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Bill

HB 3355

Relating to the approval, selection, and use of an alternative electronic visit verification system under Medicaid.

89th Legislature (2025) Introduced by Donna Howard

HB 3355 permits Texas Medicaid to authorize alternative electronic visit verification systems for home services, replacing the current state-mandated system to increase provider flexibility.

Referred to Human Services
#electronicinformationsystems(i0311) #health&humanservicescommission(v0177) #healthcareproviders(i0387) #humanservices--medicalassistance(i0905) #medicaid(s4885)
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Bill Summary · HB 3355

Legislative bill overview

HB 3355 establishes procedures for approving, selecting, and implementing an alternative electronic visit verification (EVV) system for Texas Medicaid services. The bill creates a framework allowing the state to move beyond the current mandated EVV system while maintaining verification standards for in-home services like personal care and home health aide services.

Why is this important

Electronic visit verification systems track when caregivers arrive and depart from client homes, protecting against fraud and ensuring proper billing. Texas currently uses a state-mandated EVV system, but this bill would allow for alternative systems that providers argue could be more cost-effective and user-friendly, potentially improving service delivery while maintaining accountability for the state's Medicaid expenditures.

Potential points of contention

  • System transition costs and timelines: Switching to alternative EVV systems requires provider technology updates and staff retraining, with unclear financial responsibility and implementation deadlines
  • Data security and interoperability standards: Multiple alternative systems could create inconsistent security protocols and make it harder for the state to aggregate data for fraud detection and program oversight
  • Provider flexibility vs. state oversight: Allowing multiple EVV options may benefit providers but could complicate regulatory compliance, auditing, and the state's ability to enforce consistent verification standards across all Medicaid home services

Compiled from official sources — confirm details with the bill’s official record.

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