10.09.96.05

.05 Participant Eligibility for Services.

A participant is eligible to receive remote patient monitoring services if:

A. The participant is enrolled in the Maryland Medical Assistance Program on the date the service is rendered;

B. The participant consents to remote patient monitoring services and has the capability to utilize the monitoring tools and take actions to improve self-management of the chronic disease;

C. The participant has the internet connections necessary to host the equipment in the home;

D. The participant is at risk for avoidable hospital utilization due to a poorly controlled chronic disease capable of being monitored via remote patient monitoring; and

E. The provision of remote patient monitoring may reduce the risk of preventable hospital utilization and promote improvement in control of the chronic condition.