CAST Two

Maryland Reimbursement Programs for ASTs

Published On: Aug 02, 2011

(i.e., HCBS Elderly and/or Physically Disabled Adult Waivers) 

MD Living at Home (for physically disabled individuals ages 18-64) 

Types of Technology Reimbursed/Definition (i.e., Personal Emergency Response System (PERS), Medication Dispensing, Home Telehealth, Remote Monitoring, etc.) 

PERS Service: A personal emergency response system is an electronic device, piece of equipment or system which, upon activation, enables a participant to secure help in an emergency 24 hours per day, seven days per week.  There are a variety of devices and systems available to meet individual needs and preferences of LAH participants choosing this service. PERS may be used in the home exclusively or in the home and community; some models offer Global Positioning Systems technology to access assistance in a multiple community settings. Likewise, modes of access to the PERS monitoring system are adapted to meet the individual functional needs of the participant; for example, providers offer sip/puff models, push button access and modifications of push button models. This service may include any or all of the following components: purchase/installation; maintenance/ repair; and/or the monthly cost of monitoring a PERS device.  There are different rates established for each of the three components of the PERS service. PERS Service: A personal emergency response system is an electronic device, piece of equipment or system which, upon activation, enables a participant to secure help in an emergency 24 hours per day, seven days per week.  There are a variety of devices and systems available to meet individual needs and preferences of LAH participants choosing this service. PERS may be used in the home exclusively or in the home and community; some models offer Global Positioning Systems technology to access assistance in a multiple community settings. Likewise, modes of access to the PERS monitoring system are adapted to meet the individual functional needs of the participant; for example, providers offer sip/puff models, push button access and modifications of push button models. This service may include any or all of the following components: purchase/installation; maintenance/ repair; and/or the monthly cost of monitoring a PERS device.  There are different rates established for each of the three components of the PERS service.  

Limitations: 

There is a one unit maximum annually for installation; there is no maximum for maintenance; and there is a one unit maximum per month for PERS monitoring; There are maximum fees established for each PERS component. Units for each type of service are identified separately in the participant's plan of service; units submitted for payment may not exceed what is approved in the participant's plan of service. 

Other standard:  

To participate in the Program as a provider of personal emergency response systems, a provider shall: Be the store, vendor, organization, or company which sells, rents, installs, services, or runs the device or service; Provide or arrange for any installation, servicing, training, or monitoring required for the device or system; and Assure that any response center is: Responsible for monitoring or responding to a notification of an emergency by the system; and Adequately staffed 24 hours a day, 7 days a week by properly trained staff.  In addition, providers must meet the conditions described in COMAR 10.09.55.05 under "general requirements." 

Reimbursement Rates  

PERS Service: $45.00/month  

PERS Installation:  $54-$59 (one/year)  

PERS Maintenance: $45/repair call   

MD Older Adults Waiver MD Older Adults Waiver (for older individuals ages 65 - no max age) 

Types of Technology Reimbursed/Definition (i.e., Personal Emergency Response System (PERS), Medication Dispensing, Home Telehealth, Remote Monitoring, etc.) 

PERS Service: Definition not available.  

Reimbursement Rates  

PERS Service: $45.00/month  

PERS Installation: Actual approved device cost up to $1,000 one-time 

 



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