Friday, June 21, 2024

EVV Compliance Grace Period Extended for PCS to Dec. 31, 2024

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EVV Compliance Grace Period Extended for PCS to Dec. 31, 2024

HHSC has extended the compliance reviews grace period for EVV Usage and EVV

Landline Phone Verification reviews for personal care services (PCS). The grace period is extended from May 31 to Dec. 31, 2024.

During the grace period, program providers, financial management services agencies (FMSAs) and Consumer Directed Services (CDS) employers should:

  • Monitor the compliance reports monthly, at a minimum, in the EVV Portal and perform the following:
  • Use the EVV system as required.
  • Provide system training to attendants/employees as needed.
  • Complete all required visit maintenance.
  • Train or re-train service providers or CDS employees on clock-in and clock-out methods.
  • Establish a process to monitor compliance reports with their CDS employer or FMSA unless they have read-only access in the EVV system (Option 3 on Form 1722).
  • Ask questions.

Payers will continue to conduct EVV compliance reviews and send compliance notifications, however, HHSC and managed care organizations (MCOs) will not take enforcement actions against program providers, FMSAs or CDS employers who do not meet the compliance requirements during the grace period.

Note: This notice is applicable to EVV compliance reviews only, which entail landline phone and usage reviews. Program providers, FMSAs, and CDS employers must continue to use EVV as required by their respective program requirements and are subject to reviews and recoupments conducted by HHSC Compliance Monitoring areas as well as reviews conducted by MCOs.

As a reminder, the Claims Bypass ended on March 31, 2024. What that means is that claims requiring an EVV visit for dates of service on or after April 1, 2024, must have an EVV visit on file before submission to receive payment.

Email EVV Operations for questions.

 

Resources

Review section 10000 of the EVV Policy Handbook for more information about EVV Compliance grace periods.

Refer to Personal Care Services required to use EVV (PDF) list.


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