37.34.968 0208 MEDICAID HOME AND COMMUNITY-BASED SERVICES PROGRAM: REMOTE MONITORING
(1) Remote monitoring provides oversight and monitoring within a residential setting through off-site electronic surveillance, while maintaining the health and safety of the person receiving the service.
(2) Remote monitoring must be done in real time, by awake staff, at a monitoring base using:
(a) live video feed;
(b) motion sensing systems;
(c) radio frequency identification;
(d) web-based monitoring systems; or
(e) other devices approved by the Developmental Disabilities Program (DDP).
(3) The person receiving remote monitoring must be 18 years of age or older.
(4) The remote monitoring staff must not participate in other duties while providing remote monitoring.
(5) The provider must have an effective emergency notification system in place to respond to any emergency within a reasonable time. The emergency response system must be written in the plan of care and must include:
(a) the circumstances in which backup supports must be contacted;
(b) the expected timeframes in which backup supports must respond; and
(c) if the response must be in person or by other means of contact, including notification to emergency responders such as police, fire, and medical services.
(6) Live two-way communication may be provided if it is designated in a person's plan of care.
(7) The case manager must fully inform the person or their legal representative and each person who resides with the person of what remote monitoring entails and obtain written consent from each person. The case manager must keep the written consent with the person's plan of care.
(8) Remote monitoring may only be used in supported living settings with the purpose of:
(a) reducing or replacing the amount of residential habilitation needed by the person; or
(b) preventing the need for additional residential habilitation.
(9) Remote monitoring providers must have a backup power supply in place at the monitoring base in the event of an electrical outage.
(10) Service documentation must fully disclose the nature and extent of the services delivered and be signed by the person delivering the service.
(11) The provider of remote monitoring must disclose the current ratio of monitoring staff to persons receiving remote monitoring to the person's plan of care team during the provider selection process and update the information annually and as changes occur.
History: 53-6-113, 53-6-402, MCA; IMP, 53-6-101, 53-6-402, MCA; NEW, 1992 MAR p. 1490, Eff. 7/17/92; TRANS, from SRS, 1998 MAR p. 3124; AMD, 2014 MAR p. 220, Eff. 1/31/14.