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News update

Jul 09, 2026

Texas Adds Three New Services to Electronic Visit Verification Requirements Starting August 01, 2026

Financial Management Services (FMS) agencies and Consumer Directed Services (CDS) employers in Texas are being notified that Electronic Visit Verification (EVV) claims matching requirements are expanding. Starting August 01, 2026, three additional Consumer Directed Services will require a verified EVV visit match for claims to be paid.

Any EVV claims with a date of service of August 01, 2026 or later that do not have a matching EVV visit for these newly added services will be denied payment.

The three services being added are as follows.

Primary Home Care (PHC) Personal Attendant Services (PAS), Level 1 (Non-Priority) under Consumer Directed Services has been added under Service Group 7, Service Code 17V, with Healthcare Common Procedure Coding System (HCPCS) code G0718. This has been added to the Claims Management System (CMS) Long-Term Care (LTC) Fee-For-Service (FFS) section, with an EVV effective match date of August 01, 2026.

Family Care (FC) Agency Admin, PAS FC CDS has been added under Service Group 7, Service Code 17CV, with HCPCS code G0747, also in the CMS LTC FFS section. The EVV effective match date is August 01, 2026.

Community Attendant Services (CAS) PAS CDS-Agency has been added under Service Group 7, Service Code 17DV, with HCPCS code G0750, also placed in the CMS LTC FFS section. The EVV effective match date is August 01, 2026.

Agencies or employers with questions about any of these newly added services can reach out directly to HHSC (Health and Human Services Commission) EVV Operations by email at evv@hhs.texas.gov.

Services

Credentialing

Credentialing is the rigorous process of verifying a healthcare provider’s qualifications, including their education, training, licenses, and clinical experience. This service ensures that practitioners meet the high standards required by insurance networks and hospitals to provide care and receive reimbursement.

Billing & Collection

Billing and Collection service involves confirming a patient’s insurance coverage, active status, and specific benefits before their appointment. By identifying co-pays, deductibles, and required prior authorizations upfront, staff can prevent claim denials and help patients understand their financial responsibilities.

Eligibility Verification

Eligibility verification is the process of verifying a patient’s health insurance coverage and benefits to determine what services are covered and the level of coverage available. This process is essential for healthcare providers to ensure that they receive proper reimbursement for services rendered and that patients are not left with unexpected medical bills.

Revenue Cycle Management

RCM is the financial process that manages the entire lifecycle of a patient’s account, from the initial appointment scheduling to the final balance payment. It integrates eligibility, coding, billing, and collections into a single, cohesive workflow aimed at maximizing a practice's profitability.

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