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.
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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