Short answer
In about half the states, possibly.
APTA's State Medicaid Payment Rate Guide lists 25 states as possibly reimbursing RTM. That guide is for APTA members only, so we report it secondhand, and we have not checked each state's own fee schedule.
States APTA lists as possibly reimbursing RTM (25)
Arizona, Colorado, Connecticut, Delaware, Georgia, Hawaii, Indiana, Iowa, Kentucky, Maine, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, New Jersey, New Mexico, North Carolina, Ohio, Rhode Island, Utah, Virginia, Wyoming.
States not on that list (26)
Alabama, Alaska, Arkansas, California, District of Columbia, Florida, Idaho, Illinois, Kansas, Louisiana, Maryland, Nevada, New Hampshire, New York, North Dakota, Oklahoma, Oregon, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Vermont, Washington, West Virginia, Wisconsin.
Not being on the list is not proof a state does not pay. It means APTA's guide did not list it. Texas Medicaid is reported as not reimbursing RTM.
How to check your state
- Open your state's Medicaid fee schedule. They are public, and they are the authoritative source. Search it for 98975, 98977, 98980 and the 2026 codes 98979 and 98985.
- If your patient is in Medicaid managed care (Centene, Molina and others), the plan generally follows the state's rules, but confirm with the plan.
- Record what you find with the date, so the next therapist does not repeat the search.
Found your state's answer? Send it to contact@rehabityhealth.com and we will add it, with credit.
Other payers
How to use this page
This is a summary of a published payer document. It is not coverage advice and it cannot tell you whether one patient's claim will pay. The line of business, the employer's plan document and the patient's eligibility all sit between a policy and a payment. Our coverage guide walks through how to verify for a specific patient, and how to bill RTM covers the rest of the claim.
Policies change, usually in January. If you have a newer document or a remittance that contradicts this page, send it to contact@rehabityhealth.com and we will update the page.
Rehabity builds home exercise and remote therapeutic monitoring software for outpatient physical therapy clinics. We researched payer policy because we needed the answer ourselves. If you want to see what we build, read about the therapist side or join the waitlist.