TX HHS Form 2821. Electronic Visit Verification (EVV) Responsibilities and Additional Information

The TX HHS Form 2821, "Electronic Visit Verification (EVV) Responsibilities and Additional Information," is designed to help in-home respite providers document and verify the provision of personal care Medicaid services. This form outlines the responsibilities of both the provider and the recipient regarding the use of EVV.

Key features of this form include the requirement for providers to clock in and out using one of three methods: their personal smartphone, a home landline telephone with approval, or an EVV alternative device. Recipients have the responsibility to allow their provider to clock in and out, not to do so themselves. Additionally, recipients must report any issues with the EVV alternative device to their provider agency.

This form should be used by in-home respite providers who are required to use EVV as part of their Medicaid services. The form provides important information about the responsibilities of both parties and outlines the procedures for using EVV. By understanding these responsibilities, providers can ensure compliance with regulations and maintain accurate records of service provision.