Maternal-Fetal Medicine Telehealth & Remote Patient Monitoring Resources
Maternal-fetal medicine telehealth, tele-ultrasound, remote glucose and blood pressure monitoring,
CGM data-sharing, rural health funding opportunities, and U.S. billing resources.
Last reviewed: August 24, 2026Scope: implementation, funding, policy, technology, and billing resources
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Telehealth Policies
Select region:
United States - Regulatory & Billing
Medicare telehealth flexibilities: many non-behavioral telehealth flexibilities are currently extended through December 31, 2027.
RHCs and FQHCs: may continue serving as distant-site providers for eligible non-behavioral Medicare telehealth services through December 31, 2027.
Audio-only: remains permitted for certain Medicare telehealth services under current federal rules.
Billing: POS 02/10 and telehealth modifiers remain payer- and service-dependent; maternity global billing treatment varies by payer.
Billing may not use CPT; may be regulatory rather than fee-based
National telehealth standards vary (e.g., NHS England, Health Canada, Australian Digital Health Agency)
Data residency and cross-border imaging rules may apply
Some regions mandate local encryption, PACS integration, or CE-marked hardware
Rural Health Transformation & Funding
Best fit for an MFM telehealth proposal:
rural maternity access, hub-and-spoke specialty care, tele-ultrasound, remote patient monitoring,
diabetes-in-pregnancy management, workforce support, EHR/data exchange, and reduction of patient travel
all align well with current rural transformation priorities.
All 50 states received awards. First-year 2026 state awards range from about $147 million to $281 million.
Program priorities include sustainable rural access, workforce, innovative care models,
technology modernization, digital health, chronic disease management, and rural infrastructure.
Important: providers generally pursue opportunities through their state's implementation
and subaward process rather than applying directly to CMS at this stage.
California received approximately $233.6 million for FY 2026.
California's plan specifically includes rural maternity care, hub-and-spoke networks,
telehealth gap assessments, remote patient self-monitoring, e-consults, perinatal psychiatry access,
chronic disease management, EHR modernization, workforce development, and technology assistance.
HCAI is posting 2026 grant opportunities and webinars for initiatives including
EHR modernization, accelerator partners, workforce recruitment/retention, and technology/tools.
For grant questions: info@calruralhealth.org | 855-CAL-RHTP (855-225-7487).
For general CalRHT questions: CalRHT@hcai.ca.gov.
For a California MFM telehealth network, this is currently the most directly aligned funding source on this page.
HRSA Federal Office of Rural Health Policy (FORHP)
Rural network grants can be particularly useful when a tele-MFM project is built as a formal collaboration
among hospitals, clinics, FQHCs/RHCs, public agencies, and community organizations.
Eligibility caution: direct grants/loans are generally designed for public bodies,
community-based nonprofits, and Tribes rather than a conventional private for-profit medical practice.
Partnership with a rural hospital, nonprofit, clinic, or public entity may therefore be important.
Funding strategy: the strongest applications usually combine a defined rural access problem,
measurable patient travel reduction, local hospital/clinic partners, a workforce plan, technology interoperability,
a sustainability/reimbursement model, and outcome measures. For tele-MFM, consider documenting travel miles avoided,
time-to-specialty consultation, ultrasound access, diabetes control, transfers, preterm birth risk management,
and maternal/neonatal outcomes.
Gojji - Provider Remote Monitoring PlatformADDED 2026
Cellular-enabled glucose monitoring, real-time remote monitoring, clinic-facing data review, patient messaging,
and chronic-disease support services. Gojji also describes blood pressure monitoring and Dexcom CGM integration
within its SmartCare platform. This is a general diabetes/hypertension RPM platform rather than an obstetric-specific system.
Use case: Remote CGM monitoring supports faster insulin titration and safer follow-up between visits for gestational diabetes (GDM) and pregestational diabetes in pregnancy, by enabling structured review of CGM patterns and rapid communication of adjustments.
Practical workflow (clinic-ready)
Enroll + consent: confirm patient contact method, consent for electronic communication, and which data will be reviewed (CGM +/- insulin doses/meals).
Connect data-sharing: patient links CGM/app to a clinic portal (or invites clinic) so reports can be reviewed remotely.
Set expectations: review cadence (e.g., 1-2×/week initially), response times, and what triggers urgent contact (symptoms, persistent lows, ketones, etc.).
Review standardized reports: look at time-in-range, overnight patterns, post-meal excursions, and recurrent lows; document actionable interpretation.
Communicate + adjust: send dosing changes using secure messaging/phone/video; include "if/then" instructions and when to re-check.
Document: date range reviewed, key patterns, changes made, patient instructions, and follow-up plan.
What to document (quick checklist)
Device/platform used and how data was received (portal/shared report)
Dates/times of CGM data reviewed (and whether >=72 hours of usable data were available)
Objective transmission log showing >=16 distinct days of data in the 30-day period
Note who is billing RPM for that 30-day window (avoid duplicate billing)
99457 RPM treatment mgmt
Treatment management using RPM data (clinical staff/physician/QHP time)
>=20 minutes time in the service period
At least one real-time interactive communication with patient/caregiver
Note: the "16-day data" rule applies to RPM data collection, not to 99457/99458.
Time log (minutes) for RPM management work (review data -> assess -> adjust plan -> document)
Evidence of real-time two-way communication (date/time; phone/video; with patient/caregiver)
What data were reviewed + clinical decisions/changes made
Patient instructions and follow-up plan
99458 Add-on time
Add-on for additional RPM treatment management time beyond 99457
Each additional 20 minutes beyond the first 20 minutes
Must be billed with 99457 (not standalone)
Separate total time accounting showing additional 20-minute blocks
Same clinical content as 99457: data reviewed, decisions made, and communication as applicable
Clear statement that additional time was medically necessary and part of ongoing RPM management
Tip: create a standard "RPM/CGM interpretation note" template with required fields (service period, data days, minutes, interactive communication, actions taken).
How to read this table: pregnancy-specific monitoring platforms and general RPM platforms solve different problems.
INVU provides remote fetal-maternal monitoring; Babyscripts focuses on maternity RPM and care pathways;
Gojji, HRS, Tenovi, Validic, and Vivify are broader remote-monitoring platforms that can support selected MFM workflows.
Cellular RPM device connectivity for BP, glucose, weight, and other physiologic data
Cellular gateway/device ecosystem; automated transmission without requiring patient Wi-Fi or a smartphone; APIs for integration
Excellent rural fit. Particularly useful where broadband, smartphones, or digital literacy are barriers. Tenovi also lists a fetal Doppler in its device catalog.
Contact information policy: this page favors official vendor contact/demo pages over individual sales representatives.
Generic company phone numbers and emails are included only when they are currently published by the vendor.
Verify contact details before procurement because vendor ownership, product names, and sales channels can change.
Telehealth Billing & CPT Overview (U.S.)
Educational summary only-verify with AMA/CMS/payers.
POS 02 Telehealth outside home
POS 10 Telehealth in home
95 audio-video | 93 audio-only
OB global billing rules differ by payer
Recommend separate printable cheat sheet per payer.
