As a medical provider, it’s important to stay informed about Medicare’s telehealth policies to ensure compliance and provide the best care for your patients. While current policies allow flexibility, changes are on the horizon. Here’s what you need to know:
What Is Telehealth? Telehealth refers to medical or health services delivered remotely using technology for real-time communication between providers and patients. Until December 31, 2024, this includes services provided by physical therapists, occupational therapists, speech-language pathologists, and audiologists. Many in-person services, such as psychotherapy and office visits, can also be delivered through telehealth.
Policy Through December 31, 2024 Until the end of 2024, Medicare allows telehealth services to be provided to patients at any location in the U.S., including the patient’s home.
Policy Changes Starting January 1, 2025 After December 31, 2024, most telehealth services will only be covered if the patient is in an office or medical facility located in a rural area. However, certain services will remain covered regardless of the patient’s location, including:
- Monthly End-Stage Renal Disease (ESRD) visits for home dialysis.
- Acute stroke diagnosis, evaluation, or treatment services (including in mobile stroke units).
- Treatment for substance use disorders, co-occurring mental health disorders, or other mental health conditions, including services provided in the patient’s home.
- Behavioral health services (mental health services), including from the patient’s home.
- Diabetes self-management training.
- Medicare nutrition therapy.
Key Takeaways for Providers
- Flexibility Until 2025: You can continue providing telehealth services to Medicare patients at their homes or any location in the U.S. until December 31, 2024.
- Prepare for Transition: Start planning for the policy change requiring most telehealth services to be delivered from rural offices or facilities after 2024.
- Exceptions to the Rule: Familiarize yourself with the services that remain eligible regardless of patient location, such as mental health and stroke-related care.
Stay Updated As these policies may evolve, ensure your team stays informed of any changes to Medicare’s telehealth guidelines. For more details on the Final Rule, view the CMS newsletter here: Calendar Year CY 2025 Medicare Physician Fee-schedule Final Rule.
By staying proactive, you can continue to provide compliant and effective telehealth care for your patients.
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