Remote Patient Monitoring 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 two conditions must be met for Congestive Heart Failure (CHF) patients:

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