Telehealth allows for the monitoring of a member's health status remotely via equipment, which transmits data from the member's home to the member's home health agency. The purpose of providing telehealth services is to assist in the effective management and monitoring of members whose medical needs can be appropriately and cost-effectively met at home through the frequent monitoring of data and early intervention. This service is provided under the Home Health Benefit through agencies that have opted to provide the telehealth service.
Who is eligible?
All Health First Colorado (Colorado's Medicaid Program) eligible members who meet the following criteria:
- Member must receive Home Health services from provider who has opted to provide telehealth services
- Member must require frequent and on going monitoring/management of their disease or condition
- Member's home environment must be compatible with the use of the equipment
- Member or caregiver must be willing and able to comply with vital sign self-monitoring
- Member must have one or more of the following diagnoses:
- Congestive Heart Failure
- Chronic Obstructive Pulmonary Disease
- Other diagnosis or condition deemed appropriate by the Department or its designee
What services are available?
Frequent and ongoing self-monitoring of members through equipment left in the member's home which is designed to measure the common signs and symptoms of disease exacerbation before a crisis occurs allowing for timely intervention and symptom management.
Who is providing Telehealth services?
Any home health agency is eligible to provide telehealth services
- Home Care of the Grand Valley - Grand Junction
- Amazing Care - Denver, Aurora, Westminster
- Professional Home Health Care - Arvada, Boulder, Longmont
- Good Samaritan Society - Longmont
- Centura Health at Home - Denver, Colorado Springs
- Banner Home Health - Greeley, Loveland
- Rehabilitation and Visiting Nurse Association (RVNA) - Fort Collins, Greeley
- Argus Home Care - Pueblo, Canon City, Loveland, Denver
What does it cost?
There is no co-pay for home health telehealth services.
How are Telehealth services reimbursed?
- Home health agencies are reimbursed a one time setup fee of $56.27 when the Telehealth equipment is setup in the member's home
- The home health agency is reimbursed $10.63 for every day it receives ordered transmissions from the member
How does an individual or family access HHTH?
A member's primary medical provider must order HHTS and the member must be admitted to or already in the care of a home health agency with the necessary equipment.
Are Telehealth and telemedicine the same thing?
No. Telemedicine is the term used when a medical provider sees a member through the use of internet connections. This technology is typically used when a member needs to see a medical specialist, but there are no acceptable specialists in the member's service area. Telehealth is the monitoring of member's vital signs by their Home Health nurse through electronic submission of the vital sign information from the member's residence to the member's Home Health Agency.
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