Provider Alert! EVV Update: Information Letter (IL) for Financial Management Services Agencies (FMSAs)

Provider Alert!

Provider Alert! EVV Update: Information Letter (IL) for Financial Management Services Agencies (FMSAs)

Attention: Financial Management Services Agencies (FMSAs)

Effective Date: July 31, 2020

Call to action:  

From July 1, 2020 through November 30, 2020, the Electronic Visit Verification (EVV) practice period allows Consumer Directed Services (CDS) employers to learn more about using the EVV system. During the practice period, EVV claims will not be denied for a mismatch.  

Beginning December 1, 2020, all service visits for an EVV-required service must be captured in the EVV system. Claims without a matching EVV visit transaction accepted into the EVV Portal will be denied for payment. 

How this impacts providers:  

The Health and Human Services Commission (HHSC) published an Information Letter (IL) for Financial Management Services Agencies (FMSAs). The IL informs FMSAs that a CDS employer may delegate the performance of EVV visit maintenance to the FMSA and reminds FMSAs about EVV training requirements. The IL also includes a notice for CDS employers, which explains EVV requirements  

Next steps for providers:  

  • Review the information letter (IL) published by the HHSC (see link below): 
  • FMSAs must provide the EVV notice to CDS employers by August 31, 2020. 

If you have any questions, please email Provider Network Management at: providerrelations@texaschildrens.org. 

For access to all provider alerts, log into:
www.thecheckup.org or www.texaschildrenshealthplan.org/for-providers. 

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