Medicare Telehealth Waivers Have Expired: Resources From CAP

Key resources for CAP members to navigate the expiration of telehealth waivers, effective October 1, 2025. 

 

CMS Telehealth FAQ (Updated October 15, 2025) 

A detailed overview of current Medicare telehealth policies and billing guidance. Download Now

 

In-Person Requirements for Behavioral Health

Federal Budget Impact on Healthcare
Congress has long struggled to fully fund the federal government by passing all twelve appropriations bills on time. The last time there was a fully funded government was in 1997.
Many Medicare Telehealth Flexibilities Extended Through September 30, 2025
Recent legislation authorized an extension of many of the Medicare telehealth flexibilities that were in place during the COVID-19 public health emergency through September 30, 2025.
FDA Extends the Dates of Delayed Enforcement Against Drug Compounders
The FDA announced after the February edition CAPsules was circulated that these dates have now been extended to April 22, 2025, and May 22, 2025, respectively.
2025 Physician Fee Schedule Updates: Projected Payment Reductions and Key Revisions

On November 1, 2024, the Centers for Medicare & Medicaid Services (CMS) released the final rule for the 2025 calendar year (CY), which includes significant updates to the Medicare Physician Fee Schedule (PFS) and the Quality Payment Program (QPP). 

The new payment rates and telehealth guidelines took effect on January 1, 2025. The projected 2.83% reduction in payment rates is expected to have a financial impact on physician practices, particularly as operational costs continue to rise.