Electronic Visit Verification

Electronic Visit Verification (EVV) is a computer-based system that electronically documents and verifies the occurrence of a visit by a Service Provider or CDS Employee, as defined in Chapter 8.7.2 of the UMCM, to provide certain services to a member. The EVV system documents the following:

Type of service provided (Service Authorization Data)
Name of the Member to whom the service is provided (Member Data)
Date and times the visit began and ended
Service delivery location
Name of the Service Provider or CDS Employee who provided the service (Service Provider Data) and
Other information HHSC determines is necessary to ensure the accurate adjudication of Medicaid claims

Click here to learn more about EVV.

STAR Kids Providers that provide the following services:

Personal care services
In-home respite services
Flexible family support services
Community First Choice - Personal assistance services and habilitation
CDS-Consumer Directed Services option
SRO-Service Responsibility Option
RN Delegation and Supervision of PCS and CFC tasks provided in the home (does not include Private Duty Nursing (PDN))
Occupational Therapist services provided in the home
Physical Therapist services provided in the home
Personal Care Services (PCS) provided by a home health aide in the home under the supervision of an RN, Occupational Therapist or Physical Therapist

Medically Dependent Children Program (MDCP) Services:

RN Delegation and Supervision of PCS and CFC tasks provided in the home (does not include PDN)
Flexible Family Supports Services (FFSS) performed by an RN, LVN, Specialized RN, or Specialized LVN in the home
In-Home Respite performed by an RN, LVN, Specialized RN, or Specialized LVN

State of Texas Access Reform (STAR) Providers that provide the following services:

In-Home Skilled Nursing Visits
Occupational Therapist services provided in the home
Physical Therapist services
PCS provided by a home health aide in the home under the supervision of an RN, Occupational Therapist or Physical Therapist

When an attendant provides services to a client in the home or the community, the attendant must use one of three approved EVV time recording methods to clock in when services begin and clock out when services end. Below is an example of how the attendant would use each approved EVV time recording method.

The attendant arrives at the home, using the EVV vendor system approved mobile app clocks in before starting services. The attendant can then begin providing services. When the visit is complete, the attendant clocks out using the mobile app.

The attendant arrives at the home and before starting services, uses the client's landline phone to call a toll-free number, issued by the EVV vendor, to clock in. The attendant may be prompted to enter their EVV ID or other identifying data elements, depending on the EVV vendor's system. The attendant follows this same process when clocking out.

The attendant arrives at the home and before starting services, locates the placement of an alternative device in the home and writes down the numeric code displayed on the device. The attendant can then begin providing services. When the visit is complete, the attendant writes down a second numeric code displayed on the device. The attendant then calls a toll-free number, issued by the EVV vendor, and enters the first numeric code for clocking in and enters the second numeric code for clocking out. The numeric codes displayed on the alternative device are like electronic time stamps, capturing the date and time of the visit.

How do I get started with EVV?

The Provider should decide if they will use an EVV Vendor or EVV Proprietary System. Research HHSC approved EVV vendors:

- Data Logic (VESTA) software
- First Data Government Solutions (AuthentiCare) Software
Select an HHSC approved EVV vendor or EVV proprietary System
The Provider's signature authority and, if applicable, the provider EVV system administrator must complete, sign and date the EVV provider onboarding form located on the EVV vendor's website
Submit the accurate and completed form directly to the selected EVV vendor via email, fax or electronically
The selected EVV vendor will contact the signature authority and the Provider EVV system administrator via email with an acknowledgement statement within one business day from receipt of the EVV provider onboarding form
If the form is complete, the EVV vendor will contact the provider EVV system administrator within five business days of receipt of the completed form to initiate the EVV provider onboarding process and schedule an appointment
All required EVV system trainings must be completed prior to the appointment
Additional users who will be given access to the EVV vendor system will also be required to complete the EVV vendor system training prior to gaining access

TMHP electronic visit verification
HHSC electronic visit verification
EVV reason codes
EVV service bill codes table
EVV compliance plan
Visit maintenance unlock request
EVV rights and responsibilities
Spanish EVV rights and responsibilities
EVV provider policy training
Additional training opportunities
Provider complaints and appeal process
Date Span Billing - Cook Children’s Health Plan does not allow date span billing. Each date of service must be billed on its own claim line.

Who do I contact if I have questions

If you have any questions please call Provider Services at 1-800-243-3312 or STAR Kids Customer Care Department at 844-843-0004 Monday through Friday from 8 a.m. to 5 p.m.

Electronic Visit Verification

What is Electronic Visit Verification?

Electronic Visit Verification News

Cures Act

Which Providers must use EVV?

How does EVV Work?

Mobile Application

Home Landline Telephone

Alternative Device

Additional Information

Who do I contact if I have questions