2016 Kentucky Revised Statutes CHAPTER 205 - PUBLIC ASSISTANCE AND MEDICAL ASSISTANCE .632 Pilot project to create coverage provisions and reimbursement criteria for telemonitoring services based on evidence-based best practices provided by a qualified medical provider or community action agency.
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205.632 Pilot project to create coverage provisions and reimbursement criteria for
telemonitoring services based on evidence-based best practices provided by a
qualified medical provider or community action agency.
(1)
(2)
(3)
As used in this section:
(a) "Department" means the Department for Medicaid Services;
(b) "Evidence-based best practices" means the integration of the best available
research with clinical expertise in the context of patient characteristics and
patient and family caregiver preferences;
(c) "Qualified medical provider" means a credentialed and enrolled Medicaidparticipating healthcare provider, hospital, rural health center, or licensed
home health agency as defined in KRS 216.935; and
(d) "Telemonitoring services" means services that require scheduled remote
monitoring of data related to a patient's health where the monitoring is
conducted at the patient's place of residence or other site determined by the
department.
Not later than July 1, 2017, the department shall establish a pilot project in which it
creates coverage provisions and reimbursement criteria for telemonitoring services
based on evidence-based best practices provided by a qualified medical provider or
a community action agency as defined in KRS 273.410.
In order to effectuate the pilot project, the department may:
(a) Submit a state plan amendment, waiver, or waiver amendment for approval to
the Centers for Medicare and Medicaid Services in order to provide coverage
for medically necessary telemonitoring services performed for a Medicaid
beneficiary;
(b) Request funding from the General Assembly to support telemonitoring
services rendered by a qualified medical provider or a community action
agency under this section;
(c) Ensure that clinical information gathered by a qualified medical provider or a
community action agency while providing telemonitoring services is shared
with the patient's treating health care professionals; and
(d) Promulgate administrative regulations in accordance with KRS Chapter 13A
for the implementation and administration of this section.
Effective: July 15, 2016
History: Created 2016 Ky. Acts ch. 126, sec. 1, effective July 15, 2016.
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