SleepioRx¹ is an FDA-cleared digital treatment for insomnia disorder delivering guideline-recommended cognitive behavioral therapy (CBT) through video and audio lessons in a mobile app. Designed by sleep experts, the treatment helps patients understand unhealthy patterns and address the thoughts and behaviors that sustain insomnia. CBT techniques delivered in an engaging and interactive format help patients overcome insomnia, quickly.
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1. SleepioRx is a digital therapeutic intended for the treatment of chronic insomnia/insomnia disorder as an adjunct to usual care in patients aged 18 and older. SleepioRx is a prescription device delivering Cognitive Behavioral Therapy for Insomnia (CBT-I) and can be made available on the order of a licensed healthcare provider. Patients should read the instructions for use for full information.

SleepioRx has been tested to the highest standards of clinical evidence in 26 clinical trials, including 18 randomized controlled trials (RCTs). Across these studies, SleepioRx outperforms rigorous controls, including sham-placebo, usual care, and sleep hygiene, with up to 76% of SleepioRx patients achieving healthy sleep by post-treatment.^1-4 Data suggest that patients continue to experience benefits 1 year or longer after starting SleepioRx.^5,6
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1. Espie et al. (2012). SLEEP, 35(6), 769-781.
2. Tamm et al. (2025). JAMA Network Open, 8(2), e2461502-e2461502.
3. Tarnai et al. (2025). Aging and Mental Health, 1-7
4. Internal RCT data, August 2023.
5. Luik et al. (2020). Journal of Sleep Research, 29(4), e13018.
6. Cheng et al. (2021). SLEEP, 44(4), zsaa258.

The Centers for Medicare & Medicaid Services (CMS) has finalized three new Digital Mental Health Treatment (DMHT) codes in the Calendar Year (CY) 2025 Medicare Physician Fee Schedule as of January 1, 2025, allowing providers a reimbursement opportunity for prescribing DMHTs like SleepioRx and DaylightRx to Medicare patients. While we are actively engaging other insurance carriers to expand coverage, these DMHT codes are not a guarantee of reimbursement.

Licensed providers who are able to offer behavioral therapy or behavioral health care within their scope of practice can order SleepioRx and bill for the codes.This includes the following practitioners:

- Psychiatrists & other doctors (MDs, DOs)
- Clinical psychologists
- Clinical social workers (LCSWs, LICSWs)
- Advanced practice nurses/Nurse practitioners (NPs)
- Physician assistants (PAs)
- Marriage & family therapists (LMFTs)
- Mental health counselors

Check commercial payer policies for restrictions. The billing practitioner or a colleague should oversee patient care and adjust treatment as needed. They may also supervise non-qualifying practitioners in providing these services.

Like other covered services, patients may have a cost share according to their specific plan policies. Traditional Medicare requires a 20% coinsurance for all practitioner services, including these codes, though nearly 90% of people have some form of supplemental coverage, which may cover all or part of the coinsurance depending on plan policies.¹ Medicare Advantage, Commercial, and Medicaid patient cost-share obligations are dependent on specific plan policies.

1. Kaiser Family Foundation, September 2024