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TITLE 1ADMINISTRATION
PART 15TEXAS HEALTH AND HUMAN SERVICES COMMISSION
CHAPTER 354MEDICAID HEALTH SERVICES
SUBCHAPTER OELECTRONIC VISIT VERIFICATION
RULE §354.4011Visit Maintenance

(a) A program provider and an FMSA must complete visit maintenance, including the visit maintenance described in §354.4007(d) of this subchapter (relating to EVV System):

  (1) in accordance with the EVV Policy Handbook; and

  (2) within the visit maintenance time frame after the date a service was provided as described in the EVV Policy Handbook.

(b) If a CDS employer elects to complete visit maintenance on the HHSC Employer's Selection for Electronic Visit Verification Responsibilities form, the CDS employer must complete visit maintenance in accordance with subsection (a)(1) and (2) of this section.

(c) After the visit maintenance time frame has expired, the program provider, FMSA, and CDS employer may complete visit maintenance only if:

  (1) the program provider, FMSA, or CDS employer submits a Visit Maintenance Unlock Request in accordance with the EVV Policy Handbook; and

  (2) HHSC or an MCO approves the Visit Maintenance Unlock Request.


Source Note: The provisions of this §354.4011 adopted to be effective January 1, 2024, 48 TexReg 7171

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