Remote Patient Monitoring Kansas
Kansas Medicaid will reimburse for remote patient monitoring. The policy states: “Home telehealth uses real-time, interactive, audio/video telecommunication equipment to monitor patients in the home setting, as opposed to a nurse visiting the home. This technology may be used to monitor the beneficiary for significant changes in health status, provide a timely assessment of chronic conditions, and provide other skilled nursing services.”
Source: Dept. of Health and Environment, Kansas Medical Assistance Program, Provider Manual, Home Health, p. 8-28 (Jun. 2019). (Accessed Sept. 2019).
Home and Community-Based Services for the Frail Elderly
Home Telehealth is a remote monitoring system that enables the participant to effectively manage one or more diseases and catch early signs of trouble so intervention can occur before the participant’s health declines. The provision of Home Telehealth involves participant education specific to one or more diseases (e.g. COPD, CHF, hypertension, and diabetes), counseling, and nursing supervision.
Source: Dept. of Health and Environment, Kansas Medical Assistance Program, Provider Manual, HCBS Frail Elderly, p. 8-17, (May 2019), (Accessed Sept. 2019).
Providers may use T1030 and T1031 for the provision of telehealth visits to provide longterm care home health services and to assist beneficiaries in managing their diabetes.
Source: Dept. of Health and Environment, Kansas Medical Assistance Program, Provider Manual, Home Health, p. AIII-3 & AIII-5. (Jun. 2019). (Accessed Sept. 2019).
Telehealth services (including remote patient monitoring) are provided on an individualized basis for participants who have an identified need in their ISPOC. Participant options and information are provided and discussed during the development of the Integrated Service
Plan of Care (ISPOC). The participant qualifies if either of the following applies:
- The participant is in need of disease management consultation and education
AND has had two or more hospitalizations, including emergency room (ER) visits, within the previous year related to one or more diseases. - The participant is using MFP to move from a nursing facility back into the community.
Source: Dept. of Health and Environment, Kansas Medical Assistance Program, Provider Manual, HCBS Frail Elderly, p. 8-17 & 8-18, (May 2019), (Accessed Sept. 2019).
Provider Limitations
Services must be provided by a registered nurse or licensed practical nurse. Agencies may bill skilled nursing services on the same date of service as telehealth services.
Source: Dept. of Health and Environment, Kansas Medical Assistance Program, Provider Manual, Home Health, p. 8-28 (Jun. 2019). (Accessed Sept. 2019).
Must be delivered by a registered nurse or licensed practical nurse with RN supervision.
Providers can include home health agencies or county health departments with system equipment capable of monitoring participant vital signs daily.
Source: Dept. of Health and Environment, Kansas Medical Assistance Program, Provider Manual, HCBS Frail Elderly, p. 8-18, (May 2019), (Accessed Sept. 2019).
Other Restrictions
Providers must submit literature to the fiscal agent’s Provider Enrollment team pertaining to the telecommunication equipment the agency has chosen that will allow thorough physical assessments such as assessment of edema, rashes, bruising, skin conditions, and
other significant changes in health status.
Providers must enroll and satisfy demonstration requirements to be enrolled.
Providers are eligible for reimbursement of home telehealth services that meet the following criteria:
Prescribed by a physician;
- Considered medically necessary
- Signed beneficiary consent for telehealth services
- Skilled nursing service
- Does not exceed program limitations (two visits per week for non-Home and Community Based Services beneficiaries)
- Prior authorization required.
Source: Dept. of Health and Environment, Kansas Medical Assistance Program, Provider Manual, Home Health, p. AIII-18 to 19. (Jun. 2019). (Accessed Sept. 2019).
HCBS beneficiaries eligible for face-to-face skilled nursing visits provided by a home health agency may receive home telehealth visits with documentation of medical necessity and prior authorization (PA). The PA must include units to cover the duration and frequency of home telehealth visits.
Oral medication administration or monitoring is not considered skilled care.
Source: Dept. of Health and Environment, Kansas Medical Assistance Program, Provider Manual, Home Health, p. AIII-8. (Jun. 2019). (Accessed Sept. 2019).
See HCBS Frail Elderly provider manual for documentation requirements.
Source: Dept. of Health and Environment, Kansas Medical Assistance Program, Provider Manual, HCBS Frail Elderly, p. 8-20, (May 2019), (Accessed Sept. 2019).