§1227.5. Qualifications for patients

            To qualify for participation in remote patient monitoring services, a patient shall have a recommendation from the patient's healthcare provider for disease management services through remote patient monitoring and shall meet one of the following criteria:

            (1) Has been diagnosed with one or more chronic conditions, as defined by the Centers for Medicare and Medicaid Services, including but not limited to sickle cell disease, mental illness, asthma, diabetes, cancer, and heart disease.

            (2) Has a recent history of costly service use due to one or more chronic conditions as evidenced by two or more hospitalizations, including emergency room visits, in the last twelve months.

            (3) Is a pregnant or postpartum woman.

            (4) Is an infant who has been discharged from a hospital after requiring neonatal intensive care.

            Acts 2024, No. 749, §1; Acts 2025, No. 322, §1, eff. June 11, 2025.