Reason Codes

Each time a change is made within the Electronic Visit Verification (EVV) system, a reason code must be entered into the EVV system. A reason code is a standardized HHSC-approved 3-digit number and description that is used during visit maintenance to explain the specific reason a change was made to an EVV visit record.

Providers must associate the most appropriate reason code with each change made in visit maintenance and enter any required free text in the comment section. A single visit may have more than 1 reason code associated with it.

Reason codes fall into 1 of 2 categories:

  • Preferred Reason Codes that documents visit maintenance necessitated by a situation in which the provider staff are delivering and documenting services in accordance with HHSC expectations.
  • Non-Preferred Reason Codes that documents visit maintenance that is necessitated by a situation in which the provider staff is not delivering and documenting services in accordance with HHSC expectations.

Note: The MCOs, HHSC and DADS will review reason codes use by their contracted provider agencies to ensure that preferred reason codes are not misused.

Current Reason Codes

HHSC Reason Codes (PDF)

Historical Reason Codes

Dec. 1, 2014 (PDF)

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Updated: May 17, 2016