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HHSC has revised the Electronic Visit Verification (EVV) rules in Texas Administrative Code (TAC), Title 1, Chapter 354, Subchapter O. The new TAC rules are effective Jan. 1, 2024.

Beginning Jan. 1, 2024, the managed care organization, Amerigroup, will begin operating under a new name — Wellpoint.

HHSC initiated a claims matching bypass from Oct. 1 to Dec. 31 for EVV claims to be paid without a matching EVV visit.

Texas Medicaid & Healthcare Partnership published a table that highlights the most frequently occurring issues Electronic Visit Verification users have experienced with the HHAeXchange system.

Effective Aug. 1, 2023, the Texas Health and Human Services Commission and managed care organizations will no longer conduct EVV compliance reviews for required free text.

Program providers and financial management services agencies (FMSAs) who are using an Application Programming Interface (API) to integrate their third-party EVV vendor system with the HHAeXchange system must ensure they are properly using both systems when capturing and submitting EVV claims.

HHSC will be providing education on how to complete the Employment First Discovery Tool related to Senate Bill 50, 87th Legislature, Regular Session, 2021.

HHAeXchange is offering additional training sessions for EVV program providers, financial management services agencies (FMSAs), CDS employers and CDS employees.

This is a reminder that Electronic Visit Verification claims matching for all services required to use EVV will begin on Jan. 1, 2024.

HHSC has adopted new program rules in the Texas Administrative Code, Title 26, Part 1, Chapter 284, effective Nov. 14, 2023.

Electronic Visit Verification claims matching for home health care services will begin on Jan. 1, 2024. EVV claims with dates of service of Jan. 1, 2024, and after do not have an EVV visit match will be denied.

HHSC will require Electronic Visit Verification (EVV) for Medicaid home health care services (HHCS) beginning Jan. 1, 2024, as listed in the Home Health Care Services required to use EVV (PDF).

Texas Medicaid & Healthcare Partnership (TMHP) published a table that highlights the most frequently occurring issues Electronic Visit Verification (EVV) users have experienced with the HHAeXchange system.

As a reminder, EVV program providers and financial management services agencies (FMSAs) transitioning to HHAeXchange must complete onboarding and system user training.

This notice is for program providers, financial management services agencies (FMSAs) and Consumer Directed Services (CDS) employers transitioning to the new state-funded EVV vendor, HHAeXchange.