EVV Optional Services Now Available in PCS Bill Codes Table

Date: October 17, 2023

Attention: STAR Kids Providers/Consumer Directed Services employers, and FMSA Providers

Call to action: Texas Children's Health Plan (TCHP) would like to remind providers that the Texas Health and Human Service Commission (HHSC) has published a new version of the Electronic Visit Verification (EVV) Personal Care Services (PCS) Bill Codes Table. Version 12 is now available on the HHSC EVV webpage in Excel and PDF formats.

The new version includes Supported Employment and Transportation as EVV optional services.

Program providers and Financial Management Services Agencies (FMSAs) can choose to collect EVV optional visit data and have it available in the EVV Aggregator. HHSC allows, but does not require, these services to be documented using the EVV system. EVV optional services can be selected in the HHAeXchange EVV vendor system or, if available, in the EVV proprietary system.

EVV claim matching is not performed on claims for EVV optional services. A claim submitted for an EVV optional service will not deny if a matching EVV visit is not on file.

Currently, EVV optional services will be reflected in EVV usage scores, however, payers will exclude those services/visits when determining compliance within the 80 percent threshold. The EVV Portal will be updated during the upcoming fiscal year to remove EVV optional services from the calculation for the EVV usage score.

For questions about EVV PCS optional services, email TCHP’s EVV team at EVVGroup@texaschildrens.org.

Next steps for providers: Providers are encouraged to share this communication with their staff.

If you have any questions, please email Provider Relations atproviderrelations@texaschildrens.org.  For access to all Provider Alerts, log into: 
www.thecheckup.org or www.texaschildrenshealthplan.org/for-providers.