What does Texas require for Electronic Visit Verification (EVV)?

Texas Medicaid requires EVV for a broad set of personal care and home health services, including PCS, CFC PAS/HAB, PAS, in‑home respite, flexible family supports, protective supervision, and home health nursing and therapies delivered in the home across STAR+PLUS, STAR Kids, STAR Health, FFS, and multiple waivers, all routed through the TMHP EVV Aggregator with certified vendors such as HHAeXchange and AlayaCare.

How does AlayaCare’s mobile EVV help Texas providers stay TMHP/HHSC‑compliant?

AlayaCare’s GPS‑enabled mobile app captures visit start/end times, location, caregiver, member, and service details in real time, generating EVV records that align with TMHP matching rules and MCO billing requirements for STAR+PLUS and other programs.

Can Texas agencies use AlayaCare as an alternate EVV system with the TMHP aggregator?

Yes—Texas operates a hybrid model where providers can choose from certified EVV vendors; AlayaCare is an official vendor that connects to the TMHP EVV Aggregator so agencies can keep their preferred platform while still meeting state EVV submission requirements.

What visit data do Texas agencies need to capture, and how does the mobile app handle it?

Texas agencies must capture who provided which covered service, for which member, on what date, at what location, and for what duration; AlayaCare’s mobile EVV ties this to GPS‑verified clock‑ins, payer and program‑specific service codes, and structured visit documentation.

How does mobile EVV help Texas providers manage denials and complex payer rules?

Because TMHP and the STAR+PLUS MCOs compare EVV data to billed claims, AlayaCare’s integrated EVV, scheduling, and QA rules help agencies keep payer‑specific configuration consistent through the 2026 MMP→STAR+PLUS transition and reduce EVV‑related denials or delays.

How much does EVV software cost in Texas?

Electronic Visit Verification (EVV) software pricing in Texas typically varies based on the size and complexity of your agency. Contact us to receive detailed pricing information tailored to your organization.

EVV Compliance

One platform for Texas EVV, billing, and care delivery to protect margins

With standardized workflows supporting Texas EVV, TMHP requirements, and multi-payer complexity, AlayaCare helps home-based care agencies keep operations more predictable as they grow.

Updated: May 27, 2026

Texas providers need more than EVV compliance. They need a connected workflow that protects authorized hours, reduces write-offs, and keeps claims moving. When EVV, scheduling, documentation, and billing work together, agencies improve margin and cash flow while staying compliant.

EVV compliance made easy

While EVV follows the same core framework across Medicaid programs, each state can differ in its model, aggregator, covered services, and reporting requirements. The section below outlines key EVV details for Texas based providers.

EVV model Hybrid

EVV aggregator TMHP in-house

AlayaCare EVV solution Ready

AlayaCare provides a comprehensive Electronic Visit Verification (EVV) solution that supports Medicaid and state compliance, automates visit documentation, and integrates directly with scheduling, billing, and payroll workflows.

Service types mandated to use EVV

Community First Choice (CFC) PAS/HAB
Personal Attendant Services (PAS)
In-Home Respite
Flexible Family Supports
Protective Supervision
Registered Nurse (RN) and Licensed Vocational Nurse (LVN) services in the home
Physical Therapy, Occupational Therapy, and Speech Therapy in the home
Medicaid Managed Care (STAR+PLUS, STAR Kids, STAR Health)
Fee-for-Service (FFS)
1915(c) Waivers (CLASS, DBMD, MDCP, STAR+PLUS HCBS)

Jan 1, 2026: MMP → STAR + PLUS conversion

High risk of authorization and EVV payer-code mismatches.

Complex payer mix (multiple STAR+PLUS MCOs + TMHP) amplifies EVV configuration risk.
High consolidation (Optum/ LHC, Addus, Aveanna) raises bar for small agencies’ compliance and tech.

Texas is implementing Rider 23 of its General Appropriations Act through IL 2025-25 and related rule changes:

Texas ended the statutory personal attendant base wage and ACRE on August 31, 2025, moved to a new methodology assuming a $13/hour average wage effective September 1, 2025, and will be publishing a Direct Care Staff Wage and Benefits Expense Ratio.

View notice >

Caregiver-friendly EVV guardrails

With AlayaCare’s EVV-enabled mobile app, caregivers can clock in and out only when they are within the approved radius of the client’s home during the scheduled visit. This gives agencies reliable proof-of-visit while replacing paper timesheets and manual phone calls with real-time, point-of-care verification.

EVV is fully integrated into AlayaCare’s mobile experience and agencies’ operations, unifying schedules, client information, visit documentation, and billing in a single intuitive platform instead of forcing staff to juggle multiple tools.

