Home blood pressure telemonitoring, run for you.
Patient eligibility, prior authorization, and S9110-U3 billing, with a patient app that carries your clinic’s name.
Daily blood pressure monitoring for your Medicaid patients.
For federally qualified health centers and rural health clinics in Texas. Your patients see you a few times a year; their blood pressure changes every day. This program watches every day and alerts your care team when a reading turns dangerous, built under your clinic’s name, run by OptimIQ, covered by Texas Medicaid.
Illustrative app screen · not real patient data
Your clinic’s app, not a vendor’s
Patients download an app with your name and logo on it. To them, it is your clinic checking on them every day.
One reading a day, sent automatically
A blood pressure device and cuff pair to the app. Nothing to write down, nothing to call in.
Every reading in your EMR
Readings land in your chart weekly, biweekly, or monthly, whichever you request. Your chart, your data.
We stay in the background
OptimIQ runs the program. You keep the relationship.
From the patient list to the monthly claim.
We find the right patients
Hypertension plus one of the five Texas Medicaid risk factors. Fifty to start, and you approve the list.
One signature per patient
A provider signs the enrollment form. We handle prior authorization and each renewal; Texas Medicaid approves up to 90 days per request.
Set up in minutes
App downloaded, device paired, first reading taken.
Your team sees only what matters
Above goal: an app notification. Critical: a text to your care coordinator. Your RN or NP acts under your escalation protocol.
Billed every month
Each rolling month of monitoring is billed under your clinic as home telemonitoring, S9110 with the U3 modifier.
- Finds eligible patients
- Prior authorizations and renewals
- Provides the app under your name
- Device, cuff, and patient training
- Watches readings and flags alerts
- Sends readings to your EMR
- Bills S9110-U3 monthly
- Approves the patient list
- Provider signs the enrollment form
- RN or NP reviews alerts
- Telehealth visit when a reading is critical
A Texas Medicaid patient with hypertension and at least one of these:
- Two or more hospitalizations in the prior 12 months
- Frequent or recurrent emergency department visits
- Documented poor medication adherence
- Documented fall risk
- Documented challenges accessing care
Diabetes qualifies under the same rule; this program is built around blood pressure. Prior authorization is required and is approved up to 90 days at a time.
The measures this program sits closest to.
Three places a daily home reading connects to what HRSA and Texas Medicaid already ask of a health center.
Controlling High Blood Pressure
Patients 18 to 85 with hypertension whose most recent reading is below 140/90. HRSA recognizes 80% as leading performance, the same goal Million Hearts sets. Daily home readings keep the patients who rarely come in connected to your care team.
Heart Health badge
Earned by meeting at least three of four measures at 80%: tobacco screening and cessation, aspirin or antiplatelet therapy for ischemic vascular disease, statin therapy, and controlling high blood pressure. Every alert call is also a chance to close tobacco and statin gaps.
Spikes seen at home, not in the ED
Frequent emergency department visits are one of the five risk factors that qualify a patient. A daily reading puts a rising number in front of your care team from home, while there is still time to act on it.
Let’s explore the value together.
Pilot it with 50 patients and see the patient value yourself. A short kickoff call, provider signatures on the enrollment forms, and we take it from there.
Program rules as published by Texas Medicaid (TMHP) for 2026: FQHCs and RHCs bill S9110 with the U3 modifier for dates of service from January 1, 2026, replacing G0511. Medicaid managed care plans may apply their own administrative procedures. Measure definitions from HRSA’s Uniform Data System and Community Health Quality Recognition.
Texas Medicaid telemonitoring, answered.
Program rules as Texas Medicaid publishes them, and how the work splits between your clinic and OptimIQ.
- Can FQHCs and rural health clinics bill Texas Medicaid for home telemonitoring?
- Yes. Federally qualified health centers and rural health clinics became eligible Texas Medicaid providers of home telemonitoring on September 1, 2024.
- What code does an FQHC or RHC bill for home telemonitoring in 2026?
- For dates of service on or after January 1, 2026, FQHCs and RHCs bill S9110 with the U3 modifier, which replaces G0511. The unit of reimbursement is a rolling month of monitoring.
- Which Texas Medicaid patients qualify for home telemonitoring?
- A patient with diabetes or hypertension plus at least one of five risk factors: two or more hospitalizations in the prior 12 months, frequent or recurrent emergency department visits, documented poor medication adherence, documented fall risk, or documented challenges accessing care. This program is built around blood pressure.
- Is prior authorization required?
- Yes. Prior authorization is required and is approved for up to 90 days per request. OptimIQ submits the request and each renewal. Medicaid managed care plans may apply their own administrative procedures.
- What does the clinic have to do?
- Approve the patient list, have a provider sign each enrollment form, and have an RN or NP review alerts under your escalation protocol, with a telehealth visit when a reading is critical. OptimIQ finds eligible patients, provides the app under your name, supplies the device, cuff, and patient training, watches readings, sends them to your EMR, and bills monthly.
- Which quality measure does daily blood pressure monitoring support?
- Controlling High Blood Pressure on UDS Table 7: patients 18 to 85 with hypertension whose most recent reading is below 140/90. HRSA recognizes 80% as leading performance, the same goal Million Hearts sets. It is also one of the four measures behind the HRSA Heart Health badge.
- How do we start?
- With a pilot of 50 patients. A short kickoff call, provider signatures on the enrollment forms, and OptimIQ takes it from there.
Start a telemonitoring program.
We will walk you through eligibility, enrollment, and billing for your clinic.