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	<title>Department of Health and Human Services (DHHS) Archives &#183; mTelehealth</title>
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	<title>Department of Health and Human Services (DHHS) Archives &#183; mTelehealth</title>
	<link>https://mtelehealth.com/category/department-of-health-and-human-services-dhhs/</link>
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	<item>
		<title>CMS Waivers, Flexibilities, and the End of the COVID-19 Public Health Emergency</title>
		<link>https://mtelehealth.com/cms-waivers-flexibilities-and-the-end-of-the-covid-19-public-health-emergency/</link>
					<comments>https://mtelehealth.com/cms-waivers-flexibilities-and-the-end-of-the-covid-19-public-health-emergency/#respond</comments>
		
		<dc:creator><![CDATA[Dr. M. Rosen]]></dc:creator>
		<pubDate>Tue, 21 Nov 2023 19:14:16 +0000</pubDate>
				<category><![CDATA[Blog]]></category>
		<category><![CDATA[Centers for Medicare & Medicaid Services (CMS) - Medicare]]></category>
		<category><![CDATA[COVID-19 - Coronavirus]]></category>
		<category><![CDATA[Department of Health and Human Services (DHHS)]]></category>
		<category><![CDATA[Public Health Emergency (PHE)]]></category>
		<category><![CDATA[Skilled Nursing Facilities (SNFs)]]></category>
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					<description><![CDATA[<p><img width="1000" height="667" src="https://mtelehealth.com/wp-content/uploads/2022/11/CMS-1.jpg" class="attachment-full size-full wp-post-image" alt="" decoding="async" fetchpriority="high" srcset="https://mtelehealth.com/wp-content/uploads/2022/11/CMS-1.jpg 1000w, https://mtelehealth.com/wp-content/uploads/2022/11/CMS-1-300x200.jpg 300w, https://mtelehealth.com/wp-content/uploads/2022/11/CMS-1-768x512.jpg 768w" sizes="(max-width: 1000px) 100vw, 1000px" /></p>
<p>The post <a href="https://mtelehealth.com/cms-waivers-flexibilities-and-the-end-of-the-covid-19-public-health-emergency/">CMS Waivers, Flexibilities, and the End of the COVID-19 Public Health Emergency</a> appeared first on <a href="https://mtelehealth.com">mTelehealth</a>.</p>
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<a class="_df_thumb "  href="#"  data-slug="cms-waivers-flexibilities-and-the-end-of-the-covid-19-public-health-emergency" data-_slug="cms-waivers-flexibilities-and-the-end-of-the-covid-19-public-health-emergency" _slug="cms-waivers-flexibilities-and-the-end-of-the-covid-19-public-health-emergency" data-title="cms-waivers-flexibilities-and-the-end-of-the-covid-19-public-health-emergency" id="df_41839" data-df-option="df_option_41839" thumb="https://mtelehealth.com/wp-content/uploads/dflip-thumbs/41839.jpeg"  >CMS Waivers, Flexibilities, and the End of the COVID-19 Public Health Emergency</a><script class="df-shortcode-script" nowprocket type="application/javascript">window.df_option_41839 = {"source":"https:\/\/mtelehealth.com\/wp-content\/uploads\/2023\/11\/CMS-Waivers-Flexibilities-and-the-End-of-the-COVID-19-Public-Health-Emergency.pdf","outline":[],"autoEnableOutline":false,"autoEnableThumbnail":false,"overwritePDFOutline":false,"pageSize":"0","slug":"cms-waivers-flexibilities-and-the-end-of-the-covid-19-public-health-emergency","wpOptions":"true","id":41839}; if(window.DFLIP && window.DFLIP.parseBooks){window.DFLIP.parseBooks();}</script>
<p>The post <a href="https://mtelehealth.com/cms-waivers-flexibilities-and-the-end-of-the-covid-19-public-health-emergency/">CMS Waivers, Flexibilities, and the End of the COVID-19 Public Health Emergency</a> appeared first on <a href="https://mtelehealth.com">mTelehealth</a>.</p>
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		<title>Coronavirus Waivers &#038; Flexibilities</title>
		<link>https://mtelehealth.com/coronavirus-waivers-flexibilities/</link>
					<comments>https://mtelehealth.com/coronavirus-waivers-flexibilities/#respond</comments>
		
