Resources & Reports

Newsletter

Interstate Licensure Compacts: Updates and Overview

On July 16, 2024, at the Health Resources and Services Administration (HRSA) National Telehealth Conference, a new investment into the multi-state social work licensure compact was announced. The $2.5 million HRSA investment will support the launch of the social work compact while also building upon HRSA’s ongoing work on other licensure compacts to improve access to primary care and behavioral health services. The initiative is part of the Licensure Portability Grant Program, which seeks to support state licensure board partnerships to promote the development and implementation of state laws that make telehealth more accessible.

Newsletter

POS 10 Non-Facility Rate Payment and Modifiers Clarification

Given the robust amount of content provided in the CCHP newsletter last week (July 16, 2024 edition), some readers may have missed a Change Request to the CMS Manual System issued by the Centers for Medicare and Medicaid Services (CMS) in June that went into effect July 8, 2024.  Change Request 13582, Billing and Payment for Telehealth Services with Place of Service (POS) 10 was directed at the Medicare Administrative Contractors (MAC).  MACs are entities that have a contract with CMS to process Medicare Part A and Part B claims for certain territories. When a claim is submitted to Medicare, it goes through the MAC covering the area where the claim is made.  MACs receive instructions and information from CMS regarding relevant policies, including Change Request 13582, which is specific to the use of POS 10.

Newsletter

Proposed CY 2025 Physician Fee Schedule – A Drilldown on the Telehealth Proposals

On July 10, 2024, the Centers for Medicare and Medicaid Services (CMS) released their proposed Physician Fee Schedule (PFS) for CY 2025. Each year the PFS contains new or updated policies which CMS will be adopting for Medicare in the following year.  Generally, each PFS contains items that will impact telehealth, and with December 31, 2024 as the current end date to the COVID-19 telehealth policy waivers (see CCHP’s Medicare 101 page), many have been waiting to see what the agency will be proposing for 2025.  At this time, these are only proposals. The public has until 5:00 pm (no time zone given) September 9, 2024 to provide comments to CMS regarding these proposed policies.
Newsletter

CMS Proposes 2025 Physician Fee Schedule, Strives to Preserve Telehealth Flexibilities Amid Statutory Constraints

CCHP’s July Newsletter is here! This month’s topics include – CMS Proposes 2025 Physician Fee Schedule, Strives to Preserve Telehealth Flexibilities Amid Statutory Constraints; Regulatory Crossroads: Past, Present and Potential Future – Telemedicine Controlled Substance Prescribing Amid Fraud Concerns; CMS Clarifies Rate for Place of Service Code 10 in Manual; Medicaid and CHIP Services Bulletin on Enhancing Mental Health and Substance Use Disorder Treatments through Health IT; An Update on Federal Legislation to Extend (or Make Permanent) COVID Medicare Telehealth Flexibilities; Advancing Personalized Care with Remote Patient Monitoring and AI; AMA CPT Editorial Panel Meeting Stalls Changes to Remote Patient Monitoring Codes; FCC’s Net Neutrality Rules Face Legal Challenges Ahead of July 22 Implementation; Latest Policy Developments in CCHP’s Telehealth Policy Finder and Policy Trends Map; Environmental and Health Benefits of Decentralized Cancer Care: Telehealth’s Impact. 

Newsletter

The Latest in Licensure: Out-of-State Telehealth Provider Policies

Provider licensure exceptions particular to the use of telehealth across state lines continues to be a popular issue area for those reaching out to CCHP for technical assistance. Questions are received from providers and patients alike, and often providers ask for a list of specific states that currently allow out-of-state providers to deliver care via telehealth to in-state patients for their specific profession. In this week’s write up, we would like to drill down on this area of telehealth policy in the hopes of painting a clearer picture.