Medicaid covers remote patient monitoring, but coverage does vary significantly from state to state. For direction on coverage, the Center for Connected Health Policy (CCHP) released its summary of state telehealth policy changes for Fall 2025. The most current policy information is housed in the CCHIP policy finder tool, where state policy can be exported into a PDF document.
This guide explains which states Medicaid covers for remote patient monitoring and how Medicaid remote patient monitoring coverage is determined.
Medicaid Remote Patient Monitoring Coverage Across States
70 million people with limited income are enrolled in Medicaid. This statistic shows the need for RPM is substantial. Medicaid beneficiaries are more likely to develop chronic diseases like heart failure, diabetes, and cancer than those without Medicaid. And, the Centers for Medicare (CMS) and Medicaid services understand the need is great for remote patient monitoring services among this population.
Medicare reimbursement for remote patient monitoring services differs from Medicaid and private insurance coverage. With Medicaid, each state specifies its policies and conditions for Medicaid remote patient monitoring services reimbursement. Therefore, each state can decide the following.
- Whether to cover remote patient monitoring
- What conditions are eligible for RPM
- Where in the state RPM can be utilized
- What types of restrictions will be enforced
- How much to reimburse for RPM services
Exploring Medicaid Remote Patient Monitoring by State
Medicaid coverage for remote patient monitoring devices and services is rapidly expanding but not universal. Medicaid does not cover RPM services in all states. In the next section, we’ll review which states cover RPM services. In addition, as of late 2025, the Center for Connected Health Policy lists the following 41 states that offer some form of Medicaid reimbursement for RPM.
| Region | States with Medicaid RPM Reimbursement |
| Northeast | CT, DE, ME, MA, NH, NJ, NY, RI, VT |
| Midwest | IL, IN, IA, KS, MI, MN, MO, NE, ND, OH, SD, WI |
| South | AL, AR, DC, GA, KY, LA, MD, MS, NC, OK, SC, TN, TX, VA, WV |
| West | AK, AZ, CA, CO, HI, NV, NM, OR, UT, WA, WY |
As of late 2025, there are 42 state Medicaid programs that provide reimbursement for RPM New Jersey was added to the count since our in 2025 due to RPM codes found in a New Jersey Medicaid Operational Manual.
The review period for the State Telehealth Laws and Reimbursement Policies Report took place between May 2025 and September 2025. This data reflects the latest updates available in CCHP’s Policy Finder. It is important to note that some states may have enacted significant legislative changes or administrative policies after CCHP review. These changes might not be included in this updated list.
Some states not listed above have laws requiring Medicaid coverage of RPM services; however, they lack official policies that explicitly state coverage. Each state has unique rules and regulations for remote patient monitoring coverage. For more information about your state’s Medicaid reimbursement guidelines for RPM, visit the CCHP website.
The following section describes updates Medicaid programs are responding to the COVID-19 pandemic.
Understanding Medicaid Remote Patient Monitoring State by State
Medicare and Medicaid telehealth coverage is not the same. States have the power to determine Medicaid coverage for remote patient monitoring services. Unlike Medicare, each state can decide on its own rules and regulations for RPM reimbursement if they decide to reimburse for RPM at all. Remote patient monitoring allows clinicians to provide care between visits, identify complications early, and provide treatment before symptoms exacerbate.
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