Texas EVV: Aggregator, Model, and Provider Portal
Last verified 2026-04-30
- Aggregator
- HHAeXchange (state-funded vendor); TMHP (EVV Aggregator + Portal)
- Model
- State-offered with opt-out (choice model)
- Telephonic backup
- Yes
- State provider portal
- www.tmhp.com ↗
Texas Medicaid & Healthcare Partnership (TMHP) manages the EVV Aggregator and EVV Portal. Effective October 1, 2023 TMHP partnered with HHAeXchange as the single state-funded EVV vendor system. Providers may alternatively become an approved Proprietary System Operator (PSO) and use their own system. New providers should onboard through HHAeXchange unless pursuing PSO approval.
What is EVV?
Electronic Visit Verification is the federal requirement (under the 21st Century Cures Act §12006) that personal-care and home-health visits paid by Medicaid be electronically captured at the point of care — who provided the service, who received it, where, when it started, and when it ended. CMS pushed enforcement to the states, which is why the day-to-day experience varies so much.
What "state-offered with opt-out (choice model)" means in Texas
The state offers a default aggregator (typically free) and lets providers opt out for a third-party vendor. The third-party path may require certification or interface fees.
How does Caregiver Scheduling integrate?
Caregiver Scheduling captures the six required EVV data points on every visit (caregiver, recipient, start time, end time, location, service type) with GPS-stamped clock-in and clock-out, and telephonic backup for caregivers without a smartphone. In open-model states, our visits are EVV-compliant on their own. In mandated-aggregator states, we forward verified visits to the state system on a nightly schedule so payroll and Medicaid billing stay in sync without double-entry.