Electronic Visit Verification (EVV)

Electronic Visit Verification (EVV) is a computer-based system that electronically documents and verifies service delivery information, such as date, time, service type and location, for certain Medicaid service visits. Texas Health and Human Services Commission (HHSC) determines when a program provider, Financial Management Services Agencies (FMSA) or Consumer Directed Services (CDS) employer must use EVV based on the services delivered. EVV is required for all programs and services listed in the Programs and Services Required to Use EVV .

EVV Policies
Policy Handbook
- EVV Policy Handbook
Policy Handbook Revisions
EVV Reasons Codes
- EVV Reason Codes Effective Jan. 1, 2021, through Sept. 30, 2023 (PDF)
- EVV Reason Codes Effective Oct. 1, 2023, and after (PDF)
EVV Reasons Codes Crosswalk

Reference the EVV Reason Codes Crosswalk (PDF) to compare the different versions of reason codes.

EVV Reason Codes Quick Reference Guide

The EVV: When to Use Reason Codes Number and Descriptions Effective Oct. 1, 2023 quick reference guide includes examples of when to use each Reason Code Number and when to enter required free text.

Historical EVV Reasons Codes
- EVV Reason Codes Effective Sept. 1, 2019 – Dec. 31, 2020 (PDF)
- EVV Reason Codes Effective July 1, 2017 – Aug. 31, 2019 (PDF)
Best Practices
- Best Practices to Avoid EVV Claim Mismatches (PDF)
- HCS and TxHmL Best Practices to Avoid EVV Claim Mismatches (PDF)
Compliance Job Aids
- For program providers and FMSAs (PDF)
- For CDS employers (PDF)
Refer to the EVV Policy Handbook section, 11000 EVV Compliance Reviews, for more information.

Policy Guidance
- EVV Visit Transaction Rejection Guide
- Guidance for FMSAs when CDS Employers Do Not Perform EVV Responsibilities
VMUR Job Aids
- For program providers and FMSAs (PDF)
- For CDS employers (PDF)
EVV Training
Checklist:

EVV Training Requirements Checklists (PDF)

Training Websites:

Blue Cross and Blue Shield of Texas (BCBSTX) EVV Training

Getting Started with EVV Trainings

HHAeXchange Knowledge Base Website

HHSC EVV Policy Training

HHSC EVV Training webpage

Texas Medicaid and Healthcare Partnership (TMHP) EVV Portal Training

TexMedConnect:

TexMedConnect is an online application within TMHP that lets providers file claims, check claims status, confirm client eligibility, and more. There are two versions of TexMedConnect—acute-care and long-term care.

