Tex.
Gov't Code Section 548.0253
Reimbursement Program Requirements
(a)
A program established under this subchapter must:(1)
provide that home telemonitoring services are available only to an individual who:(A)
is diagnosed with one or more of the following conditions:(i)
pregnancy;(ii)
diabetes;(iii)
heart disease;(iv)
cancer;(v)
chronic obstructive pulmonary disease;(vi)
hypertension;(vii)
congestive heart failure;(viii)
mental illness or serious emotional disturbance;(ix)
asthma;(x)
myocardial infarction; or(xi)
stroke; and(B)
exhibits two or more of the following risk factors:(i)
two or more hospitalizations in the prior 12-month period;(ii)
frequent or recurrent emergency room admissions;(iii)
a documented history of poor adherence to ordered medication regimens;(iv)
a documented history of falls in the prior six-month period;(v)
limited or absent informal support systems;(vi)
living alone or being home alone for extended periods; and(vii)
a documented history of care access challenges;(2)
ensure that clinical information gathered by a home and community support services agency or hospital while providing home telemonitoring services is shared with the patient’s physician; and(3)
ensure that the program does not duplicate disease management program services provided under Section 32.057 (Contracts for Disease Management Programs), Human Resources Code.(b)
Notwithstanding Subsection (a)(1), a program established under this subchapter must also provide that home telemonitoring services are available to pediatric individuals who:(1)
are diagnosed with end-stage solid organ disease;(2)
have received an organ transplant; or(3)
require mechanical ventilation.
Source:
Section 548.0253 — Reimbursement Program Requirements, https://statutes.capitol.texas.gov/Docs/GV/htm/GV.548.htm#548.0253 (accessed Jun. 5, 2024).
