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Remote Patient Monitoring Missouri

Subject to appropriations, the department shall establish a statewide program that permits reimbursement for remote patient monitoring under the Missouri HealthNet program for home telemonitoring services. 


Source: MO Revised Statute Sec. 208.686. (Accessed Aug. 2019). 


Conditions


Eligible conditions:


• Pregnancy
• Diabetes
• Heart disease
• Cancer
• Chronic obstructive pulmonary disease
• Hypertension
• Congestive heart failure
• Mental illness or serious emotional disturbance
• Asthma
• Myocardial infarction; or
• Stroke


The beneficiary must also exhibit two or more the following risk factors:


• Two or more hospitalizations in the prior twelve-month period;
• Frequent or recurrent emergency department admissions;
• A documented history of poor adherence to ordered medication regimens;
• A documented history of falls in the prior six-month period;
• Limited or absent informal support systems;
• Living alone or being home alone for extended periods of time;
• A documented history of care access challenges; or
• A documented history of consistently missed appointments with health care providers


Source: MO Revised Statute Sec. 208.686.(Accessed Aug. 2019). 


Personal Emergency Response Systems (an electronic device that is programmed to signal a response center once the help button is activated) is available for patients at high risk of being institutionalized.


Source: MO HealthNet, Provider Manual, Developmental Disabilities Waiver Manual, Section 13, p. 29-30 (Apr. 26, 2019). (Accessed Aug. 2019). 

The program must ensure the home health agency or hospital shares telemonitoring clinical information with participant’s physician.


Source: MO Revised Statute Sec. 208.686. (Accessed Aug. 2019). 


Other Restrictions


If, after implementation, the department determines that the program established under this section is not cost effective, the department may discontinue the program and stop providing reimbursement under the MO HealthNet program for home telemonitoring ser
vices. The department shall promulgate rules and regulations to implement the provisions of this section.

 
Source: MO Revised Statute Sec. 208.686. (Accessed Aug. 2019).