Provider Alert! 90-Day Notice Before EVV Usage Reviews Begin for CDS EmployersTexas Children's Health Plan
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.
Next steps for providers: Providers should share this communication with their staff.
If you have any questions, please email Provider Network Management at: email@example.com.