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Regulatory Timeline
Medicare Care Management Timeline
Major CCM, RPM, RTM, APCM, and ACCESS Model milestones, each sourced to an official CMS or Federal Register document. Last reviewed: November 4, 2026.
January 2015
CURRENT
CCM Launches (CPT 99490)
CMS introduces Chronic Care Management under CPT 99490 in the Medicare Physician Fee Schedule, covering 20 minutes per month of clinical-staff care coordination for patients with 2+ chronic conditions.
CMS Physician Fee Schedule
January 2016
CURRENT
CCM Expanded to FQHCs and RHCs
CPT 99490 becomes fully available to Federally Qualified Health Centers and Rural Health Clinics.
CMS Physician Fee Schedule
January 2019
CURRENT
RPM Codes Added (99453, 99454, 99457)
CMS adds three Remote Physiologic Monitoring codes to the Physician Fee Schedule, covering device setup, data supply, and treatment-management time.
CMS Physician Fee Schedule
January 2020
CURRENT
RPM Add-On Code 99458
CMS adds CPT 99458, an add-on code for additional RPM treatment-management time beyond the first 20 minutes.
CMS Physician Fee Schedule
January 2022
CURRENT
RTM Launches (98975-98981)
CMS finalizes the CY2022 Physician Fee Schedule, adding five Remote Therapeutic Monitoring codes covering musculoskeletal and respiratory-system monitoring.
CMS CY2022 Physician Fee Schedule Final Rule
January 2025
CURRENT
APCM Launches (G0556, G0557, G0558)
CMS finalizes coding and payment for Advanced Primary Care Management — three new HCPCS codes bundling several care-management and communication-technology services into one flat monthly payment tied to a patient's chronic-condition tier.
CMS Care Management Services overview
July 5, 2026
CURRENT
CMS ACCESS Model Launches
CMS Innovation Center launches the ACCESS Model (Advancing Chronic Care with Effective, Scalable Solutions), a 10-year payment model organized around specific clinical tracks, combining an Outcome-Aligned Payment with a co-management payment to the primary care provider.
CMS Innovation Center — ACCESS Model
July 14, 2026
PROPOSED
CY2027 Physician Fee Schedule Proposed Rule Published
CMS publishes its CY2027 proposed rule, including proposals to require an initiating visit for RPM and RTM and to restrict RPM/RTM billing to direct employees of the billing practice. Not finalized as of this page's last review.
Federal Register
April 1, 2027
SCHEDULED
ACCESS Model: Second Clinical Tracks Begin
A second set of ACCESS Model clinical tracks is scheduled to begin, per CMS's published rollout schedule.
CMS Innovation Center — ACCESS ModelStay Ahead of Regulatory Changes
ChronicSync tracks CMS updates relevant to CCM, RPM, RTM, and APCM as they are published.