import CareWorkflow from '../components/sections/shared/CareWorkflow.astro';Texas Medicaid RPM Platform for Home Health — RemoteCaresSkip to content
RemoteCaresRemoteCares

For Texas home health agencies

Care beyondthe home visit.

Help your nurses review patient readings, identify changes and coordinate follow-up. Automate the paperwork that supports Texas Medicaid RPM.

Built for TMHPS9110 + U-modifier billingFHIR / HL7 / C-CDA
  • 27+

    years in healthcare IT

  • 10+

    years in Medicaid home health

  • 20 min

    demo using sample records

Trusted by Texas agencies

  • HL7 / FHIR integration
  • EMR + RPM integration
  • HIPAA safeguards and supporting records

The platform

Patient monitoring, follow-up and billing on one screen

RemoteCares organizes readings, authorizations, and follow-up records throughout the month, making claim review easier for your team.

Search patients, devices…

Home

Dashboard

Active RPM48New patients6Needs review4Non-compliant3Needs call9
Reading days

24

24 of 30 days · U8 modifier

Modifier
U821–25 reading days
U7U8U9
Authorizations

32

4 awaiting provider review

Readings summary

926

Normal 831Abnormal 78Critical 17
Devices assigned

61

12 unassigned in inventory

Patients enrolled

48

6 enrolled this month

Illustrative interface. Sample data.

  • Built for Texas Medicaid (TMHP)
  • S9110 modifiers billing
  • HIPAA-secure
  • FHIR / HL7 / C-CDA

Why Texas home health agencies choose RemoteCares

Three people sign off on a decision like this, and they don't ask the same questions. Here's what each of them gets.

Agency OwnerCan our team see the full picture of patient care??

Director of NursingWhich patients need follow-up?

Billing ManagerHow can we simplify TMHP authorizations and claim preparation?

A billing specialist at a desk reviewing a claims and reimbursement dashboard on a large monitor.

Keep care and records connected

Keep readings and follow-up records organized so your team can review the care provided.

An older person wearing a fingertip pulse oximeter while a clinician reviews their live vitals on a tablet.

Identify readings that need attention

Patient-specific thresholds flag abnormal and critical readings for your nurses to review.

A stack of prior-authorization and claims paperwork beside a laptop showing those steps completed automatically.

Reduce routine administration

Automatic monthly eligibility checks and generated TMHP forms reduce routine paperwork.

Connected care and administration

Support patients. Simplify the work around their care.

Give your team connected readings and clear follow-up tasks, with eligibility checks, authorization paperwork and claim submission in the same platform.

  1. 01

    Support care between visits

    Connected device readings, patient-specific thresholds, missed-reading flags and follow-up records help your nurses see who needs attention. Your agency’s nurses review readings and provide care.

  2. 02

    Check Medicaid coverage every month

    RemoteCares automatically checks eligibility for every active Medicaid patient each month, helping your team identify coverage issues for review.

  3. 03

    Generate TMHP forms and request signatures

    RemoteCares automatically generates the TMHP authorization form and sends it to the provider for signature by fax or through the electronic signature portal, reducing manual form completion.

  4. 04

    Submit S9110 claims through a clearinghouse

    Prepare and submit S9110 claims with the applicable modifiers. Follow file and claim responses, review remittance details, and make corrections when needed.

Explore eligibility, authorizations and claims

Why we built this

Manage your RPM program in one place.

Request a demo

Caring for patients at home means keeping up with changes between visits. RemoteCares brings readings, patient communication and follow-up records together to support your nurses.

Device readings arrive automatically. Patient-specific thresholds flag readings that need attention, helping your nurses prioritize follow-up.

RemoteCares checks Medicaid eligibility monthly and generates TMHP authorization forms automatically. Forms are sent to providers for signature by fax or the e-sign portal, with signed records kept against the patient.

It is a platform your agency runs. Your nurses monitor your patients; RemoteCares helps organize the supporting records.

The difference that matters

Designed for Texas Medicaid monitoring workflows

Texas Medicaid runs home telemonitoring on its own rules. It has specific billing codes, authorization requirements, and reading-day criteria. RemoteCares helps your team manage those requirements in one place.

Recorded reading days determine the S9110 monitoring modifier.

Medicare RPM

Staff minutes, plus transmission days

TMHP S9110

Days with data received and reviewed

Authorization requests and approved service dates matter.

Medicare RPM

No prior authorization

TMHP S9110

Required; follow payer submission rules

S9110 uses separate setup and monitoring modifiers.

S9110-U1Initial setup$50.00S9110-U21–5 reading days$40.10S9110-U36–10 reading days$80.19S9110-U411–15 reading days$120.29S9110-U716–20 reading days$160.38S9110-U821–25 reading days$200.48S9110-U926–30 reading days$240.57

Based on the TMHP S9110 fee schedule, billed monthly by reading days. Rates change — verify current amounts with TMHP.

S9110 exports with the modifier already applied.

