March 31, 2025

• In-Person Requirements: The requirement that tele-behavioral/mental health patients must have an in-person visit within six months of their initial telehealth visit and annually thereafter remains waived.
• Geographic Restrictions: Geographic restrictions, such as the requirement for patients to be located in rural areas, remain waived.
• Expanded Provider Types: Any health care provider who is eligible to bill Medicare for covered services may continue to provide and bill for telehealth services, expanding beyond the previously limited list of eligible provider types.
• Acute Hospital Care at Home: Hospitals continue to receive reimbursement for acute care services provided through telehealth to patients in their homes.
• FQHCs and Rural Health Clinics: Federally qualified health centers (FQHCs) and rural health clinics remain eligible distant sites (i.e., location of the practitioner) for telehealth services.

December 31, 2025

• Bill telehealth visits using same CPT codes as in person visits with addition of modifiers to identify telehealth visits.
• Allow the use of live video to meet direct supervision requirements.
• Distant site practitioner can use currently enrolled practice location instead of home address when providing telehealth services.
• Telemedicine flexibilities allowing prescribing of schedule II-V controlled substances via telemedicine without an in-person evaluation.

Permanent

• Audio-only provision of mental health services in Medicare
• The patient’s home as an acceptable originating site in Medicare
• Virtual supervision of some “incident to” services