EVV Claims Matching for HCS and TxHmL Will Begin for Dates of Service Starting Nov. 1

HHSC has extended the date when Electronic Visit Verification claims for Home and Community-based Services and Texas Home Living will begin to deny for no matching EVV visit. This will begin with dates of service of Nov. 1, 2022, and after.

The extension is in response to feedback from HCS and TxHmL program providers and financial management services agencies for more time to improve claims matching. Texas Medicaid and Healthcare Partnership will provide more outreach and training on this topic. Trainings will be announced at a future date.

Refer to the HCS and TxHmL Best Practices to Avoid EVV Claim Mismatches (PDF) for technical guidance, including training resources and contact information.

HCS and TxHmL EVV claims must continue to be submitted through the Client Assignment and Registration System or TMHP.

  • Submit EVV claims to CARE for dates of service before May 1, 2022.
  • Submit EVV claims to TMHP for dates of service of May 1, 2022, and after.

Program providers, FMSAs and Consumer Directed Services employers must continue to use EVV during this time. However, HCS and TxHmL claims will not be denied for an EVV mismatch. HCS and TxHmL claims during this time are still subject to HHSC provider fiscal compliance reviews conducted by HHSC Provider Fiscal Compliance.

We will continue to post related updates and reminders. If you have not signed up to receive EVV notices by email, sign up for GovDelivery.

Email EVV Operations for questions.