CMS Announces 2026 Medicare Updates: A Step Forward for Connected Care
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KangarooHealth is a team of healthcare, clinical, and technology experts working together to strengthen access, enhance care delivery, and support providers through intelligent, patient-centered solutions.
CMS has finalized its 2026 Medicare Physician Fee Schedule (PFS), bringing forward new opportunities for providers focused on connected care. The final rule outlines updates that impact how Remote Patient Monitoring (RPM) and other care management programs are delivered and reimbursed.
The Centers for Medicare & Medicaid Services (CMS) has released the 2026 Medicare Physician Fee Schedule (PFS) Final Rule, bringing several important updates that will influence how providers deliver and manage remote patient care.
As part of these updates, CMS finalized two previously proposed CPT codes for Remote Patient Monitoring (RPM), expanding clinical flexibility and supporting long-term program sustainability:
- CPT 99445 — covers 2–15 days of RPM data collection
- ~$47 - 2026 National Average Reimbursement Rate
- CPT 99470 — covers the first 10–19 minutes of RPM management
- ~$26 - 2026 National Average Reimbursement Rate
These new codes create greater opportunity for providers to tailor monitoring and outreach to each patient’s unique needs, supporting timely intervention, better engagement, and continued program growth.
In addition to RPM, the 2026 Final Rule includes updates to:
- Advanced Primary Care Management (APCM) services
- Federally Qualified Health Center (FQHC) and Rural Health Clinic (RHC) billing
- Preventive and wellness services, including AWVs
- Virtual care compliance and documentation requirements
“CMS continues to show strong support for the evolution of connected care,” said Dr. Kang, CEO of KangarooHealth. “These new codes empower providers to engage patients more meaningfully and operate programs that are both clinically effective and financially sustainable.”
At KangarooHealth, we remain committed to helping healthcare organizations navigate change with confidence, delivering the technology, clinical coordination, and insights needed to strengthen patient access and outcomes.
Join our insider session on November 19th at 2:00 pm ET as we break down the new RPM CPT codes (99445 & 99470), review billing updates for FQHCs and RHCs, explore the Rural Health Fund, and share practical strategies to integrate these changes into your programs. Attendees will gain actionable insights to enhance patient engagement, maintain compliance, and ensure sustainable connected care delivery.
KangarooHealth
AuthorKangarooHealth is a team of healthcare, clinical, and technology experts working together to strengthen access, enhance care delivery, and support providers through intelligent, patient-centered solutions.
