• The Texas Health and Human Services Commission’s contract with MEDsys expired on November 6, 2018 with no plans to renew or extend the contract. Providers using MEDsys as their EVV tool have transitioned to Datalogic (VESTA), the deadline for providers to be fully transitioned was September 30, 2018. (Electronic Visit Verification Providers Transitioning to Datalogic)
  • Accenture and HHSC are collaborating to design an EVV Data Aggregator, which is expected to be in production September 1, 2019. MCOs are to extend their contract with Datalogic through August 31, 2019.
  • On August 12, 2019, HHSC requested exemption to delay EVV start date.
  • It’s a closed model, the Medicaid programs contracts with a single EVV and mandates that all provider agencies use that vendor’s EVV system.
  • Provider Choice from HHSC approved vendor list
  • STAR+PLUS Dual eligible Integrated Care Demonstration:
    • Services: Personal Assistance services, Personal Care Services, Protective Supervision, In-home respite services, Community First Services-Personal assistance services and habilitation.
  • START Health:
    • Services: Personal Care, Community First Choice-Personal assistance services and habilitation.
  • START Kids:
    • Services: Personal Care services, Flexible family support services, Community First Choice- Personal assistance services and habilitation.
  • Community Living Assistance and Support Services
    • Services: In-home respite services, Community First Choice-Personal assistance services and habilitation.
  • Community Attendant Services
    • Services: Personal Assistance.
  • Family Care:
    • Services: Personal assistance.
  • Primary Home Care:
    • Services: Personal Assistance.


  • Which types of Medicaid options are personal care covered by?
    • 1115, 1915(c), 1915(i), 1915(k), State Plan
  • Is MLTSS operational?
    • Yes
  • Any self-directed programs?
    • Yes, but EVV is currently optional


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  • HHSC is currently providing monthly trainings as part of their EVV Tool Kit for contract providers and Consumer Directed Services employers. EVV was a part of HHSC’s infrastructure prior to the CURES Act, with several of their personal care programs already requiring EVV. Since the passage of the CURES Act, HHSC is expanding EVV to their Home and Community-based Services (HCS), Texas Home Living (TxHmL), and Deaf-Blind with Multiple Disabilities (DBMD) programs. The EVV Tool Kit consists of online learning modules posted the first and fifteenth of each month and live webinar Q&A sessions on the 22nd of each month. So far topics have included:
    • The 21st Century Cures Act and Texas Implementation
    • Module 1: Introduction to EVV
    • Module 2/3: EVV Roles and Responsibilities (Parts 1 and 2)
    • Module 4: EVV Visit Transactions
    • Module 5: EVV Visit Maintenance
    • Module 6: EVV Process Flow: Beginning to End
    • Module 7: EVV Aggregator and EVV Portal
    • Module 8: Submitting an EVV Claim
    • Module 9: EVV Portal Standard Reports and Search Tools
  • Texas received approval for Good Faith Effort Exemption on September 5, 2019.