When submitting EVV claims, providers and FMSAs must follow the modifier position instructions in the EVV Modifier Match Criteria field for each service listed in the EVV Service Bill Code Tables. - HCPCS Only – The HCPCS is required on the claim.

The EVV Service Bill Codes Table below provides current billing codes and details for EVV-relevant services in Long-term Care, Acute Care and Managed Care programs. Program providers must use the appropriate Healthcare Common Procedure Coding System and modifier combinations to prevent EVV visit transaction rejections and EVV claim match denials.

The modifiers listed in the EVV Service Bill Code Tables represent the authorized service modifiers and will be the modifiers listed in the EVV systems and on EVV visit transactions. Some billing practices require informational pricing modifiers that must be submitted for reimbursement purposes but are not required for prior authorization.

2024年12月4日 · As a reminder, effective January 1, 2024, Electronic Visit Verification (EVV) is required for Medicaid Home Health Care Services (HHCS). Program providers and Financial Management Services Agencies (FMSAs) can refer to the bill codes table to familiarize themselves with the specific HHCS billing code combinations that require the use of EVV.

Effective Jan. 1, 2024, Electronic Visit Verification (EVV) is required for Medicaid home health care services (HHCS). Program providers and financial management services agencies (FMSAs) can refer to the bill codes table to familiarize themselves with the specific HHCS billing code combinations that require the use of EVV.

Additional information has been added to the bottom of the table noting that for HCS these services only require EVV when provided in own home or family home settings. - The Claims Place of Service column in the 'CARE LTC FFS EVV Services' section for CFC PAS/HAB added the community setting locations which require EVV.

EVV HHCS Service Bill Codes Table (Excel) Programs, Services, and Service Delivery Options Required to Use EVV Qualifications and Ordering an EVV Alternative Device Policy

The EVV Service Bill Codes Table is updated effective Oct. 1. The table is on the HHS EVV webpage in the Service Bill Codes Table section. See: Program providers and FMSAs can refer to the table for the list of EVV-relevant services and bill code information to avoid EVV visit transaction rejections and EVV claim mismatches.

an accepted EVV visit transaction in the EVV Portal that matches the claim. Services with an effective date of 12/1/2020 are part of the Cures Act EVV Expansion and included in the EVV Practice Period beginning 7/1/2020 and ending 11/30/2020.

2022年11月22日 · The updates to the impacted services required to use EVV by Jan. 1, 2024 (PDF) are to reflect service names and to include specialized nursing services. HHSC will continue analyzing the HHCS services and bill codes …