November 29, 2022
The Texas Health and Human Service Commission (HHSC) announced Electronic Visit Verification (EVV) will be implemented for Medicaid Home Health Care Services (HHCS) on Jan. 1, 2024.
HHSC updated the services required to use EVV by Jan. 1, 2024 (PDF). This document lists Texas Medicaid HHCS, which require the use of EVV.
HHSC has posted the EVV HHCS Service Bill Codes Table on the EVV 21st Century Cures Act webpage in Excel and PDF formats. The table identifies the specific HHCS billing code combinations that require the use of EVV. The purpose of posting the table is to allow program providers and financial management services agencies to familiarize themselves with the Healthcare Common Procedure Coding System codes and modifiers for HHCS required to use EVV.
The information in the table will help prevent EVV visit transaction rejections and EVV claim match denials. Visit the EVV 21st Century Cures Act webpage for the most current version of the documents.
HHSC will continue to share updates, including how to get started with EVV and when the EVV practice period will start. Notices related to the Cures Act HHCS implementation will start with “Cures Act Home Health Care Services” or “Cures Act HHCS.”
Resources
Review below:
- For more information about EVV, visit the HHS EVV webpage.
- For news and updates, visit the Texas Medicaid and Healthcare Partnership website.
- Review the document FAQs about the EVV HHCS Implementation (PDF) on the EVV 21st Century Cures Act webpage.
- People who deliver EVV-required services must be registered for EVV GovDelivery to receive EVV updates by email.
- Program providers, FMSAs and Consumer Directed Services employers must continue to use EVV for Medicaid personal care services (PDF).
Questions
For questions about the EVV HHCS bill codes, modifiers or HHCS services required to use EVV, contact BCBSTX_EVV_Questions@bcbstx.com about these updates. Or you can reach out to your BCBSTX Medicaid Network team at 1-855-212-1615.