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This version of the form is not currently in use and is provided for reference only. Download this version of
Form 1718
for the current year.
Form 1718 Electronic Visit Verification (Evv) Rights and Responsibilities (Managed Care Organization) - Texas
What Is Form 1718?
This is a legal form that was released by the Texas Health and Human Services - a government authority operating within Texas. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form 1718?
A: Form 1718 is the Electronic Visit Verification (EVV) Rights and Responsibilities form for Managed Care Organizations (MCOs) in Texas.
Q: What is Electronic Visit Verification (EVV)?
A: Electronic Visit Verification (EVV) is a system used to electronically document and verify care provider visits for certain Medicaid and Medicare services.
Q: Who is this form for?
A: This form is for Managed Care Organizations (MCOs) in Texas.
Q: What are the rights and responsibilities mentioned in this form?
A: The form outlines the rights and responsibilities of individuals receiving care, caregivers, and the MCOs when it comes to Electronic Visit Verification (EVV) services.
Q: What is the purpose of this form?
A: The purpose of this form is to inform individuals receiving care, caregivers, and MCOs about their rights and responsibilities regarding Electronic Visit Verification (EVV) services.
Q: Is this form applicable only in Texas?
A: Yes, this form specifically applies to Managed Care Organizations (MCOs) operating in Texas.
Q: Are there any penalties for not complying with EVV requirements?
A: Failure to comply with Electronic Visit Verification (EVV) requirements can result in sanctions or other penalties for the MCOs.
Q: Can individuals receiving care opt out of EVV?
A: Individuals receiving care cannot choose to opt out of Electronic Visit Verification (EVV) because it is a mandatory requirement for certain Medicaid and Medicare services.
Q: What information is collected through EVV?
A: Electronic Visit Verification (EVV) may collect information such as the date, time, and location of the visit, the services provided, and the name of the caregiver or provider who delivered the services.
Form Details:
- Released on January 1, 2020;
- The latest edition provided by the Texas Health and Human Services;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form 1718 by clicking the link below or browse more documents and templates provided by the Texas Health and Human Services.
Download Form 1718 Electronic Visit Verification (Evv) Rights and Responsibilities (Managed Care Organization) - Texas
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