Remote Patient Monitoring
POLICY
The Office of Adult Services and Aging defines “telehealth services” as a home-based health monitoring system used to collect and transmit an individual’s clinical data for monitoring and interpretation.
SOURCE: SD Regulation 67:40:19:01(21) (Accessed Aug. 2022).
For the initial order for home health services, a physician or other licensed practitioner must document a face-to-face encounter related to the primary reason the beneficiary requires the services. The encounter may occur through telemedicine. The encounter must occur within the 90 days before or 30 days after the start of the services.
SOURCE: SD Medicaid Billing and Policy Manual: Home Health Services, p. 2 (Jun. 2023). (Accessed Aug. 2023).
SD Medicaid does not cover remote monitoring (CPT codes 99091,99453, 99454, and 99457).
SOURCE: SD Medicaid Billing and Policy Manual: Physician Services, p. 11 (Aug. 2023), (Accessed Aug. 2023).
CONDITIONS
No Reference Found
PROVIDER LIMITATIONS
No Reference Found
OTHER RESTRICTIONS
No Reference Found
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