Remote Patient Monitoring in New York.
Real-time vital sign monitoring with FDA-cleared cellular devices. Medicare billing, NY Medicaid coverage, and compliance details for New York providers.
How does RPM work for providers in New York?
Remote Patient Monitoring (RPM) is available to New York providers through Medicare CPT codes 99453, 99454, 99457, 99458. Medicare covers RPM federally at uniform rates. NY Medicaid provides full supplementary coverage for dual-eligible patients. With 3.4M residents aged 65+ (17.5% of the population) and high prevalence of heart disease, diabetes, COPD, New York has strong demand for continuous vital sign monitoring. CCN Health provides FDA-cleared cellular devices and automated EHR documentation — integrating with 5+ major health systems including NewYork-Presbyterian and Northwell Health implementing RPM programs. New York's dense urban healthcare market supports strong adoption of remote care programs.
Medicare Billing
RPM billing in New York.
RPM uses federally standardized CPT codes with uniform reimbursement across New York. NY Medicaid provides full supplementary Medicaid coverage for dual-eligible patients.
Initial setup and patient education for RPM device(s)
Device supply with daily recordings, per 30 days
Remote physiologic monitoring treatment, first 20 min/month
Each additional 20 min of RPM treatment management
~$175-$220/mo per patient
20 minutes of interactive communication per month (99457); 16 days of data transmission per 30-day period (99454)
Medicare covers RPM federally at uniform rates. NY Medicaid provides full supplementary coverage for dual-eligible patients.
Billing Requirements
FDA-cleared device required for data collection
Patient must transmit data for at least 16 of 30 days
Established patient with in-person visit within prior 12 months
Patient consent required before initiating monitoring
Clinical staff must review and act on transmitted data
New York Medicaid Supplement
NY Medicaid provides full supplementary coverage for dual-eligible RPM patients. Providers can bill both Medicare and Medicaid to maximize reimbursement for RPM services. New York's telehealth parity law supports remote RPM delivery at equivalent reimbursement rates.
New York-Specific Billing Considerations
SHIELD Act data security requirements
Enhanced breach notification requirements
Regulatory Landscape
RPM compliance in New York.
Beyond federal Medicare requirements, New York has specific telehealth, licensure, and privacy regulations that affect RPM programs.
Telehealth Parity
- *New York has telehealth parity legislation requiring RPM services to be reimbursed at equivalent rates compared to in-person visits.
- *New York has strong telehealth parity laws established during COVID-19 and made permanent. Active in value-based care initiatives.
Interstate Licensure
- *New York is not currently a member of the Interstate Medical Licensure Compact. Providers delivering RPM services must hold a valid New York medical license.
State Privacy Law
- *NY SHIELD Act applies to RPM data collection, storage, and transmission. Patient consent must be obtained before initiating device monitoring.
- *RPM devices that collect biometric data may trigger additional NY SHIELD Act requirements beyond HIPAA.
Additional Requirements
- *SHIELD Act data security requirements
- *Enhanced breach notification requirements
EHR Integrations
RPM-compatible EHRs.
Major New York health systems like NewYork-Presbyterian and Northwell Health use EHR platforms that CCN Health integrates with. Each integration includes automated RPM documentation, billing, and clinical workflows.
PointClickCare
665 integration guides
ALIS
663 integration guides
MatrixCare
663 integration guides
August Health
663 integration guides
Ethizo
240 integration guides
athenahealth
240 integration guides
Charm Health
240 integration guides
Epic
240 integration guides
FAQ
RPM in New York questions.
New York's dense healthcare market and 5+ major health systems like NewYork-Presbyterian and Northwell Health create strong infrastructure for RPM adoption. NY Medicaid provides full supplementary coverage, maximizing dual-eligible revenue. High prevalence of heart disease, diabetes, COPD among New York's patient population drives RPM enrollment.
NY Medicaid provides full supplementary coverage for RPM services. Medicare covers RPM federally at uniform rates. NY Medicaid provides full supplementary coverage for dual-eligible patients. For dual-eligible beneficiaries, providers can bill both Medicare and Medicaid to maximize reimbursement.
New York has telehealth parity legislation requiring RPM services to be reimbursed at equivalent rates compared to in-person visits. New York has strong telehealth parity laws established during COVID-19 and made permanent. Active in value-based care initiatives.
New York's 3.4M seniors (17.5% of the population, +15% by 2035 projected growth) represent the primary RPM-eligible population. The state's high prevalence of heart disease and diabetes makes blood pressure monitors, glucose meters, and weight scales the most-deployed RPM devices. New York's high Medicare Advantage penetration means many seniors are already enrolled in plans that support RPM. Dual-eligible patients in skilled nursing and assisted living settings often have the highest clinical acuity and RPM engagement.
New York has approximately 3.4M residents aged 65+ (17.5% of the population), with +15% by 2035 projected growth. Dense urban population with sophisticated healthcare infrastructure. Strong adoption of RPM in skilled nursing and home health. Value-based care models drive preventive monitoring.
RPM in New York must comply with federal Medicare billing requirements and HIPAA. New York's NY SHIELD Act adds state-level data protection requirements for patient health information collected through RPM devices and platforms. New York is not part of the Interstate Medical Licensure Compact — providers must hold a valid New York license to deliver RPM services. Additional New York-specific requirements include: SHIELD Act data security requirements; Enhanced breach notification requirements. New York has strong telehealth parity laws established during COVID-19 and made permanent. Active in value-based care initiatives.
This page provides general informational guidance only and does not constitute legal, compliance, or billing advice. Telehealth regulations, Medicaid coverage, and state privacy laws change frequently. Verify current requirements with your state health department, payers, and qualified healthcare compliance counsel before making program decisions. Demographic data is based on U.S. Census Bureau estimates. Data last verified: March 2026.
Other Programs
More programs in New York.
Explore other Medicare remote care programs available to New York providers.
CCM
Chronic Care Management
Non-face-to-face care coordination for patients with multiple chronic conditions.
PCM
Principal Care Management
Focused management of a single high-complexity chronic condition.
BHI
Behavioral Health Integration
Behavioral health screening and collaborative care in primary care settings.
RTM
Remote Therapeutic Monitoring
Therapy outcome monitoring for musculoskeletal and respiratory rehabilitation.