For more information about how to setup and use the acute care version of TexMedConnect, providers can refer to:
For more information about how to setup and use the long-term care version of TexMedConnect, providers can refer to:
- TexMedConnect–Long-Term Care User Guide
EVV Notices
- 12/12/2024 EVV Compliance Grace Period Ends Dec. 31, 2024
- 12/11/2024 EVV PSO Operational Readiness Review (ORR) Sessions Updates
- 11/25/2024 Clarification to “Electronic Submission Option for MAP Crossover Claims to Be Available December 9, 2024”
- 11/07/2024 EVV Alternative Device Reduction Schedule Beginning Sept. 1, 2025
- 10/24/2024 EVV System Daylight Savings Time Change
- 10/17/2024 Register for the HHAeXchange Annual EVV System Training Webinar for Program Providers and FMSAs
- 10/14/2024 Annual EVV Policy Training Webinar for Program Providers and FMSAs
- 10/04/2024 Compliance Review Grace Period Ends Dec. 31
- 10/02/2024 Updated Provider Quick Reference Contact List for HCS and TxHmL
- 10/01/2024 Reminder: Annual EVV Policy Training Webinars for CDS Employers
- 09/23/2024 EVV Policy Handbook Revision
- 09/18/2024 Clarification: EVV Aggregator Visit Rejecting with Ex0002C
- 09/16/2024 Clarification Update: EVV Impacts due to the New STAR+PLUS MCO Contracts Beginning Sept. 1, 2024
- 09/09/2024 Registration Available for HHSC EVV Policy Training Webinars for Program Providers, FMSAs and CDS Employers
- 09/05/2024 HHSC Phishing Alert for EVV Proprietary System Operators
- 08/30/2024 Reminder: Program Providers and FMSAs - EVV Claim Recoupments
- 08/22/2024 EVV Billing In-Home vs. Out-of-Home for HCS and TxHml Home Health Care Services
- 08/02/2024 Reminder: EVV Compliance Grace Period for PCS and HHCS
- 07/29/2024 EVV Reminder Related to EVV System Outages
- 07/23/2024 Clarification Update: EVV Policy Reminder for Severe Weather
- 07/19/2024 EVV Policy Reminder for Severe Weather
- 06/24/2024 EVV Compliance Grace Period Extended for PCS to Dec. 31, 2024
- 06/13/2024 Waive Timely Filing of EVV Service Claims Impacted by the VMUR Hold
- 06/11/2024 Reminder about EVV Home Phone Landline Requirements
- 05/17/2024 EVV Compliance Grace Period Extended for Personal Care Services to Dec. 31, 2024
- 05/17/2024 Register for the Upcoming HHAeXchange EVV Town Hall Webinar
- 05/16/2024 Update to the EVV Visit Maintenance Process Hold for PSOs
- 05/15/2024 EVV Visit Maintenance Unlock Request Resources Available
- 05/14/2024 Reminder - EVV Alternative Device Phase-Out Schedule for Public Comment – Due by May 15
- 05/06/2024 EVV PSO 2024 Onboarding Schedule and Enrollment Available on TMHP EVV Proprietary Systems Webpage
- 04/25/2024 Updates to the EVV Visit Maintenance Processes Hold for HHAeXchange System Users for Dates of Service Prior to Go-Live Date
- 04/25/2024 EVV Alternative Device Phase-Out Schedule for Public Comment – Due by May 15
- 04/17/2024 EVV Secondary Claims Processing Notice
- 04/15/2024 Register for Upcoming HHAeXchange EVV Town Hall Webinar
- 04/11/2024 Cures Act Home Health Care Services: EVV HHCS Service Bill Codes Table Update Version 2.1
- 04/08/2024 Update for the EVV PSO 2024 Waitlist
- 04/01/2024 Reminder: New EVV Visit Transaction Rejection Codes Begins April 1
- 03/28/2024 EVV Policy Updates Now Available for the Mobile Method Geo-Perimeter Expansion
- 03/28/2024 Updated Daily and Weekly Variable Schedules in HHAeXchange
- 03/27/2024 Reminder: Register for the March 28 EVV HHAeXchange Town Hall Webinar
- 03/25/2024 New Electronic Visit Verification (EVV) Handbook Sections for the CLASS and DBMD Programs
- 03/25/2024 Register for the Upcoming HHAeXchange EVV Town Hall Webinar
- 03/21/2024 TMHP Published New EVV Visit Transaction Rejection Codes to Begin April 1
- 03/18/2024 EVV Claims Matching Begins April 1 – Unmatched EVV Claims will Deny for Payment
