HB1973112th GA (Historical)Introduced

Amends TCA Title 71.

This bill requires the bureau of TennCare to develop and implement a pilot program during fiscal years 2022-2023, 2023-2024, and 2024-2025 to provide: (1) Remote patient monitoring services for maternal health to a TennCare recipient who meets the eligibility criteria described below; (2) Remote patient monitoring services for maternal health to an eligible TennCare recipient for up to 12 months postpartum if determined by the recipient's healthcare provider to be medically appropriate; and (3) Payment to healthcare providers who provide remote patient monitoring services for maternal health that includes the cost of the remote patient monitoring device being used. A TennCare recipient will be eligible to receive remote patient monitoring services for maternal health pursuant to the pilot program if: (1) The recipient is pregnant; (2) The recipient's healthcare provider determines that remote patient monitoring services for maternal health is medically appropriate; and (3) The recipient's healthcare provider determines: (A) The recipient has an increased likelihood of experiencing a higher-risk pregnancy due to the presence of certain health or lifestyle factors; (B) The recipient lives in a county without a licensed obstetrician/gynecologist who participates in TennCare; or (C) The recipient's healthcare provider determines the recipient lacks reliable transportation to access the healthcare provider. This bill authorizes the director of TennCare to seek a federal waiver that the director determines is necessary to implement the pilot program. The pilot program will terminate June 30, 2025.

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Overview

This bill requires the bureau of TennCare to develop and implement a pilot program during fiscal years 2022-2023, 2023-2024, and 2024-2025 to provide: (1) Remote patient monitoring services for maternal health to a TennCare recipient who meets the eligibility criteria described below; (2) Remote patient monitoring services for maternal health to an eligible TennCare recipient for up to 12 months postpartum if determined by the recipient's healthcare provider to be medically appropriate; and (3) Payment to healthcare providers who provide remote patient monitoring services for maternal health that includes the cost of the remote patient monitoring device being used. A TennCare recipient will be eligible to receive remote patient monitoring services for maternal health pursuant to the pilot program if: (1) The recipient is pregnant; (2) The recipient's healthcare provider determines that remote patient monitoring services for maternal health is medically appropriate; and (3) The recipient's healthcare provider determines: (A) The recipient has an increased likelihood of experiencing a higher-risk pregnancy due to the presence of certain health or lifestyle factors; (B) The recipient lives in a county without a licensed obstetrician/gynecologist who participates in TennCare; or (C) The recipient's healthcare provider determines the recipient lacks reliable transportation to access the healthcare provider. This bill authorizes the director of TennCare to seek a federal waiver that the director determines is necessary to implement the pilot program. The pilot program will terminate June 30, 2025.

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Sponsor

Unknown

Details
Session

112th General Assembly

Introduced

January 25, 2022

Subjects
5185527021704761

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