{"ref":"TX-HH-BUS-03","title":"Electronic Visit Verification for Medicaid Home Health Services","category":"Business","summary":"Explains which Texas Medicaid home health visits must be documented through electronic visit verification (EVV), how nurses, therapists, and aides clock in and out, how the office corrects visit records, and why no EVV-required visit is billed without an accepted EVV record.","inShort":["For Medicaid visits that need EVV, clock in when you arrive and clock out before you leave.","Check that the patient, service, and location are right before you leave.","If EVV does not work, use the backup method and tell the office the same business day.","Never clock in or out for someone else, and never ask the patient to do it.","Complete your EVV training before your first EVV visit and every year."],"primaryCitation":"1 TAC §354.4006","citations":["1 TAC §354.4006","1 TAC §354.4007","1 TAC §354.4009","1 TAC §354.4011","1 TAC §354.4013","1 TAC §354.4015","1 TAC §354.4019","1 TAC §354.4021","1 TAC §354.4023","26 TAC §558.254"],"federalCitations":["42 U.S.C. §1396b(l)","45 CFR Parts 160 and 164"],"surveyorAsks":["Which of your services and payers require EVV, and how do you know a visit is EVV-required before it is scheduled?","Show me the EVV training records for this nurse and this aide: the name of the training, the person, and the date."],"forms":[],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (1 TAC §354.4006)","5. Which Visits Are EVV-Required","6. What Field Staff Do at Every EVV Visit","7. Office Procedure","8. EVV Compliance Reviews","9. Responsibilities","10. Records and Compliance Monitoring","11. Staff Training","12. References","13. Related Policies and Forms","14. Approval","15. Revision History"],"version":"1.0","sample":false,"pack":"tx-lhhs","state":"Texas","service":"Home health","guides":[{"path":"/guides/home-health-agency-policies/","h1":"What policies and procedures are required for home health agencies?"},{"path":"/guides/home-health-conditions-of-participation/","h1":"Home health Conditions of Participation: which policies each one needs"}],"agency":{"name":"Sample Home Health Agency","legalName":"Sample Home Health Agency, LLC","logo":null}}