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Scope of Services:

The objectives of the Telemonitoring service are to maintain and promote the health status of Medicaid home and community-based waiver participants through medical telemonitoring of body weight, blood pressure, oxygen saturation, blood glucose levels, and basic heart rate information.

Print a copy of the scope of service. This does not need to be included with the application, but does give information of what is required of your agency in providing services for CLTC.

Physician Order for Telemonitoring

Physician Telephone Consultation Form