Provider Newsletter ABOUT YOUR HEALTH is published as a service for members of the EL PASO HEALTH Provider network. EL PASO HEALTH Executive Offices are located at 1145 Westmoreland Drive, El Paso, TX 79925, 915-532-3778 or 1-877-532-3778, elpasohealth.com. Information in ABOUT YOUR HEALTH comes from a wide range of medical experts. If you have any concerns or questions about specific content in this newsletter, call 1-877-532-3778. Models may be used in photos and illustrations. Member Services 1-877-532-3778 EPHP7902310 – EPH-PR-Winter 2024 Provider Newsletter 2023 © Coffey Communications, Inc. All rights reserved. stay informed EVV required for Medicaid Home Health Services, effective January 2024 Electronic visit verification (EVV) is a computer-based system that electronically verifies the occurrence of authorized personal attendant service visits by electronically documenting the: ■Member receiving services. ■Attendant providing services. ■Location of service delivery. ■Date of service delivery. ■Time the attendant begins and ends service delivery. The EVV program was implemented to replace paper-based attendant timesheets. Texas requires EVV for certain Medicaid-funded home and communitybased services provided through the Health and Human Services Commission and managed care organizations. Effective Jan. 1, 2024, EVV is required for Medicaid home health-care services through the 21st Century Cures Act. What programs, services, and service delivery options are newly required to use EVV? Home health-care services are required for the State of Texas Reform Access (STAR) program. These service Providers include: ■In-home skilled nursing visits. ■Occupational therapist services provided in the home. ■Physical therapist services provided in the home. ■Personal care services provided by a home health aide in the home under the supervision of an RN, occupational therapist, or physical therapist. Communications have been ongoing, so don’t delay—make certain you are set up and are updated with all the changes now. For more information, please visit the following websites for resources. Or contact Provider Relations at 915-532-3778 or email us at EPH_EVV@elpasohealth.com. Additional EVV resources ■HHS: hhs.texas.gov/providers/longterm-care-providers/long-term-careprovider-resources/electronic-visitverification-evv ■TMHP: tmhp.com/topics/evv ■EPH: elpasohealth.com/providers/evv Preparing for HEDIS season The Healthcare Effectiveness Data and Information Set (HEDIS) is one of health care’s most used performance improvement tools, and it is just around the corner. HEDIS season is scheduled to kick off in January 2024, and you will be receiving official medical record requests from El Paso Health. Medical record requests are sent out to our network Providers to obtain medical records for data that has not been captured in claims. Once you are ready, you can submit the medical records in one of four ways: ■Secure fax ■Secure email ■Mail ■Pickup Please consider electronic data sharing, as this facilitates the process. Help us have a successful HEDIS season. El Paso Health and your patients will thank you. For NCQA HEDIS measures and technical resources, visit ncqa.org/hedis/measures.
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