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Cures Act EVV: Practice Period Update and Important Dates

Date: 09/28/20

Please note: The EVV practice period end date has been extended. For the latest information, please see Cures Act EVV Practice Period Extended Through 12/31.

From July 1 to November 30, 2020, the Electronic Visit Verification (EVV) practice period allows program providers, Financial Management Services Agencies (FMSAs) and Consumer Directed Services (CDS) employers to practice the EVV process. During the practice period, claims for services included in the Cures Act EVV Expansion will not be denied for an EVV mismatch.

Practice Period Update

Approximately 1,000 program providers and FMSAs delivering or supporting services included in the Cures Act EVV Expansion can participate in the practice period. All numbers below (as of September 1) are approximate.

  • EVV Vendor Onboarding
    • Of the 1,000 Cures Act program providers and FMSAs able to participate in the practice period:
      • 50% have completed the onboarding process with their EVV vendor.
      • 30% are currently in progress.
      • 20% have not started.
  • EVV System Usage
    • Of the 50% of Cures Act program providers and FMSAs identified above who have completed the onboarding process:
      • 16% have used the EVV system to capture at least one visit when delivering services.
  • Managed Care EVV Claims Submission Setup to Texas Medicaid & Healthcare Partnership (TMHP)
    • A total of 280 program providers and FMSAs must setup managed care EVV claims submission to TMHP by October 1, 2020 for EVV claims matching.
      • 47% have completed the setup process and are submitting EVV claims to TMHP.
  • EVV Claims Matching
    • 52% of claims have received an informational EVV claims match result of EVV01 during the practice period.
    • The majority of the remaining 48% of claims did not match because the EVV system was not used to capture the visit when delivering services.

How to Participate in the Practice Period

  1. Complete the onboarding process with your EVV vendor. Contact your vendor or payer for more information. CDS employers should contact their FMSA (the person they submit their timesheets to) for more information.
  2. Complete required EVV training. See the Cures Act EVV: Training Requirements Checklists (PDF) for information about who must participate in the training and the different ways to complete it.
  3. Start practicing with the EVV system. Attendants and CDS employees should start clocking in and clocking out of the system when delivering services to create visits in the system.
  4. Start practicing with the EVV Portal. Program providers and FMSAs will use the EVV Portal to confirm accepted EVV visit transactions before billing and review EVV claims matching results.

For more information, please see Cures Act EVV: The EVV Practice Period Begins July 1 (PDF).

Important Dates

  • October 1, 2020: All managed care EVV claims for dates of service on and after October 1 must be submitted to TMHP and will be denied or rejected if submitted directly to Superior HealthPlan.
  • December 1, 2020: EVV claims matching with denials begins.
    • All EVV-required service visits must be captured in the EVV system.
    • Claims without a matching EVV visit transaction accepted into the EVV Portal will be denied for payment.

Resources

Questions

For questions about EVV vendor onboarding, please contact your vendor or payor. For questions about claims submission, please email evv@tmhp.com. For questions about EVV policy and training, please email electronic_visit_verification@hhsc.state.tx.us.