Remote Patient Monitoring
POLICY
Telemonitoring (Remote Physiological Monitoring Services)
Medical assistance covers telemonitoring services if:
- The telemonitoring service is medically appropriate based on the recipient’s medical condition or status;
- The recipient’s health care provider has identified that telemonitoring services would likely prevent the recipient’s admission or readmission to a hospital, emergency room, or nursing facility;
- The recipient is cognitively and physically capable of operating the monitoring device or equipment, or the recipient has a caregiver who is willing and able to assist with the monitoring device or equipment; and
- The recipient resides in a setting that is suitable for telemonitoring and not in a setting that has health care staff on site.
“Telemonitoring services” means the remote monitoring of data related to a recipient’s vital signs or biometric data by a monitoring device or equipment that transmits the data electronically to a provider for analysis. The assessment and monitoring of the health data transmitted by telemonitoring must be performed by one of the following licensed health care professionals: physician, podiatrist, registered nurse, advanced practice registered nurse, physician assistant, respiratory therapist, or licensed professional working under the supervision of a medical director.
SOURCE: MN Statute Sec. 256B.0625 Subd. 3(h). (Accessed Mar. 2026).
Telemonitoring services are the remote monitoring of data related to a member’s vital signs or biometric data by a monitoring device or equipment that transmits the data electronically to a provider for analysis. Telemonitoring is a tool that can assist the provider in managing a member’s complex health needs.
MHCP covers telemonitoring services for MHCP members in fee-for-service programs.
There is reimbursement for “tele-homecare” under Elderly Waiver (EW) and Alternative Care (AC) programs.
A face-to-face visit can occur through telehealth.
Prior authorization for home care services is required for: …
- All telehomecare skilled nurse visits
CONDITIONS
MHCP covers telemonitoring services for members in high-risk, medically complex patient populations. These members have medical conditions like congestive heart failure, chronic obstructive pulmonary disease (COPD) or diabetes.
MHCP covers telemonitoring services based on the following medical necessity criteria:
- The telemonitoring service is medically appropriate based on the member’s medical condition or status.
- The member is cognitively and physically capable of operating the monitoring device or equipment, or the member has a caregiver who is willing and able to assist with the monitoring device or equipment.
- The member resides in a setting that is suitable for telemonitoring and not in a setting that has health care staff on site.
- The prescribing provider has identified and documented how telemonitoring services would likely prevent the member’s admission or readmission to a hospital, emergency room or nursing facility.
- The results of the telemonitoring services are directly used to impact the plan of care.
Any service that does not meet medical necessity criteria will not be covered.
Bill on 837P claim format. Refer to the MN–ITS 837P Professional User Guides.
Submit claims for telemonitoring services using the CPT or HCPC code that describes the services rendered. Prior authorization is not needed.
You must bill for at least 16 days of data collection within a 30-day period.
The data must be collected and transmitted rather than self-reported to the provider. The device must be defined by the FDA as a medical device.
Only MDs and practitioners may bill for remote patient monitoring (RPM) services.
Independent diagnostic testing facilities are not able to bill for RPM services.
Medical assistance covers telemonitoring services if:
- the telemonitoring service is medically appropriate based on the recipient’s medical condition or status;
- the recipient’s health care provider has identified that telemonitoring services would likely prevent the recipient’s admission or readmission to a hospital, emergency room, or nursing facility;
- the recipient is cognitively and physically capable of operating the monitoring device or equipment, or the recipient has a caregiver who is willing and able to assist with the monitoring device or equipment; and
- the recipient resides in a setting that is suitable for telemonitoring and not in a setting that has health care staff on site.
SOURCE: MN Statute Sec. 256B.0625 Subd. 3(h), (Accessed Mar. 2026).
Seizure Detection Devices
The following codes and seizure detection devices are covered by MHCP:
- A9279: Monitoring feature/device, stand-alone or integrated, any type, includes all accessories, components, and electronics, not otherwise classified. MHCP covers one device every five years. Bill using U2 modifier.
- 99454: Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days. Refer to Telemonitoring Policy for more information. Bill using U2 modifier. MHCP only covers the standard plan subscription.
SOURCE: MN Dept of Human Services, Seizure Detection Devices, Apr. 17, 2024, (Accessed Mar. 2026).
PROVIDER LIMITATIONS
The assessment and monitoring of the health data transmitted by telemonitoring must be performed by the following licensed health care professionals:
- Advanced practice registered nurse
- Physician
- Physician assistant
- Podiatrist
- Registered nurse
- Respiratory therapist
- a licensed professional working under the supervision of a medical director (for example, an LPN)
Only MDs and practitioners may bill for remote patient monitoring (RPM) services.
For purposes of this subdivision, “telemonitoring services” means the remote monitoring of data related to a recipient’s vital signs or biometric data by a monitoring device or equipment that transmits the data electronically to a provider for analysis. The assessment and monitoring of the health data transmitted by telemonitoring must be performed by one of the following licensed health care professionals: physician, podiatrist, registered nurse, advanced practice registered nurse, physician assistant, respiratory therapist, or licensed professional working under the supervision of a medical director.
SOURCE: MN Statute Sec. 256B.0625 Subd. 3(h), (Accessed Mar. 2026).
OTHER RESTRICTIONS
Bill on 837P claim format. Refer to the MN–ITS 837P Professional User Guides.
Submit claims for telemonitoring services using the CPT or HCPC code that describes the services rendered. Prior authorization is not needed.
You must bill for at least 16 days of data collection within a 30-day period.
The data must be collected and transmitted rather than self-reported to the provider. The device must be defined by the FDA as a medical device.
Only MDs and practitioners may bill for remote patient monitoring (RPM) services.
Independent diagnostic testing facilities are not able to bill for RPM services.
Telehomecare visits. Coverage of telehomecare is limited to two visits per day and all of the visits must be prior authorized.
SOURCE: MN Dept. of Human Services, Skilled Nursing Visit Services, Oct. 5, 2018, (Accessed Mar. 2026).
< BACK TO RESOURCES