Payers will begin conducting Electronic Visit Verification Usage Reviews for Consumer Directed Services employers for dates of service on and after September 1, 2022.
Beginning September 1, 2022, payers will review the EVV Usage Score for CDS employers. The notice contains related information, resources to help prepare for EVV Usage Reviews and a summary of EVV Compliance Reviews for CDS employers.
This notice is to inform providers that Community First will begin conducting Electronic Visit Verification Usage Reviews for Consumer Directed Services employers in 90 days for dates of service on or after September 1, 2022.
Beginning September 1, 2022, payers will review the EVV Usage Score for CDS employers quarterly to ensure the minimum EVV Usage Score is met. CDS employers are monitored at the member level. Each member who has selected the CDS option will receive an EVV Usage Score.
The EVV Usage Score for a CDS employer measures if the CDS employee is using an EVV clock in and clock out method (mobile method, home phone landline or alternative device) at the start and end of service delivery. If an EVV clock in and clock out method is not used, visits must be entered manually, which lowers the EVV Usage Score.
CDS employer EVV Usage Score requirements are based on service delivery dates:
CDS employers below the minimum EVV Usage Score will be reviewed. Payers may choose to review all CDS employers or a sample of CDS employers that did not meet the minimum EVV Usage Score.
Payers conduced EVV Usage Reviews after the visit maintenance time frame has expired based on the last date of the quarter to determine compliance. Payers will use the EVV CDS Employer Usage Report to determine if CDS employers are meeting the minimum EVV Usage Score.
The EVV Compliance for FMSAs and CDS Employers webinar recording provides training on EVV compliance requirements and reviews, including the EVV Usage compliance standard and EVV Usage Reviews for CDS employers, in video format with audio and closed captioning.
The Initial EVV Policy Training for CDS Employers computer-based training course on the HHS Learning Portal provides training on EVV compliance requirements and review, including the EVV Usage compliance standard and EVV Usage Reviews for CDS employers, in an online text-based format that can also be printed.
The EVV Compliance Job Aid for CDS Employers (texas.gov) summarizes EVV compliance requirements and reviews for CDS employers and provides guidance on how to stay in compliance with EVV, including the EVV Usage compliance standard, and provides tips to help ensure the EVV Usage compliance standard is met.
You can review the EVV CDS Employer Usage Report and monitor the EVV Usage Score in the EVV system if you selected Option 1 on Form 1722.
You can contact your FMSA to review the EVV CDS Employer Usage Report and monitor the EVV Usage Score if you selected Options 2 or 3 on Form 1722.
Review the following from the EVV Policy Handbook:
- EVV Usage requirements in section 11000 EVV Usage.
- EVV Usage Reviews in section 10010 EVV Usage Reviews.
Summary of EVV Compliance Reviews for CDS Employers
- EVV Usage Reviews will begin Sept. 1, 2022.
- EVV Landline Phone Verification Reviews began Jan. 1, 2022.
- EVV Required Free Text Reviews are postponed until further notice. Review the March 11 notice for more information.
Email the HHSC EVV General Inquiries Mailbox with related questions.
For additional information, please contact the Provider Relations Division at (210) 358- 6294 or by email at ProviderRelations@CFHP.com.