OSP News

Update: CMS Telehealth Services for Risk Adjustment Expires September 30, 2025

Posted: 10/07/2025

Congress has not yet extended the COVID-19 public health emergency (PHE) flexibilities that were in place for Medicare plans through September 30, 2025 for telehealth services. Continuing Resolution (CR; H.R. 10545) to extend federal spending and avert a government shutdown through September 30, 2025 has not yet passed.

HAP aligns its telehealth/virtual services billing guidelines with the American Medical Association (AMA), the Centers for Medicare & Medicaid Services (CMS) and the Michigan Department of Health and Human Services (MDHHS). While we anticipate that authorization will ultimately be renewed, we are prepared for the possibility of a temporary gap. Note: Telehealth for members with Affordable Care Act plans will continue without interruption.

Click here to read the full announcement from HAP. 

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