Form 1722 Employer's Selection for Electronic Visit Verification Responsibilities - Texas

What Is Form 1722?

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 1722?
A: Form 1722 is the Employer's Selection for Electronic Visit Verification Responsibilities for Texas.

Q: What is Electronic Visit Verification (EVV)?
A: Electronic Visit Verification (EVV) is a system that electronically tracks the delivery of in-home personal care and home health services.

Q: Who is required to complete Form 1722?
A: Employers in Texas who provide in-home personal care and home health services are required to complete Form 1722.

Q: What is the purpose of Form 1722?
A: The purpose of Form 1722 is to select the method of electronic visit verification and indicate the responsibilities of the employer and the electronic visit verification vendor.

Q: When is Form 1722 due?
A: The due date for submitting Form 1722 depends on the implementation date of the electronic visit verification system, as determined by HHSC.

Q: What happens if Form 1722 is not completed?
A: Failure to complete Form 1722 may result in non-compliance with state requirements and potential penalties for the employer.

Q: Who should I contact for assistance with Form 1722?
A: For assistance with Form 1722, employers can contact the HHSC EVV Operations staff.

Q: Are there any fees associated with completing Form 1722?
A: There are no fees associated with completing Form 1722.