National Sickle Cell Awareness Month and Sickle Cell Disease Awareness Month in Texas in September call attention to a group of inherited red blood cell disorders known as sickle cell disease.

The Internal Audit Plan is a list of the scheduled audits to be conducted in FY25 based on a business risk assessment focused on identifying and evaluating risks related to each major HHS activity and ...

This section provides important EVV policies and identifies sections in the EVV Policy Handbook applicable to CDS employers. CDS employers must read this section and any other EVV Policy Handbook ...

Only EVV required services must be documented in an EVV system. A program provider, FMSA or CDS employer may choose to document EVV optional services in the EVV system. They must not document non-EVV ...

Reason Codes are used to indicate why the program provider, FMSA or CDS employer is completing visit maintenance. A Reason Code consists of a Reason Code Number and a Reason Code Description. The ...

Bill hours is the number of hours provided that is transmitted to the EVV Aggregator. Bill hours are used for claims matching when program providers and FMSAs submit billing through the applicable ...

The EVV Reports Policy covers EVV standard reports that HHSC and MCOs use for oversight and data analysis, such as: EVV compliance reviews Contract monitoring Recoupment Fraud, waste and abuse reviews ...

EVV Usage Reviews are conducted after the visit maintenance time frame has expired based on the last date of the quarter to determine compliance. The EVV Usage Score measures manually entered EVV ...

If you are made aware of, or suspect situations that may be considered Medicaid fraud, waste or abuse, report it to the HHSC Inspector General online or call their toll-free fraud hotline at ...

Program providers and FMSAs must implement and begin using an EVV system before submitting an EVV claim for reimbursement. Program providers and FMSAs must complete the following steps before using an ...

A service provider or CDS employee must use an HHSC-approved clock in and clock out method to begin and end service delivery when providing EVV services to a member in the home or the community. The ...

Section 531.024172 of the Texas Government Code provides the authority for HHSC to recognize an EVV proprietary system that complies with EVV standards and policy requirements. Program providers or ...