Lexology October 8, 2025
On September 30, 2025, the Medicare telehealth flexibilities enacted during the COVID-19 public health emergency expired. Effective October 1, 2025, coverage reverted to pre-pandemic rules under 42 U.S.C. § 1395m, limiting reimbursement based on geography, originating site, practitioner type, and service modality. Patients are generally no longer permitted to receive most services from home, and coverage for audio-only visits has been restricted primarily to behavioral and mental health services. Only certain practitioners—including physicians, nurse practitioners, physician assistants, clinical psychologists, and a limited list of others—may furnish covered telehealth services.
Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs) have different rules depending on the type of visit:
- Mental health visits: FQHCs and RHCs may continue providing mental health...
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