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:
Home Health Care
Personal Care Services
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
- DCI Common Failures and Resolutions: