§ 205.632

205.6 32 Pilot project to create coverage provisions and reimbursement criteria for telemonitoring services based on evidence -based best practices provided by a qualified medical provider or community action agency. (1) As used in this section: (a) 'Departme nt' means the Department for Medicaid Services; (b) 'Evidence -based best practices' means the integration of the best available research with clinical expertise in the context of patient characteristics and patient and family caregiver preferences; (c) 'Qualified medical provider' means a credentialed and enrolled Medicaid - participating healthcare provider, hospital, rural health center, or licensed home health agency as defined in KRS 216.935; and (d) 'Telemonitoring services' means services that require s cheduled remote monitoring of data related to a patient's health where the monitoring is conducted at the patient's place of residence or other site determined by the department. (2) Not later than July 1, 2017, the department shall establish a pilot proje ct in which it creates coverage provisions and reimbursement criteria for telemonitoring services based on evidence -based best practices provided by a qualified

artment shall establish a pilot proje ct in which it creates coverage provisions and reimbursement criteria for telemonitoring services based on evidence -based best practices provided by a qualified medical provider or a community action agency as defined in KRS 273.410. (3) In order to effect uate the pilot project, the department may: (a) Submit a state plan amendment, waiver, or waiver amendment for approval to the Centers for Medicare and Medicaid Services in order to provide coverage for medically necessary telemonitoring services performed for a Medicaid beneficiary; (b) Request funding from the General Assembly to support telemonitoring services rendered by a qualified medical provider or a community action agency under this section; (c) Ensure that clinical information gathered by a quali fied medical provider or a community action agency while providing telemonitoring services is shared with the patient's treating health care professionals; and (d) Promulgate administrative regulations in accordance with KRS Chapter 13A for the implementat ion and administration of this section. Effective: July 15, 2016 History: Created 2016 Ky. Acts ch. 126, sec.

mulgate administrative regulations in accordance with KRS Chapter 13A for the implementat ion and administration of this section. Effective: July 15, 2016 History: Created 2016 Ky. Acts ch. 126, sec. 1, effective July 15, 2016.