Unannounced Electronic Visit Verification (EVV) Home Visit Policy Repealed for STAR Kids
Reminder
The Health and Human Services Commission (HHSC) continues to suspend the requirements to conduct unannounced Electronic Visit Verification (EVV) home visits to verify attendance care. This is found in the STAR Kids contract Section 8.1.40.2, Attachment B-1.
Our contracts currently require EVV in the provision of attendant care services. The EVV system includes:
- Controls requiring that each EVV claim matches an EVV visit transaction before the claim is paid.
- Our use of EVV for attendant care claims provides adequate system controls via the EVV aggregator to validate services are rendered and billed correctly.
Coming changes
Until further notice the requirement for unannounced EVV home visit will remain until HHSC has the opportunity to amend the current contract language.
Additional information
Please visit our EVV Page for additional information regarding EVV Polices.
Have questions:
Contact our BCBSTX Medicaid Provider Service Center at 1-877-560-8055 or contact your BCBSTX Medicaid Provider Network Representative at 1-855-212-1615.
The above material is for informational purposes only and is not a substitute for the independent medical judgment of a physician or other health care provider. Physicians and other health care providers are encouraged to use their own medical judgment based upon all available information and the condition of the patient in determining the appropriate course of treatment. The fact that a service or treatment is described in this material is not a guarantee that the service or treatment is a covered benefit and members should refer to their certificate of coverage for more details, including benefits, limitations and exclusions. Regardless of benefits, the final decision about any service or treatment is between the member and their health care provider.
By clicking this link, you will go to a new website/app (“site”). This new site may be offered by a vendor or an independent third party. The site may also contain non-Medicare related information. In addition, some sites may require you to agree to their terms of use and privacy policy.
