Remote Patient Monitoring
POLICY
The Elderly and Disabled Waiver Program/EDWP (CCSP and SOURCE)
EDWP (CCSP and SOURCE) offer the following services as an alternative to institutional care. Qualified providers may seek enrollment in one or more of the services.
- Emergency Response System (ERS) provides two-way verbal and electronic communication with a central monitoring station seven days a week, 24 hours a day to geographically and socially isolated members
SOURCE: GA Dept. of Community Health, Division of Medicaid, Policies and Procedures for EDWP (CCSP and SOURCE): General Services, p. 12 (Jan. 2026). (Accessed Feb. 2026).
The Emergency Response System (ERS) service monitors member safety and provides member access to emergency crisis intervention for medical or environmental emergencies. The electronic communication between the member and a central monitoring station provides services 24 hours a day, seven days a week.
SOURCE: GA EDWP (CCSP and SOURCE) Emergency Response System Services Manual p. 3 (Jan. 2026). (Accessed Feb. 2026).
Independent Care Waiver Services
Personal Emergency Response System (PERS) – PERS is an electronic device that enables high-risk members secure help in the event of an emergency. PERS providers provide two-way verbal and electronic communication systems with a central monitoring station seven (7) days a week, 24 hours a day to geographically and socially isolated members. The member may wear a portable “help” button to allow for mobility. The system is connected to a member’s phone and programmed to signal a response center once a “help” button is activated.
SOURCE: GA Dept. of Community Health, Independent Care Waiver Services (Jan. 2026), p. 92-93. (Accessed Feb. 2026).
Repealed/Reserved December 31, 2025 – Remote Maternal Health Services
This code section shall stand repealed and reserved by operation of law on December 31, 2025.
No later than October 31, 2025, the department shall submit a detailed written report on the provision of remote maternal health clinical services for Fiscal Year 2024 and Fiscal Year 2025 to recipients of medical assistance who meet eligibility criteria established by the department to the Governor, Lieutenant Governor, Speaker of the House of Representatives, and the chairpersons of the House Committee on Health, the Senate Health and Human Services Committee, the House Committee on Appropriations, and the Senate Appropriations Committee.
As used in this Code section, the term “remote maternal health clinical services” means the use of digital technology:
- To collect medical and other forms of health data from a patient and electronically transmit that information securely to a healthcare provider in a different location for interpretation and recommendation; and
- Through a device that is compliant with the federal Health Insurance Portability and Accountability Act of 1996 and approved by the federal Food and Drug Administration.
Such term includes a device that:
- Performs remote fetal monitoring, including maternal heart rate, fetal heart rate, amniotic fluid, placenta location, fetal presentation, tone, and movement;
- Measures physiological data, including blood pressure, pulse, pulse oximetry, weight, blood glucose levels, or other such data determined to be medically necessary;
- Uses remote non-stress test technology;
- Uses remote ultrasound technology; or
- Uses Doppler effect technology.
SOURCE: GA State Statute Section 49-4-159.2 – Repealed/reserved 12/31/25. (Accessed Feb. 2026).
Continuous Glucose Monitors
On and after July 1, 2025, the department shall include coverage for continuous glucose monitors as a benefit under Medicaid via the most cost-effective benefit delivery channel.
SOURCE: GA Statute Sec. 49-4-159.4. (Accessed Feb. 2026).
CONDITIONS
Continuous Glucose Monitors
The criteria for continuous glucose monitors coverage shall be updated to align with current standards of care and shall include, but shall not be limited to, requirements that:
- The recipient has been diagnosed with diabetes mellitus by a treating practitioner;
- The recipient’s treating practitioner has concluded that the recipient or the recipient’s caregiver has had sufficient training in using a continuous glucose monitor as evidenced by the provision of a prescription therefor; and
- The recipient:
- Is treated with at least one daily administration of insulin; or
- Has a history of problematic hypoglycemia with documentation of at least one of the following:
- Recurrent level 2 hypoglycemic events (glucose less than 54 mg/dL (3.0 mmol/L)) that persist despite two or more attempts to adjust medication, modify the diabetes treatment plan, or both; or
- A history of a level 3 hypoglycemic event (glucose less than 54 mg/dL (3.0 mmol/L)) characterized by altered mental or physical state requiring third-party assistance for treatment for hypoglycemia.
SOURCE: GA Statute Sec. 49-4-159.4. (Accessed Feb. 2026).
PROVIDER LIMITATIONS
No Reference Found
OTHER RESTRICTIONS
Continuous Glucose Monitors
Within six months prior to prescribing a continuous glucose monitor for a recipient, the treating practitioner shall have had an in-person or telehealth visit with the recipient to evaluate the recipient’s diabetes control and shall have concluded that the recipient meets the criteria set forth in subsection (a) of this Code section.
Every six months following the initial prescription of a continuous glucose monitor, the treating practitioner shall have an in-person or telehealth visit with the recipient to assess adherence to his or her continuous glucose monitor regimen and diabetes treatment plan.
SOURCE: GA Statute Sec. 49-4-159.4. (Accessed Feb. 2026).
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