- 03/13/2024 Register for the April 2, 2024, FMSA Quarterly Webinar
- 03/08/2024 EVV Claims Matching Begins April 1 — Unmatched EVV Claims will Deny for Payment
- 03/01/2024 EVV Requests Comments on Geo-Perimeter Expansion
- 03/01/2024 Updates to HHAeXchange Training Resources for EVV Program Providers and FMSAs
- 02/26/2024 EVV Visit Maintenance Processes on Hold for Dates of Service Prior to Go-Live Date with Current EVV System – What this Means for Providers, FMSAs, and CDS Employers
- 02/22/2024 New EVV Visit Transaction Rejection Codes Effective April 1, 2024
- 02/22/2024 EVV Program Providers and FMSAs: Register for HHAeXchange Webinar Friday, February 23, 2024
- 02/22/2024 TMHP Published EVV Known Issues and Resolutions, Vol. 3
- 02/12/2024 Review of Inpatient Claims for Spell-of-Illness Limitation
- 02/12/2024 EVV Visit Maintenance Processes on Hold for Dates of Service Prior to Go-Live Date with Current EVV System
- 02/06/2024 EVV Known Issues and Resolutions, Volume 3
- 01/30/2024 EVV Claims Matching Bypass from Jan. 1 to March 31
- 01/16/2024 Register for API Integration Webinar with HHAeXchange on Jan. 17
- 01/11/2024 Update: EVV Visits on Hold in the EVV Transaction Manager in HHAeXchange - LTC Authorization Issue
- 01/10/2024 EVV Texas Administrative Code Effective Jan. 1, 2024
- 01/08/2024 Update to “EVV Visits on Hold in the EVV Transaction Manager in HHAeXchange - LTC Authorization Issue”
- 01/08/2024 Amerigroup Name Change to Wellpoint
- 01/05/2024 Reminder about EVV Home Phone Landline Requirements
- 01/02/2024 EVV Visits on Hold in the EVV Transaction Manager in HHAeXchange - LTC Authorization Issue
- 01/02/2024 Reminder: Prepare for EVV Cures Act Home Health Care Services Implementation
- 01/02/2024 Enter Missing EVV Visits
- 01/02/2024 Enter Missing EVV Visits and New EVV TAC Rules
- 12/29/2023 EVV Visits on Hold in the EVV Transaction Manager in HHAeXchange - LTC Authorization Issue
- 12/29/2023 API EVV Third-Party Software System Integration Update
- 12/28/2023 New EVV TAC Rules
- 12/27/2023 Reminder: Prepare for EVV Cures Act Home Health Care Services Implementation
- 12/27/2023 API EVV Third-Party Software System Integration
- 12/21/2023 EVV Claims Matching Resumes Jan. 1 – Claims Without Matching EVV Visits Will Deny for Payment
- 12/21/2023 EVV Program Providers, FMSAs and CDS Employers Must Act Now
- 12/20/2023 HHAeXchange EVV Mobile App Outage
- 12/19/2023 Update for the EVV PSO 2024 ORR Session Requests
- 12/18/2023 TMHP Publishes EVV Known Issues and Resolutions, Vol. 2
- 12/18/2023 Take Action Now - EVV Program Providers and FMSAs Must Download Visit Data by December 22
- 12/18/2023 Reminder: Prepare for EVV Cures Act Home Health Care Services Implementation
- 12/15/2023 Update: EVV Proprietary System Operator (PSO) 2024 ORR Session Requests
- 12/15/2023 Reminder: EVV Claims Matching Resumes January 1
- 12/15/2023 EFT Payments Delayed Due to Christmas Day Bank Holiday
- 12/11/2023 EVV Known Issues and Resolutions, Volume 2
- 12/11/2023 Reminder: Prepare for EVV Cures Act Home Health Care Services Implementation
- 12/11/2023 EVV Claims Matching Resumes Jan. 1, 2024 – Claims Without Matching EVV Visits Will Deny for Payment
- 12/11/2023 EVV Program Providers and FMSAs Must Download Visit Data by Dec. 22, 2023
- 12/06/2023 Important Dates – Take Action Now: Complete EVV Visit Maintenance and Submit VMURs Before Losing Access
- 12/05/2023 EVV Third-Party Software System Integration with HHAeXchange
- 12/05/2023 Reminder: Prepare for EVV Cures Act Home Health Care Services Implementation
- 12/05/2023 Discontinuation of EVV Free Text Reviews
- 11/30/2023 EVV Third-Party Software System Integration with HHAeXchange
- 11/29/2023 Reminder: Prepare for EVV Cures Act Home Health Care Services Implementation
- 11/17/2023 EVV: HHAeXchange Offers Additional Training Resources
- 11/17/2023 EVV Cures Act Home Health Care Services (HHCS) Onboard Now
- 11/16/2023 Home Health Care Services (HHCS) Providers and FMSA Must Submit EVV HHCS Claims to TMHP Effective Dec. 1, 2023
- 11/15/2023 Reminder to Register for the Texas EVV HHAeXchange Town Hall Webinar
- 11/14/2023 EVV Claims Matching Resumes January 1
- 11/13/2023 Updates to the Long-Term Care and HCS and TxHmL Bill Code Crosswalks for EVV Home Health Care Services Implementation
- 11/13/2023 Reminder: Prepare for EVV Cures Act Home Health Care Services Implementation
- 11/09/2023 Reminder to Register for the Texas EVV HHAeXchange Town Hall Webinar
- 11/08/2023 HHAeXchange Getting Started Webinar Registration Still Open
- 11/06/2023 Prepare for EVV Cures Act Home Health Care Services (HHCS) Implementation – HHCS Claims Must be Submitted to TMHP Starting Dec. 1
- 11/02/2023 Reminder: Current EVV Users Must Complete Visit Maintenance Before December 22
- 11/02/2023 Reminder to Register for the Texas EVV HHAeXchange Town Hall Webinars
- 10/30/2023 Reminder: Complete HHAeXchange Onboarding and System User Training by November 1
- 10/30/2023 Reminder: Effective Dates and Current EVV System Access Ends on November 1
- 10/27/2023 Review of Inpatient Claims for Spell-of-Illness Limitation
- 10/26/2023 Required EVV Portal Training and Other Training Resources Available on tmhp.com
- 10/26/2023 EVV Program Providers and FMSAs Encouraged to Register for HHAeXchange Portal Demonstration Webinar
- 10/23/2023 HHAeXchange EVV Training Resources Available
- 10/23/2023 Reminder: Electronic EVV Data Access and Conversion
- 10/23/2023 TMHP Published EVV Known Issues and Resolutions
- 10/23/2023 Migration to HHAeXchange Portal on November 1, 2023
- 10/18/2023 EVV Known Issues and Resolutions, Volume 1
- 10/16/2023 Register for the Texas EVV HHAeXchange Town Hall Webinars
- 10/16/2023 Reminder: Electronic Visit Verification Data Access and Conversion
- 10/12/2023 EVV Transition: You Must Take Action Now!
- 10/06/2023 EVV Reminder: Effective Dates for Using the HHAeXchange Portal (Phase 1 and Phase 2)
- 10/05/2023 EVV Optional Services Now Available in PCS Bill Codes Table
- 10/03/2023 EVV Transition You Must Take Action Now
- 09/29/2023 EVV Reason Codes Effective Oct. 1
- 09/29/2023 EVV Transition: You Must Take Action Now!
- 09/28/2023 Action Needed: Review Texas HHSC Notice for EVV Transition
- 09/26/2023 New Texas Medicaid & Healthcare Partnership (TMHP) Contracts
- 09/25/2023 Alternative Device Returns for EVV Users Onboarding with HHAeXchange
- 09/25/2023 EVV: HHAeXchange Onboarding and User Credentials
- 09/25/2023 Cures Act Home Health Care Services: EVV HHCS Service Bill Codes Table Update
- 09/22/2023 Electronic Visit Verification Data Access and Conversion
- 09/22/2023 Current EVV Users Must Complete Visits Maintenance Before They Lose Access on Dec. 22, 2023
- 09/21/2023 Registration Available for HHSC EVV Policy Training Webinars for Programs Providers, FMSAs and CDS Employers
- 09/20/2023 Correction to EVV Policy Updates Now Available for Alternative Devices
- 09/18/2023 EVV: HHAeXchange Onboarding and user Credentials
- 09/14/2023 Publication of Electronic Visit Verification (EVV) Proposed Texas Administrative Code (TAC) Rules
- 09/13/2023 EVV Policy Updates Now Available for Alternative Devices
- 09/13/2023 EVV Portal Updates and Reminder for Required Training
- 09/08/2023 EVV CDS Employers and CDS Employees Can Register for In-Person HHAeXchange System User Training
- 09/07/2023 Register for Sept. 14 FMSA Quarterly Webinar
- 09/07/2023 EVV Portal Updates and Reminder for Required Training
- 09/05/2023 Ordering EVV Alternative Devices from HHAeXchange
