Texas Administrative Code
Title 1 - ADMINISTRATION
Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION
Chapter 354 - MEDICAID HEALTH SERVICES
Subchapter O - ELECTRONIC VISIT VERIFICATION
Section 354.4011 - Visit Maintenance
Universal Citation: 1 TX Admin Code ยง 354.4011
Current through Reg. 49, No. 38; September 20, 2024
(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.
Disclaimer: These regulations may not be the most recent version. Texas may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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