--- title: The Government Shutdown, Telehealth and Medicare description: Telehealth reimbursement affected by inaction on PHE-related flexibilities and government shutdown. image: https://go.northwestahec.wakehealth.edu/hubfs/Update%20hand%20writing%20with%20a%20blue%20mark%20on%20a%20transparent%20board-1.jpeg --- [![nwahec.png](https://go.northwestahec.wakehealth.edu/hs-fs/hubfs/WFUSM_NWAHEC%20Cobranding%20Logo_H_RGB.png?width=2025&height=300&name=WFUSM_NWAHEC%20Cobranding%20Logo_H_RGB.png "nwahec.png")](https://go.northwestahec.wakehealth.edu/) - [Home](https://go.northwestahec.wakehealth.edu) - [What's New at NWAHEC Blog](https://go.northwestahec.wakehealth.edu/blog) - [NWAHEC Staff](https://go.northwestahec.wakehealth.edu/staff) - [Practice Support Updates](https://go.northwestahec.wakehealth.edu/practicesupport) # Practice Support Update Blog ## [The Government Shutdown, Telehealth and Medicare](https://go.northwestahec.wakehealth.edu/practicesupport/the-government-shutdown-telehealth-and-medicare) Oct 8, 2025 12:29:59 PM / by [Practice Support Team](https://go.northwestahec.wakehealth.edu/practicesupport/author/practice-support-team) - [Tweet](https://twitter.com/share) ***From MLN Connects Newsletter, Special Edition: October 1, 2025:*** ### **What’s Changing with Medicare Telehealth?** 1. **Fewer Services Will Be Covered** Many telehealth services that were allowed during the COVID-19 emergency will **no longer be covered** unless Congress acts. This mostly affects **non-mental health services**. 2. **As prior to COVID -19 Flexibilities, Where the Patient Is Matters** Patients must be in **rural areas** or certain medical facilities to get Medicare-covered telehealth (except for mental health care). *Services from home will not be covered for most types of care.* 3. **Mental Health Services Are Still Covered** Telehealth for **mental and behavioral health** can still be done from home. However, patients must have an **in-person visit at least once every year** to keep using telehealth for these services.  4. **Advance Notice May Be Needed** If a provider offers a telehealth service that Medicare won’t pay for, they may need to give the patient an **Advance Beneficiary Notice** to explain the cost. 5. **Some Providers Can Still Use Telehealth Freely** Providers in **Medicare Shared Savings Program ACOs** can continue offering telehealth **without location limits**, even after October 1.   Source: [https://www.cms.gov/medicare/payment/fee-for-service-providers](https://www.cms.gov/medicare/payment/fee-for-service-providers)  This edition of the newsletter was sent to subscribers on October 1.  You are encouraged to subscribe to updates from CMS. [Archived editions of the newsletter are available here.](https://www.cms.gov/training-education/medicare-learning-network/newsletter#Archive) Tags: [telehealth](https://go.northwestahec.wakehealth.edu/practicesupport/topic/telehealth), [medicare](https://go.northwestahec.wakehealth.edu/practicesupport/topic/medicare), [CMS](https://go.northwestahec.wakehealth.edu/practicesupport/topic/cms) ![Practice Support Team](https://go.northwestahec.wakehealth.edu/hs-fs/hubfs/CircleNWAHEC-2022-3.png?width=100&height=100&name=CircleNWAHEC-2022-3.png) #### Written by [Practice Support Team](https://go.northwestahec.wakehealth.edu/practicesupport/author/practice-support-team) This is a search field with an auto-suggest feature attached. - There are no suggestions because the search field is empty. ### Practice Support Services Health care practices in North Carolina face many challenges. 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Check Out These Recent Posts # About Us The Northwest Area Health Education Center of Wake Forest University School of Medicine provides and supports educational activities and services with a focus on primary care in rural communities and those with less access to resources to recruit, train and retain the workforce needed to create a healthy North Carolina. 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