Remote Patient Monitoring

POLICY

Services provided via asynchronous communication are not reimbursable under Idaho Medicaid. However, remote monitoring services are covered for established patients.  Remote Therapeutic Monitoring (RTM) and Remote Physiological Monitoring (RPM) cannot be billed together and must be billed as a distinct and separate service.

SOURCE:  Idaho Medicaid Provider Handbook. General Information and Requirements for Providers.  (Dec. 23, 2025), Sections 9.15 p. 127, Idaho MedicAide May 2023.  (Accessed Mar 2026).

Idaho Medicaid will reimburse for 99470 – Management using the results of remote physiolgic monitoring during the calendar month, first 10 minutes.

SOURCE: ID MedicAide Newsletter (Jan. 2026).  (Accessed Mar. 2026).

CONDITIONS

Must be for established patients.  Remote Therapeutic Monitoring (RTM) and Remote Physiological Monitoring (RPM) cannot be billed together and must be billed as a distinct and separate service.

SOURCE:  Idaho Medicaid Provider Handbook. General Information and Requirements for Providers.  (Dec. 23,, 2025), Sections 9.15 p. 127, (Accessed Mar. 2026).

PROVIDER LIMITATIONS

No Reference Found

OTHER RESTRICTIONS

No Reference Found