Electronic Visit Verification is a computer-based system that verifies the occurrence of personal attendant service visits by electronically documenting the time a visit begins and ends. Texas requires EVV for certain Medicaid funded home and community-based services provided through the Health and Human Service Commission and Managed Care Organizations.
Blue Cross and Blue Shield of Texas (BCBSTX) Contact Information:
For EVV Visit Maintenance Unlock Request (VMUR) :
- Instructions and Templates -Complete either form
- Programs Providers and Financial Management Services Agencies (FMSAs) Form
- Consumer Directed Services (CDS) Employers Form
- VMUR Job Aids
Health and Human Services EVV Contact Information:
TMHP EVV Contact Information:
Vendor Contact Information:
EVV Compliance Oversight Review is currently under revision. Review Section 10000 EVV Compliance Reviews from the EVV Policy Handbook for more information.
Each quarter, this section is updated with the top reasons for denial of EVV-relevant claims.
- Dates of Service Mismatch
- Provider not attested with the state
- Duplicate Claim
- Medicaid ID Mismatch
- Provider Mismatch
Each quarter, this section is updated with the top reasons of recoupment for EVV-relevant claims.
BCBSTX has no specific EVV recoupments at this time. This section will be updated as applicable.
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.