Kentucky Revised Statutes Title XVII. Economic Security and Public Welfare § 205.632.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

(a) “Department” 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 scheduled 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.

(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 qualified 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 implementation and administration of this section.