Provider Alert! 90-Day Notice Before EVV Usage Reviews Begin for CDS Employers

Provider Alert!

Provider Alert! 90-Day Notice Before EVV Usage Reviews Begin for CDS Employers

Date: May 26, 2022

Attention: All Providers

Effective Date: September 1, 2022

Providers should monitor the Texas Children’s Health Plan (TCHP) Provider Portal regularly for alerts and updates associated with 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 Children’s Health Plan (TCHP) would like to inform providers that payers will begin conducting Electronic Visit Verification Usage Reviews for Consumer Directed Services (CDS) employers for dates of service on and after September 1, 2022.

Beginning September 1, 2022, payers will review the EVV Usage Score for CDS employers quarterly to ensure the minimum EVV Usage Score is met. CDS employers are monitored at the member level. Each member who has selected the CDS option will receive an EVV Usage Score.

How this impacts providers: The notification below is a 90-day notice before the EVV Usage Reviews begin for CDS employers. The notice contains related information, resources to help prepare for EVV Usage Reviews and a summary of EVV Compliance Reviews for CDS employers.

90-Day Notice Before EVV Usage Reviews Begin for CDS Employers Notice

Next steps for providers: Providers should share this communication with their staff.

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.

Share this post

Leave a Reply

Your email address will not be published. Required fields are marked *