Build a Sustainable Remote Patient Monitoring Program
An adaptable care model across diverse settings
New studies show how care teams scale RPM using the Tidepool+ TIDE Dashboard — from new-onset type 1 diabetes at academic institutions to high-risk type 2 diabetes at community health centers.
A framework for scalable, sustainable RPM in type 1 diabetes
Stanford, UC Davis, and the Barbara Davis Center share what it took to build RPM programs: workflow design, digital infrastructure, communication, and reimbursement.1
CGM + RPM in a safety-net clinic, reviewed weekly in Tidepool+
An FQHC ran a 24-week care management program for adults with T2D and A1c >8%, on existing staff, with volunteer endocrinology support — improving both A1c and time in range.2
Turn patient data into an actionable worklist
TIDE Dashboard surfaces the patients who need timely attention — all within Tidepool+.
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A clear path to sustainable reimbursement
Understand the reimbursement opportunities that can help sustain an RPM program, including two new CPT codes for 2026.
Setup and training
99453
One-time setup and patient education when the program begins.
Data transmission
99454 · 99445 NEW 2026
Every 30 days of monitoring — now billable with as few as 2 days of data.
Care management
99457 · 99458 · 99470 NEW 2026
Monthly time-based codes — now starting at just 10 minutes of care management.
The Endocrines paper also details the CGM interpretation pathway (95251) and "incident-to" billing. Coverage varies by payer and state — consult your billing and compliance teams.
"An RPM program that is available to all patients and efficient for the care team demands a single, well-organized dashboard to review many patients' data at once."
Alonso GT, et al. A Framework for Scalable and Sustainable Remote Patient Monitoring in Type 1 Diabetes Care. Endocrines 2026, 7, 38.
Bring this framework to your clinic
1. Alonso GT, Reddy S, Bishop FK, Prahalad P, Khan-Gallo S, Arbiter B, Crossen SS. A Framework for Scalable and Sustainable Remote Patient Monitoring in Type 1 Diabetes Care. Endocrines. 2026; 7(3):38. https://doi.org/10.3390/endocrines7030038
2. Reddy S, Henry K, Heidenreich M, Lucas SA, Reddy S. Using CGM and RPM in Safety Net Clinics: Feasibility and Impact. Poster presented at the American Diabetes Association 86th Scientific Sessions; 2026.
3. Ferstad et al. Pediatric Diabetes. 2021;22(7):982-991.
4. Crossen S, Silva M, Warfel A, May K, Reddy S, Arbiter B. T1Dx-QI Learning Session. 2025.†
†Per patient per month for RPM in a mixed-payer real-world university clinic. Reimbursement varies by payer mix, coding and implementation.
