Electronic Visit Verification (EVV) tracks and monitors timely service delivery and access to care for members. EVV applies to all providers of these services, including paid family direct care workers. EVV is a federal requirement and is a mandatory program. All individuals who receive services from TMHP must participate.

The THMP services impacted are: 

Important Websites & Contacts

Provider Best Practices

  • Identify team member(s) responsible for EVV visit maintenance

  • Log in to your aggregator portal daily

  • View EVV visits and aggregation status in the aggregator portal

  • Triage EVV errors with your state and/or aggregator as a first point of contact

  • Review DCI EVV Aggregation reports that are emailed to you daily

  • Perform visit maintenance in DCI to correct visit errors

  • Review all six required aggregation requirements

    • Type of service performed

    • Individual receiving the service

    • Date of the service

    • Location of the service

    • Individual providing the service

    • Time the service begins and ends

  • Create, maintain and verify EVV Locations for clients (members)
  • Verify the unique National Provider Identifier (NPI) or Atypical Provider Identifier (API) for your organization is correct and populate the custom field for aggregation on the funding source

  • If the error in DCI can not be resolved independently, submit a help desk ticket (Zendesk) for DCI

If you have not already started, please begin these activities. Please be advised the aggregator portal is the source of truth for whether a visit is accepted or rejected.

Additional Texas EVV Aggregation Requirements:

EVV Locations

EVV locations are a required aggregation element for TMHP. In DCI, clients (members) can have multiple EVV Locations created for their profile and available for employees to select at time of clock in and clock out via the mobile app or web portal. View the EVV Locations article in the DCI help center for information on how to create and manage in DCI. Allowable EVV Locations (service locations) for TMHP are as follows:  Member Home, Community, Family Home, and Neighbor Home.

National Provider Identifier (NPI) or Atypical Provider Identifier (API)

The National Provider Identifier (NPI) or Atypical Provider Identifier (API) is a unique identifier that Texas uses to define a business unit/distinct entity within a program provider. The NPI or API is required to be aggregated for EVV requirements. In DCI the NPI or API is collect in a custom field on the funding source. View the Custom Fields article in the DCI help center for information on how to create a custom field. 

Common EVV Aggregation Failure Results


Failure Reason



TMHP Source



DCI Field



Reasons why aggregation is failing



Steps to Update/Correct



Data mismatch between DCI and TMHP



MCO_MBR_SDA



Custom Field:

Member Plan Code on the client profile






Member plane code mismatched or missing from DCI to TMHP








  1. Login to TMHP

  2. Locate the Client MCO Member Plan Code

  3. Login to DCI

  4. Click Home on the main menu

  5. Click Clients on the sub menu

  6. Search for the client and select the client name in the table by clicking anywhere in the row.

  7. Scroll down and click the Custom Field Tab

  8. Verify the Member Code Value matches the code from TMHP

  9. Click Actions

  10. Select Edit Custom Field Values

  11. Update the Client's MCO Member Plan Code in DCI to match TMHP numbers match

  12. Click Save

  13. Click Yes in the confirmation alert window


Data mismatch between DCI and TMHP



INDVMBR_PAYOR



Custom Field:

Payer ID on the Regions profile






Payer Id mismatched or missing in DCI to TMHP per client/member


  1. Login to TMHP

  2. Locate the Payer ID on the client/member

  3. Login to DCI

  4. Click Settings on the main menu

  5. Click on Funding Source in the sub menu

  6. Select the Funding Source in the table

  7. Click the Regions tab on the Funding Source

  8. Click the Region to edit by clicking any one on the line

  9. Click Actions

  10. Click Edit Region in the actions dropdown

  11. Edit the ID match the ID listed in TMHP. (options AET, AGP, BCB, CFC, CHS, CKC, CMC, DRC, HHSC, LTC, MOL, SHP, TXC, UHC)

  12. Click Save

  13. Click Yes in the confirmation alert window


Employee Discipline



EMPLOYEE_EMPLOYEEDISCIPLINE



Custom Field:

Employee Discipline on the employee profile i.e.,  Attendant, Nurse, CNA, PT, OT, SLP, Other



Incorrect employee discipline


  1. Log in to DCI

  2. Click Home on the main menu

  3. Click Employees on the sub menu

  4. Use the filter to search for the employee, select the employee by clicking anywhere on the line in the table

  5. Click the Actions button

  6. Click Edit Employee in the Actions dropdown

  7. The Edit Employee form wizard will open

  8. Update employee discipline on the basic demographics tab

  9. Click Save

  10. Click Yes in the confirmation alert window


Incorrect Employee ID



EMPLOYEE_EMPLOYEEID



Employee ID on the employee profile



Employee ID in TMHP does not match what is in DCI.


  1. Log in to DCI

  2. Click Home on the main menu

  3. Click Employees on the sub menu

  4. Use the filter to search for the employee, select the employee by clicking anywhere on the line in the table

  5. Click the Actions button

  6. Click Edit Employee in the Actions dropdown

  7. The Edit Employee form wizard will open

  8. Update employee ID on the employee information tab

  9. Click Save

  10. Click Yes in the confirmation alert window


Visit failed verification: Visit Location



EVV_VISITLOCATION    



EVV and Geo Location mismatch or missing



Unable to verify visit location


  1. Log in to DCI

  2. Click Home on the main menu

  3. Click Employees on the sub menu

  4. Use the filter to search for the employee, select the employee by clicking anywhere on the line in the table

  5. Click the EVV Locations Tab

  6. Verify EVV locations names are only following: Member Home, Community, Family Home, and Neighbor Home

  7. Verify addresses are correct for EVV locations

  8. If EVV location is missing from entry, please address punch entry requirements with employee