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RPM in Medicare and Medicaid available but limited

Physician Practice Insider, December 15, 2015

Reimbursement for remote patient monitoring (RPM) is becoming more common among private payers, but it’s still far from mainstream in Medicaid and Medicare, despite recent expansions.

CMS introduced new billing codes for Medicare in January for remote chronic care management for patients, a move telemedicine advocates hailed as “a long time coming.” And for Medicaid, less than one-third of states have a reimbursement policy for RPM services; further, most of those policies limit what type of patients and agencies can be reimbursed for care.

According to a July 2015 report from the Center for Connected Health Policy (CCHP) in Sacramento, California, “only 16 states have some form of reimbursement for RPM in their Medicaid programs, an increase of six states since 2013.” The states that currently provide some type of RPM reimbursement through Medicaid include Alabama, Alaska, Colorado, Illinois, Indiana, Kansas, Louisiana, Maine, Minnesota, Mississippi, New York, South Carolina, Texas, Utah, Washington, and Vermont. Two additional states—South Dakota and Pennsylvania—reimburse providers for services provided through their department of aging services.

This article was originally published in Physician Practice Perspectives.

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