HHSC posted a solicitation for EVV System Management Services and selected Accenture State Healthcare Services LLC for this contract. Accenture is partnering with HHAeXchange to provide a new, single EVV vendor system.
As stated in the EVV notice posted on May 5, users of the current EVV vendor systems (DataLogic/Vesta or First Data/AuthentiCare) must transition to HHAeXchange or receive approval as an EVV Proprietary System Operator by Oct. 1, 2023.
Community First ensures ongoing Provider updates on Prior Authorization (PA) processes. Per Uniform Managed Care Contract (UMCC) 8.1.8.1, Community First will provide guidance to the Provider holding the PA no less than 45 Days prior to the effective date of the change. If the change is a result of a service code, procedure code, or benefits change adopted by HHSC, Community First will issue a notice of the change by the later of: (1) 45 Days prior to the effective date of the change, or (2) within 10 Business Days of receiving notice of the change from HHSC. Community First may choose to reissue PAs or publish guidance to Providers on updating current PAs. The information must be sufficient for Providers to accurately bill for services.
Next steps for Providers:
Providers should share this communication with their staff.
Community First Resources:
Contact:
Email ProviderRelations@cfhp.com or call 210-358-6294.