation	Adds section. Previously section 8030. Updates text.
9040	EVV Aggregator Validation	Adds section. Previously section 8040. Updates text.
9050	Visit Maintenance Time Frame	Adds section. Previously section 8050.
9060	Visit Maintenance Unlock Request	Adds section. Previously section 8060. Updates text.
9070	Visit Maintenance and Billing EVV Claims	Adds section. Previously section 8070. Updates text.
9080	Last Visit Maintenance Date	Adds section. Previously section 8080.
9090	Visit Maintenance Reduction Features	Adds section. Previously section 8100. Updates text.
10000	EVV Compliance Reviews	Deletes section. Moves content to 11000.
10010	EVV Usage Reviews	Deletes section. Moves content to 11010.
10020	EVV Landline Phone Verification Reviews	Deletes section. Moves content to 11020.
10030	EVV Required Free Text Reviews	Deletes section.
10040	HHSC EVV Informal Reviews and MCO Disputes	Deletes section. Moves content to 11030.
10050	Formal Appeal of HHSC Enforcement Actions	Deletes section. Moves content to 11040.
10000	Reason Codes	Adds section. Previously section 9000. Updates text.
11000	Usage	Deletes section. Moves content to 12000.
11010	EVV Usage Score	Deletes section. Moves content to 12010.
11020	Manual EVV Visit Transaction Score	Deletes section. Moves content to 12020.
11030	Rejected EVV Visit Transaction Score	Deletes section. Moves content to 12030.
11040	How EVV Usage Reviews are Conducted	Deletes section. Moves content to 12040.
11000	EVV Compliance Reviews	Adds section. Previously section 10000. Updates text.
11010	EVV Usage Reviews	Adds section. Previously section 10010. Updates text.
11020	EVV Landline Phone Verification Reviews	Adds section. Previously section 10020. Updates text.
11030	HHSC EVV Informal Reviews and MCO Disputes	Adds section. Previously section 10040. Updates text.
11040	Formal Appeal of HHSC Enforcement Actions	Adds section. Previously section 10050.
12000	EVV Claims	Deletes section. Moves content to 13000.
12100	Claims Submission	Deletes section. Moves content to 13010.
12200	Claims Matching	Deletes section. Moves content to 13020.
12210	Claims Matching Process	Deletes section. Moves content to 13030.
12220	Exceptions to the Claims Matching Process	Deletes section. Moves content to 13040.
12230	Claims Match Result Codes	Deletes section. Moves content to 13050.
12000	Usage	Adds section. Previously section 11000. Updates text.
12010	EVV Usage Score	Adds section. Previously section 11010. Updates text.
12020	Manual EVV Visit Transaction Score	Adds section. Previously section 11020. Updates text.
12030	Rejected EVV Visit Transaction Score	Adds section. Previously section 11030. Updates text.
12040	How EVV Usage Reviews are Conducted	Adds section. Previously section 11040.
13000	Reports	Deletes section. Moves content to 14000.
13010	EVV Portal Standard Reports	Deletes section. Moves content to 14010.
13020	EVV System Standard Reports	Deletes section. Moves content to 14020.
13030	EVV Vendor Ad Hoc Reporting	Deletes section. Moves content to 14030.
13040	EVV Portal Search Tools	Deletes section. Moves content to 14040.
13000	EVV Claims	Adds section. Previously section 12000.
13010	Claims Submission	Adds section. Previously section 12100. Updates text.
13020	Claims Matching	Adds section. Previously section 12200. Updates text.
13030	Claims Matching Process	Adds section. Previously section 12210.
13040	Exceptions to the Claims Matching Process	Adds section. Previously section 12220.
13050	Claims Match Result Codes	Adds section. Previously section 12230.
14000	Non-EVV Services	Deletes section. Moves content to 15020.
14000	Reports	Adds section. Previously section 13000. Updates text.
14010	EVV Portal Standard Reports	Adds section. Previously section 13010. Updates text.
14020	EVV System Standard Reports	Adds section. Previously section 13020. Updates text.
14030	EVV Vendor Ad Hoc Reporting	Adds section. Previously section 13030. Updates text.
14040	EVV Portal Search Tools	Adds section. Previously section 13040. Updates text.
15000	Fraud Waste and Abuse	Deletes section. Moves content to 16000.
15000	EVV Optional Services and Non-EVV Services	Adds section.
15010	EVV Optional Services	Adds section.
15020	Non-EVV Services	Adds section. Previously section 14000. Updates text.
16000	EVV CDS Employer Policies	Deletes section. Moves content to 17000.
16010	CDS Option Stakeholders	Deletes section. Moves content to 17010.
16020	CDS Employer Steps Prior to Using an EVV System	Deletes section. Moves content to 17020.
16030	CDS Employer(s) Using an EVV System	Deletes section. Moves content to 17030.
16040	Failure to Use an EVV System in the CDS Option	Deletes section. Moves content to 17040.
16050	CDS EVV Compliance	Deletes section. Moves content to 17050.
16060	CDS Bonuses and Overtime	Deletes section. Moves content to 17060.
16070	CDS Complaints	Deletes section. Moves content to 17070.
16000	Fraud Waste and Abuse	Adds section. Previously section 15000.
17000	EVV CDS Employer Policies	Adds section. Previously section 16000. Updates text.
17010	CDS Option Stakeholders	Adds section. Previously section 16010. Updates text.
17020	CDS Employer Steps Prior to Using an EVV System	Adds section. Previously section 16020. Updates text.
17030	CDS Employer(s) Using an EVV System	Adds section. Previously section 16030. Updates text.
17040	Failure to Use an EVV System in the CDS Option	Adds section. Previously section 16040. Updates text.
17050	CDS EVV Compliance	Adds section. Previously section 16050. Updates text.
17060	CDS Bonuses and Overtime	Adds section. Previously section 16060.
17070	CDS Complaints	Adds section. Previously section 16070.
Forms	Forms	Deletes Form 1718; Adds Form 1732.
Contact Us	Contact Us	Updates email address.