Provider Alerts – EVV Usage Compliance Review Grace Period Extended

Provider Alert!

Provider Alerts – EVV Usage Compliance Review Grace Period Extended

Date: October 1, 2021

Attention: Consumer Directed Services Employers

New Compliance Review Due Date: August 31, 2022

Providers should monitor the Texas Children’s Health Plan (TCHP) Provider Portal regularly for alerts and updates associated to the COVID-19 event.  TCHP reserves the right to update and/or change this information without prior notice due to the evolving nature of the COVID-19 event.

Call to action:  Texas requires Electronic Visit Verification for all Medicaid personal care services, including services managed through the Consumer Directed Services (CDS) option as of January 1. CDS employers were given an EVV Compliance grace period from January 1, 2021 through December 31, 2021.

How this impacts providers: Health and Human Services Commission (HHSC) has extended the grace period for CDS employers to August 31, 2022 for EVV Usage Compliance reviews. HHSC will publish a 90-day notice before EVV Usage Compliance reviews are scheduled to begin for dates of service on or after September 1, 2022.

The grace period dates for each compliance review type are:

  • EVV Usage Compliance Reviews:
    • 1, 2021 through Dec. 31, 2021
  • EVV-Required Free Text Reviews:
    • 1, 2021 through Dec. 31, 2021
  • EVV Landline Phone Verification Reviews:
    • 1, 2021 through Aug. 31, 2022

Next steps for providers: CDS employers must continue to use the EVV system during the grace period.

If you have any questions, please email TCHP’s EVV Workgroup at evvgroup@texaschildrens.org.

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

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