2021 Session

Budget Amendments - HB1800 (Member Request)

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Chief Patron: Adams D.
Clarify Medicaid Telemedicine Services for Remote Patient Monitoring (language only)

Item 313 #5h

Item 313 #5h

Health and Human Resources
Department of Medical Assistance Services


Page 381, line 46, after "patients", insert:

", and remote patient monitoring services for the following conditions: (i) high-risk pregnant persons; (ii) medically complex infants and children; (iii) transplant patients; (iv) patients who have undergone surgery, for up to three months following the date of such surgery; (v) patients with a chronic health condition who have had two or more hospitalizations or emergency department visits related to such chronic health conditions in the previous 12 months."  


(This amendment adds clarifies Medicaid requirements for remote patient monitoring services provided via telemedicine for certain Medicaid recipients with medically complex conditions. Remote patient monitoring (RPM) services means the use of digital technologies to collect medical and other forms of health data from patients in one location and electronically transmit that information securely to health care providers in a different location for assessment and recommendations. These services include monitoring of clinical patient data such as weight, blood pressure, pulse, pulse oximetry, blood glucose and other patient physiologic data, treatment adherence monitoring and interactive videoconferencing with or without digital image upload. These conditions are high-cost and can be treated more efficiently and cost effectively with RPM, ultimately saving the commonwealth substantially by reducing hospital admissions and ED visits. The Medicaid program has greatly increased the use of telemedicine services during the COVID-19 pandemic and this language simply clarifies services to be provided.)