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REMINDER: EVV Compliance Grace Period Ends December 31

Date: 12/17/24

Effective January 1, 2025, the payers, The Texas Health and Human Services Commission (HHSC) and Managed Care Organizations (MCOs), will begin Electronic Visit Verification (EVV) Usage reviews to ensure state-required personal care services and home health care services, are in compliance with EVV requirements and policies.

Payers will begin contract or enforcement action for dates of service on or after January 1, 2025, for program providers, Financial Management Services Agencies (FMSAs) and Consumer Directed Services (CDS) employers who do not meet EVV compliance requirements for EVV Usage and home phone landline reviews.

Program providers, FMSAs, and CDS employers are encouraged to review their EVV Usage reports monthly to ensure compliance with EVV requirements.

Please note the following Usage Score Impact Reminders:

  • Creating a new visit would be a manual visit, which negatively impacts the usage score of CDS employers.
  • Deactivating a visit and creating a new visit would also count against their score, because they’re manually creating another visit.
  • Downward adjustments of visits do not count against their compliance score.

For any questions about EVV compliance, please email Superior’s EVV Department at SHP_.EVV@SuperiorHealthPlan.com.

For more information about the EVV compliance grace period, review section 11000 of the EVV Policy Handbook.

Please note: This article is a reminder from the previously posted article: EVV Compliance Grace Period Ends December 31.