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HHSC Electronic Visit Verification (EVE) Business Rules for Proprietary Systems Appendix C EVE Visit Transaction File Effective 11/02/2020 Please Note: This file must be in pipe delimited format.
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How to fill out appendix c - evv
How to fill out appendix c - evv
01
Obtain a copy of appendix c - evv form.
02
Fill in all required personal information accurately.
03
Provide details of the Electronic Visit Verification (EVV) system being used.
04
Sign and date the form to certify the accuracy of the information provided.
Who needs appendix c - evv?
01
Individuals or caregivers receiving home care services that require Electronic Visit Verification (EVV) are typically required to fill out and submit appendix c - evv.
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What is appendix c - evv?
appendix C - EVV stands for Appendix C - Electronic Visit Verification. It is a form used to report electronic visit verification data for Medicaid-reimbursed personal care services and home health services.
Who is required to file appendix c - evv?
Providers of Medicaid-reimbursed personal care services and home health services are required to file appendix C - EVV.
How to fill out appendix c - evv?
Providers can fill out appendix C - EVV by entering the required electronic visit verification data in the designated fields of the form.
What is the purpose of appendix c - evv?
The purpose of appendix C - EVV is to verify and report the electronic visit verification data for Medicaid-reimbursed personal care services and home health services.
What information must be reported on appendix c - evv?
Providers must report information such as the date of service, start and end times of the visit, type of service provided, and the name of the caregiver.
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