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Provider information for Texas ADRCs

Medicaid home and community-based services provide opportunities for people to receive long-term services and supports in their own home or community, rather than in an institution or isolated setting.

Electronic Visit Verification (EVV) is a computer-based system that verifies the occurrence of authorized personal attendant service visits by electronically documenting the precise time a service delivery visit begins and ends. Texas requires EVV for certain Medicaid funded home and community-based services provided through HHSC and MCOs.

On April 26, 2022, HHSC posted a solicitation for EVV System Management Services. Through a competitive selection process, HHSC has selected Accenture State Healthcare Services LLC for this contract.

This is a reminder that Electronic Visit Verification claims matching for Home and Community-based Services and Texas Home Living will begin on May 1, 2023.

HHSC created the Session 4 Operational Readiness Review, which is a special abbreviated Electronic Visit Verification Proprietary System Operator onboarding path that supports additional PSO ORRs.

A new version of the Electronic Visit Verification Home Health Care Services Bill Codes Table has posted. Reference the revision history for information about what was updated.

HHSC is submitting 29 Acres, an intentional community setting, to the federal Centers for Medicare & Medicaid Services (CMS) for heightened scrutiny review.

Texas Medicaid and Healthcare Partnership is hosting Electronic Visit Verification Portal training webinars for program providers and financial management services agencies that are required to use EVV for personal care services and home health care services.

HHSC reminds HCS program providers that HHSC, with the assistance of Texas Medicaid & Healthcare Partnership (TMHP), is conducting on-site assessments of 3-person residences, 4-person residences, and Host Home/Companion Care (HH/CC) settings to ensure compliance with the federal HCBS Settings Rule.

HHSC has extended the start date when Electronic Visit Verification claims for Home and Community-based Services and Texas Home Living will deny for no matching EVV visit.

On Friday, HHSC published a notice announcing a power outage that affected the processing of Electronic Visit Verification visit transactions. The Texas Medicaid and Healthcare Partnership has now processed all impacted visit transactions successfully. All processing is back to normal.

Due to recent weather, a power outage affected the processing of Electronic Visit Verification visit transactions. HHSC will provide an update when processing is back to normal.

HHSC has posted the state’s HCBS Settings Rule final Statewide Transition Plan (STP) for public comment. Notice of the STP was published in the Jan. 13, 2023 edition of the Texas Register. However, due to errors in the publication, a revised notice regarding the STP is expected to be published in the Jan. 27, 2023 edition of the Texas Register.

Texas Medicaid and Healthcare Partnership updated the Electronic Visit Verification Portal and related training materials on Jan. 13.