February 8, 2019
Starting Feb. 11, 2019, providers who transitioned from MEDsys to DataLogic can request visit maintenance be opened to make corrections to the MEDsys EVV historical data element(s). Providers will not be allowed to create new MEDsys visits.
oPayer (requests go to payer listed on the visit)
oMedicaid first and last name
oService group and service code
oMember date of birth
oFee for service contract number
The following data elements cannot be changed at any time:
oActual visit date
oActual call-in time
oActual call-out time
The provider agency must receive approval to open visit maintenance prior to DataLogic making any changes to the MEDsys EVV data. The provider agency must:
Identify the incorrect EVV data element(s).
Complete the EVV Visit Maintenance Unlock Request spreadsheet located on the HHSC EVV or MCO websites.
Send EVV Visit Maintenance Unlock Request spreadsheet secure email to the payer (payer listed on the visit). The payer will email the decision.
If approved, must forward the approval email secure; including the spreadsheet to DataLogic.
Allow DataLogic up to 60 business days from the receipt to make the approved changes and export the changes to the payer.
Instructions on how to complete a request for unlocking visit maintenance is included in the required EVV Visit Maintenance Unlock Request spreadsheet located on the HHSC EVV website; Training Materials and Resources or on your MCO website.
The DataLogic data correction process is located on DataLogic’s website.
MCO providers who have appeal rights or MCO EVV recoupment complaints with their MCOs should email HPM_Complaints@hhsc.state.tx.us with supporting documentation.
Fee-for-service providers who experience issues with fee-for-service contract monitoring related to MEDsys EVV data should email HHSC at Electronic_Visit_Verification@hhsc.state.tx.us.
Send questions regarding this notice to Electronic_Visit_Verification@hhsc.state.tx.us.