Federal Policy
CMS Proposes Restrictions on Remote Patient Monitoring in 2027 Fee Schedule
CMS issued the CY 2027 Physician Fee Schedule Proposed Rule limiting remote patient monitoring and remote therapeutic monitoring services. The proposal restricts outsourced clinical staffing, imposes new billing requirements, and reduces reimbursement for certain services. Changes would take effect January 1, 2027. The restrictions reverse CMS's 2025 expansion of RPM/RTM access and could significantly affect Medicaid managed care organizations and providers using remote monitoring for chronic condition management, particularly for dialysis and other high-cost populations.
Why it mattersMedicaid managed care plans using remote patient monitoring for care management — especially for ESRD, diabetes, and other chronic conditions — face potential operational disruption and reduced federal reimbursement if states align Medicaid policies with Medicare fee schedule changes.
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