Are you a CCTV operator?

I plan to get into remote monitoring: how does it work?

1. I define my needs
2. I find out about remote monitoring (links): definition, activities already supported
3. I set up an organizational project (alone or with a team of health professionals)
4. I choose a Digital Medical Device (DMN) on the list according to my needs
5. I sign a contract with the DMN supplier and launch a public call for tenders (if I am a health center or a public hospital)
6. I declare my telesurveillance activity to the ARS of my region on simplified procedures *
7. I start my activity

The declaration of activities: what is it?

• The monitoring operator must declare its activities to the regional health agency on the platform on simplified procedures. This declaration, which is compulsory, allows the reimbursement of activities by the Health Insurance.
• What do the laws and decrees say?
  

  The reporting obligation is set by the loi. It is specified by two decrees published on December 30, 2022: decree no. 2022-1767 of December 30, 2022 relating to the payment and reimbursement of medical telemonitoring activities and the decree n° 2022-1769 of December 30, 2022 relating to the content of the declaration of medical telemonitoring activities to regional health agencies.

• This declaration operation is simple, fast and only needs to be done once by the operator:
  

  This operation lasts between 15 and 20 minutes, it is to be carried out only once. Modifications or additions can be made easily afterwards (in the event of a change of organization or a new remote monitoring activity, for example). A single declaration is to be made by the operator, regardless of the number of medical devices used to remotely monitor his patients (a part of the devices was necessary during the experiments). A guide has been put in place to support operators in their declarations to the ARS.

• The content of the statement.
  

  This statement includes:

1. an administrative component: the operator must in particular provide his identity, contact details, personal identifiers or those of his company, depending on whether he is a sole medical professional or a legal person bringing together or employing several health professionals;
2. a section describing the organization selected for each telemonitoring activity (a single declaration makes it possible to declare several telemonitoring indications): the type(s) of healthcare professionals working within the operator, non-medical actions possibly entrusted to a third party and the related contract, as well as the arrangements made to ensure continuity of care.
   
   The filing of this declaration constitutes a commitment for the operator to comply with the conditions set by the guidelines relating to the pathology concerned.

• a receipt allowing reimbursement is sent to the operator by the ARS after the declaration has been submitted: a receipt is automatically sent by the ARS to the operator after he has submitted his complete declaration. This receipt constitutes eligibility for reimbursement of remote monitoring activities.

What happens between now and July 1?

You are a remote surveillance operator currently engaged in ETAPES

The social security financing law for 2023 provides that operators had until January 31, 2023 to make a commitment to the ministry to file a registration application for reimbursement of their medical device under the of common law.

This provision makes it possible to ensure the commitment of the operators supported in the ETAPES experiment to enter into the common law of medical telemonitoring and to have visibility for the actors concerned of the solutions which will be able to ensure the continuity of management. patient care.

If this obligation applies to manufacturers who will only be able to benefit from support during the transitional phase on this condition, the operators are not concerned to avoid any rupture in the care of the patients.

Thus, different scenarios are to be distinguished:

1. The operator of the remote monitoring medical device you use is bound by common law:
   

   The operator of the medical device with which you provide remote monitoring has already sent a commitment to submit a registration request (find the list of operators who have already sent a commitment request).
   
   In this case, the operator of the medical device and you benefit from transitional support for old and new patients until June 30th.

2. The operator of the remote monitoring medical device you are using is not bound by common law
   

   The operator of the medical device with which you carry out remote monitoring does not wish to commit to common law and has not transmitted a commitment. Its remote monitoring solution is therefore not in the list published on the website of the Ministry of Health and Prevention.

In this specific case, you can continue to be covered for the patients you are telemonitoring but you must take the steps to benefit from another remote monitoring solution by July 1st.

As the operator has not committed to the common law approach, it can still remotely monitor patients to support the transition of operators, but this coverage of the operator package can only be done for patients included before January 31.

We invite you to redirect new patients as soon as possible to the list of solutions undertaken in order to best ensure the continuity of patient care.