Final Physician Fee Schedule (PFS) CY 2026
This factsheet reviews the Final Physician Fee Schedule (PFS) for CY 2026 as it pertains to telehealth.
This factsheet reviews the Final Physician Fee Schedule (PFS) for CY 2026 as it pertains to telehealth.
As a result of the expiration of the temporary Medicare telehealth waivers on September 30, 2025, providers are facing complex questions regarding in-person visit requirements, billing procedures, and the applicability of policies across different care settings. This FAQ document is designed to address the most common questions CCHP has received through its technical assistance channels since October 1, 2025, and to highlight where CMS has offered clear direction, and where gaps remain.
CCHP has created a detailed chart outlining current Medicare telehealth policy, exceptions that exist in permanent law, source documentation, and additional notes. This matrix is designed to give providers a quick reference point when interpreting evolving policy.
An ‘At a Glance’ look at trends in state telehealth laws, regulations and reimbursement policies across all 50 states, the District of Columbia, Puerto Rico and Virgin Islands. See the number of states reimbursing for different modalities. All information is based on the policies reviewed for each state between late May and early September 2025.
This chart provides a quick reference summary of each state’s telehealth policy on Medicaid reimbursement, private payer reimbursement laws (both if a law exists and whether or not payment parity is required), and professional requirements around interstate compacts and consent based on information gathered between late May and early September 2025.