- 09/05/2023 EVV Take Action Now: Onboard with HHAeXchange
- 09/05/2023 EVV Systems AuthentiCare and Vesta Available for Use Through Sept. 30, 2023
- 09/01/2023 Register Now for HHAeXchange EVV System User Training
- 08/31/2023 Updated: EVV – HHAeXchange Users Must Register and Complete System User Training
- 08/30/2023 Correction to Qualifications to Purchase an EVV Alternative Device
- 08/29/2023 EVV Compliance Grace Period Overview for Cures Act Personal Care Services and Home Health Care Services
- 08/29/2023 Qualifications to Purchase an EVV Alternative Device Policy
- 08/21/2023 EVV Reminder: Onboard with HHAeXchange by Aug. 31
- 08/21/2023 Update: EVV Alternative Device Policy
- 08/03/2023 System Maintenance Outage Scheduled for September 1–5, 2023
- 08/03/2023 EVV Begin the Onboarding Process with HHAeXchange
- 08/02/2023 Correction: EVV System Integration to HHAeXchange
- 08/01/2023 HHAeXchange Third-Party EVV System Integration
- 07/31/2023 EVV Contact Information Guides
- 07/31/2023 EVV Updates Now Available for Policy, Reason Codes, Visit Maintenance Unlock Request, and EVV Policy Training
- 07/31/2023 HHAeXchange Provider Onboarding Details
- 07/25/2023 FMSAs Must Notify CDS Employers of EVV System Selection by Aug. 1, 2023
- 07/25/2023 EVV Portal and Training Updates for the EVV Proprietary System Request Form
- 07/21/2023 TMHP Live Chat Support Implementing September 5, 2023
- 07/21/2023 Phone System Improvements Implementing September 5, 2023
- 07/20/2023 Attention Home Health Care Providers - EVV Reminder
- 07/17/2023 Upcoming EVV Alternative Device Policy
- 07/17/2023 EVV Compliance Grace Period for EVV Usage and Home Phone Landline
- 07/14/2023 Register for Initial EVV Policy Training Webinar for Program Providers and FMSAs
- 07/13/2023 EVV Portal and Training Updates for the EVV Proprietary System Request Form Effective July 13, 2023
- 07/13/2023 Changes and Updates to the Long Term Services and Supports Billing Matrix and Crosswalk
- 07/06/2023 Clarification Update: EVV Proprietary System Operator Waitlist
- 07/03/2023 Register for HHAeXchange Information Sessions for New EVV System
- 06/29/2023 Register for EVV Policy Training for CDS Employers
- 06/26/2023 EVV Proprietary System Operator Waitlist Is Full, Ensure Required Information is Submitted if Participating in Expedited Path
- 06/20/2023 Next Steps and Timeline for Transition to HHAeXchange
- 05/15/2023 EVV Resources Updates
- 05/08/2023 EVV Vendor Transition Overview
- 05/05/2023 Electronic Visit Verification Contract Awarded to Accenture and HHAeXchange
- 05/05/2023 Register for May 23 Quarterly FMSA Webinar
- 05/05/2023 EVV Portal Webinar Recordings and Q&A Documents Now Available for Program Providers and FMSAs
- 05/03/2023 Revised Consumer Directed Services Forms 1720 and 1722
- 04/27/2023 EVV Form 1718, Responsibilities and Additional Information (MCO), Updated
- 04/21/2023 Clarification Update: In-Home Individualized Skills and Socialization Claims Will Deny without EVV on May 1
- 04/20/2023 In-Home Individualized Skills and Socialization Claims Will Deny without EVV on May 1
- 04/17/2023 Reminder: EVV Claims Matching for HCS and TxHmL Will Begin for Dates of Service Starting May 1, 2023
- 03/30/2023 Update to "EVV Visit Transactions Rejecting Ex0002c"
- 03/22/2023 Session 4 ORR Schedules Added to TMHP EVV Proprietary Systems Web Page
- 03/17/2023 Cures Act Home Health Care Services: EVV HHSC Service Bill Codes Table Update
- 02/24/2023 Registration Available for EVV Portal Webinars
- 02/13/2023 EVV Visit Transactions Rejecting with Ex0002C
- 02/09/2023 EVV Claims Matching for HCS and TxHmL Will Begin for Dates of Service Starting May 1, 2023
- 02/06/2023 Resolved: Electronic Visit Verification Visit Transactions Processing Delay
