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

Date: 05/31/22

This notice is to inform you that payers will begin conducting Electronic Visit Verification Usage Reviews for Consumer Directed Services employers in 90 days for dates of service on or after Sept. 1, 2022.

Beginning Sept. 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.

The EVV Usage Score for a CDS employer measures if the CDS employee is using an EVV clock in and clock out method (mobile method, home phone landline or alternative device) at the start and end of service delivery. If an EVV clock in and clock out method is not used, visits must be entered manually, which lowers the EVV Usage Score.

CDS employer EVV Usage Score requirements are based on service delivery dates:

Fiscal Year (FY)

Quarter (Q)

Service Delivery Dates

Minimum EVV Usage Score

FY 23

Q1

9/1/2022 – 11/30/2022

40%

FY 23

Q2

12/1/2022 - 2/28/2023

60%

FY 23

Q3

3/1/2023 - Ongoing

80%

CDS employers below the minimum EVV Usage Score will be reviewed. Payers may choose to review all CDS employers or a sample of CDS employers that did not meet the minimum EVV Usage Score.

Payers conduct EVV Usage Reviews after the visit maintenance time frame has expired based on the last date of the quarter to determine compliance. Payers will use the EVV CDS Employer Usage Report to determine if CDS employers are meeting the minimum EVV Usage Score.

Resources to Help CDS Employers Prepare for EVV Usage Reviews

The EVV Compliance for FMSAs and CDS Employers webinar recording provides training on EVV compliance requirements and reviews, including the EVV Usage compliance standard and EVV Usage Reviews for CDS employers, in video format with audio and closed captioning.

The Initial EVV Policy Training for CDS Employers computer-based training course on the HHS Learning Portal provides training on EVV compliance requirements and reviews, including the EVV Usage compliance standard and EVV Usage Reviews for CDS employers, in an online text-based format that can also be printed.

The EVV Compliance Job Aid for Consumer Directed Services Employers (PDF) summarizes EVV compliance requirements and reviews for CDS employers and provides guidance on how to stay in compliance with EVV, including the EVV Usage compliance standard, and provides tips to help ensure the EVV Usage compliance standard is met.

You can review the EVV CDS Employer Usage Report and monitor the EVV Usage Score in the EVV system if you selected Option 1 on Form 1722.

You can contact your FMSA to review the EVV CDS Employer Usage Report and monitor the EVV Usage Score if you selected Options 2 or 3 on Form 1722.

Review the following from the EVV Policy Handbook:

  • EVV Usage requirements in section 11000 EVV Usage.
  • EVV Usage Reviews in section 10010 EVV Usage Reviews.

Summary of EVV Compliance Reviews for CDS Employers

Email the HHSC EVV General Inquiries Mailbox with related questions.