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 

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.