- 02/03/2023 Electronic Visit Verification Visit Transactions Processing Delay
- 01/20/2023 EVV Visit Transaction Guide Update
- 01/17/2023 Reminder: Proposed Changes to EVV TAC Rules Posted for Informal Comment — Due by Jan. 20
- 01/17/2023 EVV Personal Care Services Bill Codes Updates for HCS and TxHmL
- 01/17/2023 EVV Portal and Training Updates
- 01/13/2023 EVV 21st Century Cures Act Web Page Updates Starting January 13, 2023
- 01/13/2023 EVV Portal and Training Updates January 13, 2023
- 01/11/2023 HHSC Publishes Individualized Skills and Socialization Automatic Service Authorizations and Electronic Visit Verification
- 01/10/2023 Proposed Changes to EVV Texas Administrative Code Rules Posted for Informal Comment – Due by Jan. 20
- 01/10/2023 EVV Policy Handbook Revision and Training Updates
- 12/15/2022 EVV Guidance on Program and Service Requirements for Schedules
- 12/14/2022 EVV Operational Readiness Sessions and EVV Business Rules for Proprietary Systems Version 3.0
- 12/09/2022 EVV Training Updates
- 11/21/2022 Reminder for STAR+PLUS, STAR Kids and STAR Health: New EVV Bill Codes and Modifier Combinations Effective Dec. 1
- 11/21/2022 Cures Act Home Health Care Services: EVV Services Updates and Service Bill Codes Table Now Available
- 10/31/2022 EVV PCS Bill Code Table Updates: STAR+PLUS, STAR Kids, STAR Health
- 10/25/2022 Potential Electronic Visit Verification (EVV) Changes Coming in 2023
- 10/24/2022 EVV Cures Act Home Health Care Services Implementation Confirmed for Jan. 1, 2024
- 10/11/2022 Reminder: Annual Electronic Visit Verification (EVV) Policy Training Webinars for Consumer Directed Services (CDS) Employers
- 08/29/2022 Annual EVV Policy Training Webinars for Program Providers and FMSAs
- 08/23/2022 Correction to EVV Usage Reports
- 08/16/2022 EVV Policy Handbook Revisions - September 2022
- 08/09/2022 EVV Direction for FMSAs on CDS Employer Usage July 28, 2022
- 08/03/2022 July 2022 EVV Portal and Training Updates July 14, 2022
- 06/10/2022 June 2022 Revised EVV Visit Transaction Rejection Guide
- 06/09/2022 Vesta Windows Ends August 31, 2022
- 05/19/2022 90 Day Notice Before EVV Usage Reviews Begin for CDS Employers
- 05/19/2022 EVV Policy Handbook Revisions - June 2022
- 05/02/2022 EVV Portal and Training Updates
- 05/02/2022 EVV Visit Maintenance Unlock Request Updates
- 04/25/2022 Using an EVV System
- 04/22/2022 HHSC to Request Extension of EVV Cures Act
- 04/13/2022 EVV Updates for the HCS and TxHmL Transition to TMHP for Claims Submission
- 03/14/2022 EVV Required Free Text Reviews Postponed for CDS Option
- 02/15/2022 EVV Training Updates
- 02/15/2022 EVV 2022 Survey Now Available
- 02/03/2022 EVV Policy Handbook Revisions - March 1, 2022
- 01/18/2022 Guidance for FMSAs when CDS Employers Do Not Perform EVV Responsibilities
- 01/14/2022 Optional EVV Compliance Webinar for Program Providers
- 01/14/2022 EVV Portal and Training Updates
- 01/14/2022 BCBSTX 2022 EVV Training Schedule
- 11/22/2021 EVV Policy Handbook Revisions – January 2022
- 11/04/2021 Revised EVV Policy Handbook Now Available
- 11/04/2021 EVV Service Bill code Table Version 9.6 (STAR Health Updates) Publishing Nov.1
- 11/04/2021 HHSC Publishes the Importance of Following EVV Rules and Policy Guidance for CDS Employers (IL2021-49)
- 10/29/2021 Reminder: Now Available EVV Provider Satisfaction Survey
- 10/01/2021 CDS Employer EVV Usage Compliance Review Grace Period Extended
- 10/01/2021 90-Day Notice of EVV Compliance for Cures Act Personal Care Services Providers
- 10/01/2021 Misuse of EVV Reason Codes Requirements Removed
- 09/02/2021 90 - Day Notice of EVV Compliance for State-Required Personal Care Service Providers
- 09/02/2021 Provider Notice of EVV Claims Review
- 07/26/2021 Home Health Care Services Required to Use EVV by Jan. 1, 2023

