MedicaidCoverageMedium impact
Coverage for Remote Physiologic Monitoring
Nebraska Medicaid·NE · Cardiology, OB-GYN, Family Medicine +1 more·Medical Policy
Effective date
Jul 1, 2026
We identified it
Jun 21, 2026
Summary
Nebraska Medicaid will begin covering Remote Physiologic Monitoring (RPM) services effective July 1, 2026, for patients with heart failure or hypertensive disorders of pregnancy. Six new billing codes (99453, 99454, 99455, 99457, 99458, 99470) are now available with specific documentation and eligibility requirements.
Action Required
By July 1, 2026: Billing team must add RPM codes 99453, 99454, 99455, 99457, 99458, and 99470 to billing system for Nebraska Medicaid patients. Update encounter forms and EMR templates to include required documentation elements: patient consent, FDA-approved device verification, home environment assessment, clinical goals, and monitoring duration. Providers must verify patients have heart failure or hypertensive disorders of pregnancy and are established patients before ordering RPM services.