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MedicaidCoverageMedium impact

Reimbursement for Remote Patient Monitoring Services Through Home Health Agencies Effective January 1, 2018

Maryland Medicaid·MD · Family Medicine, Internal Medicine, Cardiology +1 more·Provider Transmittal
Effective date
Jan 1, 2018
We identified it
Jun 20, 2026
Days to comply

Summary

Home health agencies can now provide Remote Patient Monitoring (RPM) services for Medicaid participants using revenue code 0581 at $125 per 30-day episode. Preauthorization is required for up to 60-day episodes, with a limit of two episodes per 12-month rolling period.

Action Required

Action needed
Immediately: Home health agencies must obtain preauthorization before providing RPM services by faxing requests to Tia Lyles at 410-333-5085. Billing team must use revenue code 0581 and bill at the all-inclusive rate of $125 per 30-day monitoring period. Update billing system to track episode limits (maximum 2 episodes per 12 months). Claims without preauthorization will be denied.