Date: November 30, 2022
Attention: STAR Kids Providers/Consumer Directed Services employers, and FMSA Providers
The updates to the impacted services required to use EVV by January 1, 2024 (PDF)
Providers should monitor the Texas Children’s Health Plan (TCHP) Provider Portal regularly for alerts and updates associated to the COVID-19 event. TCHP reserves the right to update and/or change this information without prior notice due to the evolving nature of the COVID-19 event.
Call to action: Texas Children’s Health Plan (TCHP) would like to share the latest electronic visit verification (EVV) communication with our providers. The purpose of publishing the service bill codes table is to allow providers to familiarize themselves with the HHCS Healthcare Common Procedure Coding System (HCPCS) codes and modifiers. Current EVV vendors (DataLogic/Vesta and First Data/AuthentiCare) will not update their systems with the HHCS HCPCS codes and modifiers; however, onboarding Proprietary System Operators (PSOs) will have the option to start using the new codes starting in April 2023.
The updates to the impacted services required to use EVV by Jan. 1, 2024 (PDF) are to reflect service names and to include specialized nursing services. HHSC will continue analyzing the HHCS services and bill codes table and may update the documents accordingly.
HHSC will continue to communicate updates as the implementation progresses, such as when the EVV practice period will start and when MCOs must start rejecting EVV claims to be submitted directly to TMHP. Note that the titles of HHSC’s notices to the Cures Act HHCS implementation will start with “Cures Act Home Health Care Services” or “Cures Act HHCS”.
Background:
HHSC has posted the:
How this impacts providers:
Resources
EVV FAQs About the HHCS Implementation (PDF)
EVV HHCS Service Bill Codes Table v1.0
Cures Act Home Health Care Services EVV Services Updates and Service Bill Codes Table Now Available
Next steps for providers: Providers should utilize the resources available to follow the HHCS implementation billing information.
If you have any questions, please email Provider Relations at: providerrelations@texaschildrens.org.
For access to all provider alerts,log into:
www.thecheckup.org or www.texaschildrenshealthplan.org/for-providers