EVV Archives

Previous EVV Archives

Electronic Visit Verification (EVV) Provider Webinar Sessions

Blue Cross and Blue Shield of Texas (BCBSTX) Medicaid hosts 30-minute webinar sessions to learn more about Electronic Visits Verifications (EVV) system and process. Registration is required for webinar, refer to our Provider Training Webinar page.

Important Contact Information

Blue Cross and Blue Shield of Texas (BCBSTX) Contact Information:

For EVV questions, call Provider Customer Service at 1-877-784-6802 or email the EVV Mailbox at BCBSTX_EVV_Questions@bcbstx.com
For Service Coordination needs, call 1-877-301-4394 (TTY 7-1-1)
Information on how to submit a Complaint or Appeal

For EVV Visit Maintenance Unlock Request (VMUR) :

Instructions and Templates -Complete either form
- Programs Providers and Financial Management Services Agencies (FMSAs) Form
- Consumer Directed Services (CDS) Employers Form
VMUR Job Aids
- For program providers and FMSAs
- For CDS employers

Health and Human Services EVV Contact Information:

EVV Email: EVV@hhs.texas.gov
EVV Website: Electronic Visit Verification | Texas Health and Human Services

TMHP EVV Contact Information:

EVV Email: EVV@tmhp.com
EVV Website: Electronic Visit Verification (EVV) | TMHP
EVV TMHP Proprietary System Website: EVV Proprietary Systems | TMHP
EVV TMHP Vendor Website: EVV Vendors |TMHP

Vendor Contact Information:

Website: Texas EVV Vendor Information Center

EVV System Information: HHAeXchange EVV

Customer Support:

Portal: Client Support Portal
Email: TXsupport@hhaexchange.com

Other Information:

EVV Compliance Oversight Reviews Section

EVV Compliance Oversight Review is currently under revision. Review Section 10000 EVV Compliance Reviews from the EVV Policy Handbook for more information.

State Fiscal Year (SFY) 2024

Usage Score Compliance - State Fiscal Year 2024

EEVVVV Compliance Oversight Usage Reviews	Quarter 1 (Q1)	Quarter 2 (Q2)	Quarter 3 (Q3)	Quarter 4 (Q4)
EVV Compliance Oversight Usage Reviews	Qtr 1
EVV Usage score of 80% or above	1
EVV Usage score of 100%	20
EVV Usage score of 80% below	10

Most Common Reasons for Denial

State Fiscal Year 2024 - EVV Relevant Claims

State Fiscal Year 2024

Most Common Reasons

Quarter 1

Duplicate Claims
EVV03 - Dates of Service Mismatch
EVV06 - Units Mismatch
EVV02 - Medicaid ID Mismatch
EVV05 - Service Mismatch

Quarter 2

Duplicate claims
Not a Covered Benefit/Service
Submit to Primary Insurance
EVV03 - Dates of Service Mismatch
EVV02 - Medicaid ID Mismatch

Most Common Reasons for Recoupment

Each quarter, this section is updated with the top reasons of recoupment for EVV-relevant claims.

BCBSTX has not had any recoupments of EVV - relevant claims in State Fiscal Year 2024.

Span Billing Guidelines

BCBSTX allows for EVV claims to be submitted with a span date. If a provider chooses to submit a claim with a span date, the provider must ensure that:

Each date within the span has one or more matching EVV visit transactions.
The total units on the EVV claim must match the combined total units of the matched EVV visit transactions.