<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".06" citation="COMAR 10.09.96.06" title_num="10" subtitle_num="09" chapter_num="96" heading="Covered Services.">
  <paragraph num="A.">
    <text>Remote patient monitoring services include:</text>
    <paragraph num="(1)">
      <text>Installation;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Education for the participant in the use of the equipment; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Daily monitoring of vital signs and other medical statistics.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>The remote patient monitoring provider shall establish an intervention process to address abnormal data measurements in an effort to prevent avoidable hospital utilization.</text>
  </paragraph>
  <paragraph num="C.">
    <text>Physician, nurse practitioner, and physician assistant providers who establish remote patient monitoring programs shall be responsible for:</text>
    <paragraph num="(1)">
      <text>Establishing criteria for reporting abnormal measurements;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Informing the participant of abnormal results; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Monitoring results and improvements in patient’s ability to self-manage chronic conditions.</text>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>Medical interventions by a physician, nurse practitioner, or physician assistant based on abnormal results shall be reimbursed according to COMAR 10.09.02.07.</text>
  </paragraph>
  <paragraph num="E.">
    <text>A home health agency shall:</text>
    <paragraph num="(1)">
      <text>Have an order by a physician, physician assistant, certified nurse midwife, or certified nurse practitioner who has examined the patient and with whom the patient has an established, documented and ongoing relationship;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Report abnormal measurements to the participant and to the ordering provider; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Send the ordering provider a weekly summary of monitoring results, including improvement in patient’s ability to self-manage chronic conditions.</text>
    </paragraph>
  </paragraph>
</regulation>