EVV Service Bill Codes Table Version 9.6 Updates for STAR Health

HHSC identified errors in the EVV Service Bill Codes Table for certain STAR Health service billing combinations. These caused issues with the correct payment of the EVV services. HHSC published updates with EVV Service Bill Codes Table Version 9.6 on the EVV webpage.

Revisions only impact STAR Health Personal Care Services. The changes are:

• New service combinations for STAR Health PCS, CDS and PCS and BH Condition are added
• Program for impacted PCS services as STAR Health or STAR Kids as applicable are clarified
• More details are on the revision history section

An Excel spreadsheet version and a PDF version of these changes is available.

Superior HealthPlan is working with affected providers and FMSAs on any necessary resubmission of claims. Providers and FMSAs should email Superior HealthPlan with related questions and for help on billing denied EVV claims.