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Remote Patient Monitoring Rules Arizona

Telemonitoring is considered necessary for members with Congestive Heart Failure (CHF).


Source: AZ Health Care Cost Containment System. AHCCCS Medical Policy Manual for AHCCCS Covered Services, Ch. 300, 
Policy 320 Services With Special Circumstances, (320-27). Oct. 2016. (Accessed Aug. 2019). 


Conditions


The following conditions must be met for Congestive Heart Failure (CHF) patients:


1. Observation/inpatient admission with primary or secondary discharge diagnosis of CHF within the past two months, or readmission within the past six months; 
AND


2. A symptom level at the New York Heart Association class II or greater; CHF is identified by one of the specified ICD-10 diagnostic codes (see manual).


Source: AZ Health Care Cost Containment System. AHCCCS Medical Policy Manual for AHCCCS Covered Services, Ch. 300, 
Policy 320 Services With Special Circumstances, (320-23). Oct. 2016. (Accessed Aug. 2019).