HCS and TxHmL Billing and Payment Webinar Scheduled for Aug. 20, 2019
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HCS and TxHmL Billing and Payment Webinar Scheduled for Aug. 20, 2019

HCS and TxHmL program providers and other interested people can register for the quarterly HCS and TxHmL webinar.

Aug. 20, 2019
1:30 – 3:30 p.m., Central Time
Register

Topics include:
  • Professional therapies
  • Residential services

Electronic Visit Verification New and Revised Policies for HHSC and MCO Program Providers Effective Sept. 1, 2019

Effective Sept. 1, program providers will be reviewed on using the EVV system to electronically document authorized service delivery visits.
  • New EVV Usage Policy
    • Program providers will be reviewed for visit transactions manually entered into the EVV system and visit transactions rejected by the EVV Aggregator.
    • EVV usage replaces the current EVV compliance plan score reviews.
    • A program provider’s use of preferred and nonpreferred reason codes will not be used to calculate the usage score for visits with dates of service on and after Sept. 1, 2019.
    • Program providers currently required to use EVV will receive a usage grace period for visits with dates of service between Sept. 1, 2019, through Aug. 31, 2020.
  • Revised Policy for EVV Reason Codes and Required Free Text
    • Program providers will be reviewed for appropriate use of reason codes and entry of required free text.
    • Reason codes are required in the EVV system to clear visit exceptions. However, program providers will not be assessed for misuse of reason codes for visits with dates of service between Sept. 1, 2019, through Aug. 31, 2020.
    • Program providers must document required free text—there is no grace period.
  • Revised Policy for EVV Allowable Phone Identification
    • Program providers will be reviewed for allowable home landline phone types used to clock in and clock out of the EVV system.
    • There is no grace period for allowable phone identification reviews.
New EVV Claims Policies 
  • Billing Policy
    • Requires program providers to follow the billing guidelines of their payer for EVV claims.
  • Claims Matching Policy
    • Requires that any claim for EVV services be matched to an accepted visit transaction in the EVV Aggregator, prior to payment of a claim, to confirm that a service visit occurred.
    • An EVV claim that does not match an accepted visit transaction will be denied by the payer.
    • All EVV payers will implement the new claims matching policy on Sept. 1, 2019.
  • Claims Submission Policy
    • Requires program providers to submit EVV claims to Texas Medicaid & Healthcare Partnership for EVV services.
EVV Training, Vendor Selection, Vendor Transfer and Data Elements Policies 
  • New Training Policy
    • Requires HHSC and MCO program providers to complete all required training prior to using an HHSC-approved EVV system and annually thereafter.
    • Program providers using EVV prior to Sept. 1, 2019, will be required to take the EVV Aggregator, portal and policy training on or before Dec. 31, 2019, and annually thereafter.
  • Revised Vendor Selection Policy
    • Requires program providers to select an HHSC-approved EVV vendor within 30 business days of receiving a contract with HHSC or an MCO.
  • Revised Transfer Policy
    • Requires program providers to request a transfer to another HHSC-approved EVV vendor 120 calendar days prior to the desired transfer date.
  • Revised Data Elements Policy
    • Requires the following visit data categories to be electronically verified by an HHSC-approved EVV system:
      • Program provider
      • Type of service performed
      • Member receiving service
      • Date and time of service
      • Location of service delivery
      • Person providing the service
    • Program providers must ensure data elements in the EVV system are accurate and complete.
    • Missing or incorrect data elements in the EVV system will result in rejected visit transactions, denied or recouped claims, inaccurate standard reports and inaccurate data.
Revised EVV Standard Reports Policy
  • Standard reports located in the EVV portal and vendor system are the official reports HHSC and MCOs use for oversight and data analysis, not limited to:
    • HHSC contract monitoring
    • HHSC EVV compliance oversight reviews
    • Fraud, waste and abuse reviews
  • Only EVV portal standard and vendor standard reports will be used during HHSC or MCO contract monitoring, recoupment projects, or other oversight or review activities.
  • EVV visits with date(s) of service prior to Sept. 1, 2019, will be available in the DataLogic Vesta EVV system.
Contact HHSC EVV Operations with any questions.

EVV Tool Kit – Module Nine: EVV Portal Standard Reports and Search Tools

EVV Tool Kit – Module Nine is now available on the HHSC EVV website. This module provides an overview of the standard reports and search tools that will be available in the EVV Portal beginning Sept. 1, 2019. Module nine also includes tips and FAQs.

Register for the live webinar on May 22 to ask your questions about EVV Claims and the EVV Portal. Email questions ahead of time and include in the subject line “webinar question”. Read the frequently asked questions and answers from the webinars.

Subscribe to GovDelivery to receive email alerts when new EVV Tool Kit resources are available.

EVV (Electronic Visit Verification) system starting soon

Pcs must start Jan. 1, 2020

Clock in clock out method

Used by: Mobile app, Computer- at members home, or Member home phone landline

Tool kit on the HHSC EVV website for:FAQWebinars,Web alerts.Tips

Sign up for June 24- Live Q&A Webinar on the HHSC website

EVV Mobile Application Policy Now Available

HHSC EVV Operations has published the EVV mobile application policy. The EVV mobile application policy establishes clock in and clock out requirements, user requirements, and mobile device specifications.

On April 1, 2019, the EVV mobile application became a standard option for clocking in and clocking out of the EVV vendor systems for service providers and their attendants.

The benefits of using the EVV mobile application include:

• Increased auto-verification of visits.
• Reduction of visit maintenance.
• Fast and easy clock in and clock out by the attendant.
• Limited data entry required by the attendant.
• Can be used in the community and does not require a manual visit entry.
• Only records the location when the attendant clocks in and clocks out and cannot track the attendant before, during, and after the visit.
• Free and quick installation of the mobile application.
• Application requires minimal data usage (estimated at less than two megabytes per month).
• Does not use minutes from the attendant’s mobile phone plan.
• No protected health information is stored on the application.

Please contact DataLogic at info@vestaevv.com to receive training and to begin using the EVV mobile application.

For questions regarding this alert, please contact HHSC EVV Operations.

HHSC Launches IDD Operations Portal for HCS, TxHmL, ICF-IID, CFC Non-Waiver Providers and LIDDAs

The Texas Health and Human Services Commission is pleased to announce implementation of the Intellectual and Developmental Disability Operations Portal. Local Intellectual and Developmental Disability Authorities, Home and Community-based Services, Texas Home Living, Intermediate Care Facility for Individuals with Intellectual Disabilities providers may begin registering to use the IDD Operations Portal starting April 1, 2019.

The IDD Operations Portal is an online system that allows secure submission of electronic documents to and from the IDD Program Eligibility and Support and IDD Utilization Review departments. This portal is not replacing any of the systems you use today, such as TMHP or CARE. It is intended to result in a more timely and efficient submission of documents, and allows providers to check the status of submissions online.

A staggered implementation is happening now. Providers and LIDDAs with DBAs starting with C-G can now register for portal access.

Please see the full implementation schedule detailed in the information letter listed here.