.07 Limitations.

A. Remote patient monitoring services are only covered for participants who meet the eligibility criteria specified in Regulation .05 of this chapter.

B. The Program does not cover:

(1) Remote patient monitoring equipment;

(2) Upgrades to remote patient monitoring equipment;

(3) The internet connections necessary to transmit the results of remote patient monitoring services to the provider’s offices; or

(4) More than:

(a) 2 months of remote patient monitoring services per episode; and

(b) Two episodes per year per participant.

C. Home health agencies may only be reimbursed for remote patient monitoring when the service is ordered by a physician.