Medicare RPM

CPT 99453 / 99454 / 99457 / 99458

TMHP S9110

S9110 setup and monitoring modifiers

Delivered by the agency, on the physician’s order.

Medicare RPM

Physician practices and clinics

TMHP S9110

Home health agencies, on the treating physician’s order

Medicare RPM and Texas Medicaid RPM use different billing requirements. RemoteCares tracks recorded reading days and identifies the matching S9110 modifier for review.

From the physician's order to a submitted claim

Follow the workflow from the physician’s order through authorization, monitoring, and claim preparation.

  1. 01Physician’s Order

    The physician orders monitoring

    Texas Medicaid home telemonitoring starts with an order from the treating physician.

  2. 02Simplify authorizations

    Prior authorization is generated, routed and signed

    RemoteCares builds the request and routes it for TMHP, Molina or Superior. Providers sign in bulk, and every signed version stays on file.

  3. 03Receive readings automatically

    Readings arrive from the patient’s devices

    Cellular devices stream readings straight into the chart — nothing for the patient to enter or upload.

  4. 04Track reading days

    Reading days are counted automatically

    RemoteCares counts distinct reading days and identifies the matching S9110 modifier for your team to review.

  5. 05Organize patient follow-up

    Out-of-range readings are flagged for follow-up

    Thresholds classify each reading and route the urgent ones to the right care manager. The call is logged against the record.

  6. 06Prepare claims and supporting records

    S9110 claims are prepared with supporting records

    Prepare monthly S9110 exports with the matching modifier and supporting documentation for your billing team to review.

Care programs and data security

Manage care programs on a shared patient record, with tools for billing, secure access, and data exchange.

S9110Flagship

TMHP Remote Patient Monitoring

Manage Texas Medicaid home telemonitoring, reading-day counts, and S9110 claim preparation.

Also supported

Every program runs on the same patient record.

HIPAA-secure

PHI is handled under HIPAA safeguards, with Business Associate Agreements available to covered entities.

  • Encrypted in transit and at rest
  • Access is role-based
  • Activity is audit-logged

FHIR · HL7 · C-CDA

Standards-based interoperability, so readings and documentation move into the systems you already run.

Claims and supporting records

Prepare S9110 exports in CSV or EDI 837 format and keep supporting records available for review.

Revenue calculator

Estimate S9110 billing for your agency

Explore an S9110 billing estimate based on patient volume and recorded reading days.

Estimate only — not a guarantee of reimbursement.

100
101000
Typical reading days per month

How this is built

100 patients × $200.48 (U8)
$20,048 / mo
× 12 months
$240,576
+ $50 U1 setup × 100 patients, once
$5,000
Year one total
$245,576

Estimated year one

$245,576

12 months of recurring billing plus the one-time $50 U1 setup, counted once per patient — not monthly.

Per month

$20,048

Questions

Billing and authorization questions

Straight answers, including the ones about audits.

What is TMHP remote patient monitoring?

Texas Medicaid calls it home telemonitoring — "remote patient monitoring" is the Medicare and industry term for the same thing. Home health agencies deliver it on an order from the treating physician and bill Texas Medicaid for it. Eligibility is set by Texas Medicaid and tied to qualifying conditions and clinical criteria, confirmed by the ordering physician as part of the authorization.

What code is used, and how is it billed?

S9110-U1 identifies setup. Monthly monitoring uses U2–U4 or U7–U9 based on days when transmissions were received and reviewed in a rolling month. Staff minutes do not set the monitoring modifier.

How does prior authorization work?

S9110 requires authorization supported by an order from a physician, NP, CNS or PA. TMHP fee-for-service requests have a three-business-day submission window after services begin; managed care requirements must be checked with the patient’s plan. RemoteCares generates and routes the request for TMHP, Molina and Superior, and providers e-sign in bulk rather than one patient at a time. Every signed version is kept on file against the patient.

Do we need to buy new devices?

Patients are set up with connected devices, and readings flow back automatically as they are taken — nothing for the patient to submit or upload. That matters for the older and less tech-confident patients this program tends to serve.

Who monitors the readings?

Your agency’s nurses review readings and follow up with patients. RemoteCares receives device readings and uses configured thresholds to flag abnormal and critical results for review.

Is it HIPAA compliant?

The platform is built around HIPAA safeguards — encryption in transit and at rest, role-based access control and audit logging — and Business Associate Agreements are available to covered entities. We are happy to walk your compliance reviewer through the specifics on a demo.

What happens when TMHP audits this?

RemoteCares keeps authorization documents, reading-day records, and activity logs available to support your team’s response to a claim review.

  • HIPAA
  • HL7 / FHIR
  • C-CDA

A 20-minute conversation

Bring your clinical and billing teams. Explore patient monitoring, follow-up, automatic eligibility checks, TMHP forms and claim submission using sample records.

See a sample workflow tailored to your agency needs.

If S9110 is not a fit for your caseload, we will say so on the call.