Telehealth Changes in the Final Rule 2025 of Physician Payments CMS-1807-F and CMS-4201-F5

UPDATE: TELEHEALTH EXTENDED THROUGH 9/30/2025
Please cast your vote to keep telehealth available for all.

Effective September 30, 2025, most telehealth services are expiring and will require patients to be physically present in an office. Take action by casting your vote for telehealth services to remain available for all.

After reading this letter from the American Society of Interventional Pain Physicians, please go to VoterVoice to express your support to preserve vital telehealth services.

February 10, 2025

Re: Telehealth Changes in the Final Rule 2025 of Physician Payments, CMS-1807-F and CMS-4201-F5

Dear Friends:

Thank you for your attention and participation in various activities in protecting medical practices.

We want to bring to your attention critical issues affecting patients across the United States, including those covered by Medicare, Medicare Advantage, Medicaid, and commercial insurers.

The Medicare Final Rule has significantly changed the provision of telehealth services. Starting April 1, 2025, most telehealth services will require patients to be physically present in an office or medical facility located in a rural area. This restriction excludes patients in non-rural areas from accessing telehealth services altogether. Even for those in rural regions, traveling to a designated facility can be extremely difficult, undermining one of telehealth's primary benefits—providing care from the patient’s home. These changes will impose substantial transportation costs, create burdens for elderly patients who cannot drive, and disrupt the working population that relies on telehealth for accessible care. Currently, approximately 20% of patients depend on telehealth services.

Furthermore, if this rule remains in place, Medicare Advantage, Medicaid, and commercial insurers are expected to adopt similar policies, likely with reduced reimbursements. This will effectively dismantle telehealth services, severely limiting patient access to essential health services.

This issue is crucial for millions of patients across the country, and we hope you will take action to help preserve access to these vital services. We urgently request you to contact CMS and members of Congress (House and Senate).

Please go to VoterVoice and from there send your letter. You may also send your letter on your own letterhead or email it directly. If so, we have created a sample letter for your convenience.

Thank you for your action.

Laxmaiah Manchikanti, MD
Chairman of the Board and Chief Executive Officer, ASIPP and SIPMS