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.

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 ...

Michael Lopez is the deputy executive commissioner of Operations within Medicaid and CHIP Services for the Texas Health and Human Services Commission. He oversees infrastructure that crosses both the ...

Crystal Starkey is the deputy executive commissioner of Family Health Services for the Texas Health and Human Services Commission. She oversees programs that focus on women, children and families in ...

Deputy Executive Commissioner, Contract Management and Procurement Strategy, Medicaid and CHIP Se ...

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 ...

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 ...

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 ...

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 ...

3330 STAR+PLUS Members Requesting an Upgrade to the STAR+PLUS HCBS Program Updates title to STAR+PLUS Individual Requesting an Upgrade to the STAR+PLUS HCBS Program. Removes upgrade denial language.