By design, AlayaCare supports EVV and compliance requirements without making caregivers feel tracked or mistrusted, embedding GPS verification and audit-ready documentation into everyday workflows while keeping the focus on delivering safe, person‑centered care.

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All-in-one platform to meet EVV compliance thresholds, protect revenue, and operate with confidence in Texas

When EVV is hard on caregivers, it creates downstream problems for the whole agency: missed check-ins, more manual follow-up, disconnected documentation, and more cleanup before billing or audits. AlayaCare is designed to make EVV part of the broader care delivery workflow, helping agencies reduce friction for caregivers while improving accuracy, visibility, and operational control.

Caregiver & operator frustrations with EVV	How AlayaCare’s caregiver‑first mobile app solves them
Juggling multiple apps and logins just to get through a visit	Centralize clock-in and out, schedules, client information, visit documentation, and secure messaging in one mobile app Reduce logins Real‑time alerts for schedule changes and new visits Includes an offline mode so caregivers can clock in/out even when they’re out of cellular or Wi‑Fi range
Documentation that takes time away from providing care	Use prompts to guide caregivers through required fields Offer voice‑to‑form so caregivers can speak notes and have them structured automatically in English Cut down on typing while still meeting clinical and compliance requirements Record visit notes in offline mode and upload notes once back online Reduce miscommunication with an app supporting more than 10 languages, including Spanish
Arriving at visits without the full picture – outdated client information leading to confusion and extra calls to the office	Surface visit safety information, client profile, real‑time care plans, and tasks to complete in the app Access critical notes from the care team before and during the visit Reduce phone calls by giving caregivers the context they need at the point of care
Paper timesheets and manual EVV workflows – increasing errors, back‑office workload, and compliance risk	Embed GPS‑enabled EVV directly into the mobile app Capture each caregiver’s clock‑in/clock‑out time, date, service type, and location at the client’s home Replace paper processes with reliable, audit‑ready proof of visit Interactive voice response (IVR) option available in 10 languages, from Spanish to Tagalog.
Fragmented EVV tools that don’t talk to core systems – multiple vendors, duplicate work, and messy audits	Deliver fully integrated EVV as part of an end‑to‑end, cloud‑based EMR platform Apply configurable EVV QA rules and exception flags to streamline revenue cycle management Feed EVV data straight into reporting, billing, and compliance workflows from a single source of truth

EVV Overview for leadership

Gain real-time oversight with a clear view of EVV exceptions, manual edits, and missed clock events across locations
Spot early warning signs with dashboards that surface gaps before they trigger denials from payors, audit issues, or margin loss
Strengthen operational control with branch-level visibility into where teams need coaching, process fixes, or staffing
Improve accountability with audit trails and standardized workflows that show where breakdowns start and who needs to act
Target faster intervention with insight into the locations and caregivers driving the most EVV risk

Choosing the right EVV approach in Texas can be complex — especially with evolving requirements and aggregator changes. Below are answers to common questions from Texas providers evaluating EVV solutions and preparing for compliance.

Texas EVV frequently asked questions

Texas Medicaid requires EVV for a broad set of personal care and home health services, including PCS, CFC PAS/HAB, PAS, in‑home respite, flexible family supports, protective supervision, and home health nursing and therapies delivered in the home across STAR+PLUS, STAR Kids, STAR Health, FFS, and multiple waivers, all routed through the TMHP EVV Aggregator with certified vendors such as HHAeXchange and AlayaCare.
AlayaCare’s GPS‑enabled mobile app captures visit start/end times, location, caregiver, member, and service details in real time, generating EVV records that align with TMHP matching rules and MCO billing requirements for STAR+PLUS and other programs.
Yes—Texas operates a hybrid model where providers can choose from certified EVV vendors; AlayaCare is an official vendor that connects to the TMHP EVV Aggregator so agencies can keep their preferred platform while still meeting state EVV submission requirements.
Texas agencies must capture who provided which covered service, for which member, on what date, at what location, and for what duration; AlayaCare’s mobile EVV ties this to GPS‑verified clock‑ins, payer and program‑specific service codes, and structured visit documentation.
Because TMHP and the STAR+PLUS MCOs compare EVV data to billed claims, AlayaCare’s integrated EVV, scheduling, and QA rules help agencies keep payer‑specific configuration consistent through the 2026 MMP→STAR+PLUS transition and reduce EVV‑related denials or delays.
Electronic Visit Verification (EVV) software pricing in Texas typically varies based on the size and complexity of your agency. Contact us to receive detailed pricing information tailored to your organization.