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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.

Long-Term Care Regulation staff and nursing home program providers are invited to attend the new in-person class, “The Survey and Enforcement Process for Nursing Homes,” starting in January.

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

HHSC Long-term Care Regulation will host a webinar for HCSSA providers on Jan. 19 from 11 a.m.–noon.

All licensed long-term care providers must submit a renewal application in the Texas Unified Licensure Information Portal before their current license expires.

Long-Term Care Regulation staff and program providers are invited to attend the following webinar trainings hosted in January.

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.

Long-Term Care Regulation staff and program providers are invited to attend the following webinar trainings hosted in December.

The administrators training course is for administrators and alternate administrators employed at Medicare certified home health agencies and licensed home health agencies seeking Medicare certification, and it covers the Home Health regulatory part of OASIS.

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.

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.