The Federal Telehealth Extension and Evaluation Act: What You Need to Know

The Federal Telehealth Extension and Evaluation Act: What You Need to Know

The Telehealth Extension and Evaluation Act would establish a two-year extension for certain COVID-19 emergency telehealth waivers. The legislation aims to extend the waivers of the geographic and site restrictions and allow Medicare beneficiaries to access telehealth even when at home; allow controlled substances to be prescribed via an initial telehealth encounter under the Ryan Haight Act; and extend Medicare payment flexibilities for Rural Health Centers (RHCs), Federally Qualified Health Centers (FQHCs), and Critical Access Hospitals (CAHs). To address Medicare program integrity concerns, the bill also introduces in-person restrictions on telehealth orders for certain high-cost durable medical equipment (DME) and laboratory tests. It also contains language that might serve to restrict the use of “incident to” billing for telehealth services.

Medigy Insights

The Telehealth Extension and Evaluation Act proposes a two-year extension for COVID-19 telehealth waivers, allowing Medicare beneficiaries to access telehealth services from home and prescribing controlled substances via telehealth encounters. It aims to extend Medicare payment flexibilities for RHCs, FQHCs, and CAHs while introducing in-person restrictions for high-cost DME and laboratory tests. The legislation also includes provisions to restrict "incident to" billing for telehealth services, addressing Medicare program integrity concerns.


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