Texas EVV Requirements for HCSSA Agencies — Complete 2026 Guide

Texas EVV overview

Texas requires Electronic Visit Verification for all Medicaid personal care services (since January 2021) and home health care services (since January 2024). The state uses HHAeXchange as its EVV vendor system.

The 80% usage score requirement

Since January 2025, Texas enforces a minimum 80% EVV usage score. Agencies falling below this threshold face enforcement actions, including potential contract termination. Tendara maintains your score automatically by capturing every visit through GPS clock-in.

Alternative device phaseout

Texas is phasing out landline telephony and alternative clock-in devices between January 2025 and January 2028. Agencies need to transition to mobile-first EVV — exactly what Tendara provides.

HCS and CLASS waiver requirements

Texas HCS and CLASS waiver programs require EVV for in-home respite, personal assistance, habilitation, and individualized skills and socialization services. These programs serve adults with intellectual and developmental disabilities — the same population Tendara’s goal tracking system was built for.

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