Does Texas require Electronic Visit Verification (EVV) for Medicaid-funded home care services?
Yes. Texas requires EVV for specified Medicaid-funded personal care and home health services. Providers must use an approved EVV system to document required visit information, including the member receiving care, service type, date, start and end times, service location, and caregiver. Providers must also complete applicable EVV system setup, training, and onboarding requirements. Claims for services requiring EVV generally must have a matching EVV visit transaction to be eligible for payment. Agencies should consult with the Texas Health and Human Services Commission (HHSC) for guidance to confirm which services are subject to EVV and the applicable billing requirements.
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Paradigm runs VA and Medicaid billing for 4,000+ home care agencies, paid as a percentage of what actually gets collected.
