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Get TX Blue Cross Blue Shield H0500 2016-2024

First Name MI Last Name Texas Medicaid uses an electronic system for certain Medicaid services to record the time your attendant or assigned staff begins and ends providing services to you. The electronic system is called Electronic Visit Verification or EVV. Receipt Date (Enter the date form was received for processing.) This means you must allow your attendant or assigned staff to (1) use your home landline telephone to call a toll-free number or (2) agree to have a small alternative device.

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