Provider Alert! EVV Personal Care Services Bill Codes Table Updates: STAR Kids and STAR Health 

Provider Alert!

Provider Alert! EVV Personal Care Services Bill Codes Table Updates: STAR Kids and STAR Health 

Date: November 1, 2022

Attention: STAR Kids Providers/Consumer Directed Services employers, and FMSA Providers

Effective date: December 1, 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: The purpose of this communication is to inform providers that the Health and Human Services Commission (HHSC) has published a new version of the EVV Personal Care Services Bill Codes table to include the STAR Kids LTSS billing matrix updates effective December 1, 2022. The updates also impact STAR Health because the STAR Kids LTSS billing matrix is used for some STAR Health services.

How this impacts providers: The updated tables are in Excel and PDF formats on the HHSC EVV web page.

Next steps for providers: Providers should utilize the resources available to help avoid visit transaction rejections and EVV claim mismatches and denials.

Resource:

STAR+PLUS, STAR Kids and STAR Health LTSS Billing Matrix and Service Authorization Updates for EVV-Required Services

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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