Effective October 1, 2013, Texas Health and Human Services Commission (“HHSC”) will begin reimbursing eligible distant site professionals providing home telemonitoring services as a benefit of the Texas Medicaid Program, making it one of the first states to provide direct reimbursement for home telemonitoring services. Such services will be reimbursed in the same manner as reimbursement for Home Health Services (see Rule 355.7001 and Rule 355.8021).
Home telemonitoring services require scheduled remote monitoring of data related to a patient’s health and transmission of the data to a licensed home health agency or a hospital.
Home telemonitoring service providers must:
- Comply with all applicable federal, state and local laws and regulations;
- Be enrolled and approved for participation in the Texas Medicaid Program as home telemonitoring service providers;
- Bill for services covered under the Texas Medicaid Program in the manner and format prescribed by HHSC;
- Share clinical information gathered while providing home telemonitoring services with the patient’s physician; and
- Not duplicate disease management program services.
See Rule 354.1434 for additional details and for a description of Texas Medicaid patients eligible to receive home telemonitoring services.
If you have any questions about this legislation, please contact Alisa Kuehn at 317-977-1475 or akuehn@hallrender.com or your regular Hall Render attorney.
