The Texas Health and Human Services Commission (HHSC) implemented a claim matching bypass on February 1, 2024 — for Electronic Visit Verification (EVV) claims with dates of service from January 1 through March 31 — to be paid without a matching EVV visit.
Key Details:
EVV claims matching for all services required to use EVV will begin on April 1, 2024. EVV claims with dates of service of April 1, 2024, and after that do not have an EVV visit match will be denied payment.
Program providers and financial management services agencies (FMSAs) are encouraged to use the EVV Best Practices to Avoid EVV Claim Mismatches (texas.gov) (PDF) to prevent EVV claim mismatches when submitting EVV claims.
Next steps for Providers:
Providers should share this communication with their staff.
Community First Resources:
https://communityfirsthealthplans.com/provider-newsletter
https://communityfirsthealthplans.com/providers/
Contact:
Email ProviderRelations@cfhp.com or call 210-358-6294.