Electronic Visit Verification (EVV)

Electronic Visit Verification (EVV) is a computer-based system that electronically documents and verifies service delivery information, such as date, time, service type and location, for certain Medicaid service visits.  Texas Health and Human Services Commission (HHSC) determines when a program provider, Financial Management Services Agencies (FMSA) or Consumer Directed Services (CDS) employer must use EVV based on the services delivered. EVV is required for all programs and services listed in the Programs and Services Required to Use EVV .

2023 Electronic Visit Verification (EVV) Provider Webinar Sessions

Blue Cross and Blue Shield of Texas (BCBSTX) Medicaid hosts 30-minute webinar sessions to learn more about Electronic Visits Verifications (EVV) system and process. Registration is required for webinar,  refer to our Provider Training Webinar page.

Important Contact Information

Blue Cross and Blue Shield of Texas (BCBSTX) Contact Information:

  • For EVV questions, call Provider Customer Service at 1-877-784-6802 or email the EVV Mailbox at BCBSTX_EVV_Questions@bcbstx.com
  • For Service Coordination needs, call 1-877-301-4394 (TTY 7-1-1)
  • Information on how to submit a Complaint or Appeal

For EVV Visit Maintenance Unlock Request (VMUR) :

Health and Human Services EVV Contact Information:

TMHP EVV Contact Information:

Vendor Contact Information:

DataLogic Software, Inc. / Vesta First Data Government Solutions / AuthentiCare

Phone: 1-844-880-2400
Email: info@vestaevv.com

Phone: 1-877-829-2002
Email: AuthentiCareTXSupport@firstdata.com

 

EVV Compliance Oversight Reviews Section

EVV Compliance Oversight Review is currently under revision. Review Section 10000 EVV Compliance Reviews from the EVV Policy Handbook for more information.

State Fiscal Year (SFY) 2023

Usage Score Compliance - State Fiscal Year 2023

Provider Type

Quarter 1 (Q1)

Quarter 2 (Q2)

Quarter 3 (Q3

Quarter 4 (Q4)

Agency Providers - In Compliance

10

9

 

 

Agency Providers – Not in Compliance

5

5

 

 

FMSAs - In Compliance

8

7

 

 

FMSAs – Not in Compliance

0

0

 

 

Free Text Compliance - State Fiscal Year 2023

Date

 

Agency Providers - In Compliance

Agency Providers – Not in Compliance

FMSAs - In Compliance

FMSAs – Not in Compliance

September 2022

5

10

3

5

October 2022

11

4

4

4

November 2022

10

4

4

4

December 2022

9

4

3

4

January 2023

9

5

2

5

February 2023

8

6

2

5

March 2023

7

7

2

5

April 2023

9

4

2

6

 

Landline Phone Compliance - State Fiscal Year 2023

Date

 

Agency Providers - In Compliance

Agency Providers – Not in Compliance

FMSAs - In Compliance

FMSAs – Not in Compliance

September 2022

12

3

7

1

October 2022

13

2

9

0

November 2022

11

3

8

0

December 2022

12

2

7

0

January 2023

11

3

7

0

February 2023

13

1

7

0

March 2023

12

2

7

0

April 2023

13
1 7 0  

May 2023

14

0

7

0

June 2023

13

1

7

0

July 2023

13

1

7

0

 

Most Common Reasons for Denial

State Fiscal Year 2023 - EVV Relevant Claims

State Fiscal Year 2023

Most Common Reasons

Quarter 1

1.  EVV06 - Units Mismatch

2.  Timely Filing

3.  Duplicate Claims

4.  EVV05 - Service Mismatch

5.  EVV03 - DOS Mismatch

Quarter 2

1.  Service not authorized/Other

2.  EVV06 - Units Mismatch

3.  EVV05 - Service Mismatch

4.  EVV03 - DOS Mismatch

5.  Duplicate Claims

Quarter 3

1.  Duplicate Claims

2.  EVV05 - Service Mismatch

3.  Service Not Authorized/Other

4.  Attestation

5.  EVV06 - Units Mismatch

 

Most Common Reasons for Recoupment

Each quarter, this section is updated with the top reasons of recoupment for EVV-relevant claims.

BCBSTX has not had any recoupments of EVV - relevant claims in State Fiscal Year 2023.

Span Billing Guidelines

BCBSTX allows for EVV claims to be submitted with a span date. If a provider chooses to submit a claim with a span date, the provider must ensure that:

  • Each date within the span has one or more matching EVV visit transactions.
  • The total units on the EVV claim must match the combined total units of the matched EVV visit transactions.