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The Texas Medicaid & Healthcare Partnership has identified an issue affecting Resource Utilization Group score calculations for long-term care nursing facilities.

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.

Medicaid and CHIP Services (MCS) will host a webinar for LIDDAs, HCS and TxHmL providers regarding individualized skills and socialization.

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.

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.

Texas nursing facilities (NFs) must not transmit Minimum Data Set (MDS) Optional State Assessments (OSAs) to the Centers for Medicare and Medicaid Services (CMS) Internet Quality Improvement and Evaluation System (iQIES).

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.

On Oct. 1, 2023, the Centers for Medicare and Medicaid Services’ Resident Assessment Validation and Entry System will no longer be supported by CMS.

FEI Systems recently updated the content covered in the monthly Critical Incident Management System (CIMS) Provider Demonstrations.

HHSC has posted the notice “Electronic Visit Verification (EVV) Transition: You Must Take Action Now!” (PDF) for program providers, financial management services agencies (FMSAs) and Consumer Directed Services (CDS) employers to review.