Medicare to Stop Telehealth Services October 1, 2025

Posted by machesta @machesta, Sep 24 10:06am

According to Medicare, starting October 1, 2025, you must be in an office or medical facility located in a rural area (in the U.S.) for most telehealth services.

Through September 30, 2025, you can get telehealth services at any location in the U.S., including your home. Starting October 1, 2025, you must be in an office or medical facility located in a rural area (in the U.S.) for most telehealth services. If you aren't in a rural health care setting, you can still get certain Medicare telehealth services on or after October 1, including:
• Monthly End-Stage Renal Disease (ESRD) visits for home dialysis
• Services for diagnosis, evaluation, or treatment of symptoms of an acute stroke wherever you are, including in a mobile stroke unit
• Services for the diagnosis, evaluation, or treatment of a mental and/or behavioral health disorder (including a substance use disorder) in your home.

This policy is going to affect those of us who live in one state and have their MAC/Bronchiectasis health care providers in another state. Connect your local lawmakers to help change this policy!!

Interested in more discussions like this? Go to the MAC & Bronchiectasis Support Group.

I googled yesterday when I saw this and sent my (R) senator an email. I guess I should send one to the others, too, rather than assuming they'll support it.

REPLY
Profile picture for blm1007blm1007 @blm1007blm1007

@jerce Thanks. Also ACO participants are per CMS.gov:
https ://www.cms.gov/priorities/innovation/key-concepts/accountable-care-and-accountable-care-organizations.
Groups of doctors, hospitals, and other health care professionals that work together to give patients high-quality, coordinated service and health care, improve health outcomes, and manage costs. ACOs may be in a specific geographic area and/or focused on patients who have a specific condition, like chronic kidney disease.
Barbara

Jump to this post

REPLY

Thanks, Barbara. I was too lazy to put in the details. I don’t know how I learned about the ACOs several months ago. It put my mind at ease because one of my long term doctors offers telemed due to his health issues.

REPLY
Profile picture for blm1007blm1007 @blm1007blm1007

@jerce Thanks. Also ACO participants are per CMS.gov:
https ://www.cms.gov/priorities/innovation/key-concepts/accountable-care-and-accountable-care-organizations.
Groups of doctors, hospitals, and other health care professionals that work together to give patients high-quality, coordinated service and health care, improve health outcomes, and manage costs. ACOs may be in a specific geographic area and/or focused on patients who have a specific condition, like chronic kidney disease.
Barbara

Jump to this post

The telehealth Medicare flexibilities were added in 2020 because of Covid and are now set to expire. Congress is trying to pass a bill to keep it. A government shutdown could delay it.

REPLY
Profile picture for maryjanechilds @maryjanechilds

The telehealth Medicare flexibilities were added in 2020 because of Covid and are now set to expire. Congress is trying to pass a bill to keep it. A government shutdown could delay it.

Jump to this post

@maryjanechilds @jerce @blm1007blm1007 and all -
The best info I can find is that if your provider is an ACO this "STOP" on October 1st does not apply. As mary Jane says, Congress is trying to fix this as part of the budget reconciliation bill. Since it actually SAVES money for Medicare and Medicaid, and patients across all states will be affected, it is likely to make it through.
Fingers crossed!🤞

REPLY
Profile picture for Sue, Volunteer Mentor @sueinmn

@maryjanechilds @jerce @blm1007blm1007 and all -
The best info I can find is that if your provider is an ACO this "STOP" on October 1st does not apply. As mary Jane says, Congress is trying to fix this as part of the budget reconciliation bill. Since it actually SAVES money for Medicare and Medicaid, and patients across all states will be affected, it is likely to make it through.
Fingers crossed!🤞

Jump to this post

@sueinmn Hi Sue. I’ve trued to find out where/how one is able to find out if their doctors are part of ACO without luck. Do you have any idea where to look?

Thank you.

REPLY
Profile picture for uma1 @uma1

@sueinmn Hi Sue. I’ve trued to find out where/how one is able to find out if their doctors are part of ACO without luck. Do you have any idea where to look?

Thank you.

Jump to this post

@uma1 I got the answer from the business office of the clinic where most of my providers practice. They are planning on a "sunset date" of December 31st sunset for most parts of the practice, and hoping for better news. According to one of my docs, they are trying to reimagine the practice as it has operated for as long as 10 years, and figure out how to serve patients in remore locations.

REPLY
Profile picture for Sue, Volunteer Mentor @sueinmn

@uma1 I got the answer from the business office of the clinic where most of my providers practice. They are planning on a "sunset date" of December 31st sunset for most parts of the practice, and hoping for better news. According to one of my docs, they are trying to reimagine the practice as it has operated for as long as 10 years, and figure out how to serve patients in remore locations.

Jump to this post

@sueinmn Thank you, Sue. I’ll check with my doctors tomorrow. Very helpful!

REPLY

I just used AI and asked are the Doctors at the University of Iowa part of an ACO. The answer came back that they are.

REPLY
Please sign in or register to post a reply.