Vermont § 1901g - Medicaid coverage for home telemonitoring services

§ 1901g. Medicaid coverage for home telemonitoring services

• (a) The Agency of Human Services shall provide Medicaid coverage for home telemonitoring
  services performed by home health agencies or other qualified providers as defined
  by the Agency of Human Services for Medicaid beneficiaries who have serious or chronic
  medical conditions that can result in frequent or recurrent hospitalizations and emergency
  room admissions. Beginning on July 1, 2014, the Agency shall provide coverage for
  home telemonitoring for one or more conditions or risk factors for which it determines,
  using reliable data, that home telemonitoring services are appropriate and that coverage
  will be budget-neutral. The Agency may expand coverage to include additional conditions
  or risk factors identified using evidence-based best practices if the expanded coverage
  will remain budget-neutral or as funds become available. (b) A home health agency or other qualified provider shall ensure that clinical information
  gathered by the home health agency or other qualified provider while providing home
  telemonitoring services is shared with the patient’s treating health care professionals.
  The Agency of Human Services may impose other reasonable requirements on the use of
  home telemonitoring services. (c) As used in this section: (1) “Home health agency” means an entity that has received a certificate of need from
  the State to provide home health services and is certified to provide services pursuant
  to 42 U.S.C. § 1395x(o). (2) “Home telemonitoring service” means a health service that requires scheduled remote
  monitoring of data related to a patient’s health, in conjunction with a home health
  plan of care, and access to the data by a home health agency or other qualified provider
  as defined by the Agency of Human Services. (Added 2013, No. 153 (Adj. Sess.), § 1.)