		<dc:creator><![CDATA[Dr. M. Rosen]]></dc:creator>
		<pubDate>Tue, 21 Nov 2023 18:24:48 +0000</pubDate>
				<category><![CDATA[Acute Hospital Care at Home (AHCaH)]]></category>
		<category><![CDATA[Blog]]></category>
		<category><![CDATA[Centers for Medicare & Medicaid Services (CMS) - Medicare]]></category>
		<category><![CDATA[Consolidated Appropriations Act (CAA)]]></category>
		<category><![CDATA[COVID-19 - Coronavirus]]></category>
		<category><![CDATA[Department of Health and Human Services (DHHS)]]></category>
		<category><![CDATA[Public Health Emergency (PHE)]]></category>
		<category><![CDATA[Social Security Act (SSA)]]></category>
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					<description><![CDATA[<p><img width="1000" height="667" src="https://mtelehealth.com/wp-content/uploads/2022/11/CMS-1.jpg" class="attachment-full size-full wp-post-image" alt="" decoding="async" srcset="https://mtelehealth.com/wp-content/uploads/2022/11/CMS-1.jpg 1000w, https://mtelehealth.com/wp-content/uploads/2022/11/CMS-1-300x200.jpg 300w, https://mtelehealth.com/wp-content/uploads/2022/11/CMS-1-768x512.jpg 768w" sizes="(max-width: 1000px) 100vw, 1000px" /></p>
<p>In certain circumstances, the Secretary of the Department of Health and Human Services (HHS) using section 1135 of the Social Security Act (SSA) can temporarily modify or waive certain Medicare, Medicaid, CHIP, or HIPAA requirements, called 1135 waivers.&#160; There are different&#160;kinds of 1135 waivers, including Medicare blanket waivers.&#160; When there&#8217;s an emergency, sections 1135 or [&#8230;]</p>
<p>The post <a href="https://mtelehealth.com/coronavirus-waivers-flexibilities/">Coronavirus Waivers &#038; Flexibilities</a> appeared first on <a href="https://mtelehealth.com">mTelehealth</a>.</p>
]]></description>
										<content:encoded><![CDATA[<p><img width="1000" height="667" src="https://mtelehealth.com/wp-content/uploads/2022/11/CMS-1.jpg" class="attachment-full size-full wp-post-image" alt="" decoding="async" srcset="https://mtelehealth.com/wp-content/uploads/2022/11/CMS-1.jpg 1000w, https://mtelehealth.com/wp-content/uploads/2022/11/CMS-1-300x200.jpg 300w, https://mtelehealth.com/wp-content/uploads/2022/11/CMS-1-768x512.jpg 768w" sizes="(max-width: 1000px) 100vw, 1000px" /></p><!-- wp:themify-builder/canvas /-->


<p>In certain circumstances, the Secretary of the Department of Health and Human Services (HHS) using section 1135 of the Social Security Act (SSA) can temporarily modify or waive certain Medicare, Medicaid, CHIP, or HIPAA requirements, called 1135 waivers.&nbsp; There are different&nbsp;kinds of 1135 waivers, including Medicare blanket waivers.&nbsp; When there&#8217;s an emergency, sections 1135 or 1812(f) of the SSA allow us&nbsp;to issue blanket waivers to help&nbsp;beneficiaries access care.&nbsp; When a blanket waiver&nbsp;is issued, providers don&#8217;t have to apply for an individual 1135 waiver.&nbsp; When there&#8217;s an emergency, we can also offer health care providers other flexibilities to make sure Americans continue to have access to the health care they need.</p>



<p><strong>Update regarding intent to end the national emergency and public health emergency declarations and extensions by way of the Consolidated Appropriations Act (CAA) for Fiscal Year 2023</strong></p>



<p>Update: On Thursday, December 29, 2022, President Biden signed into law H.R. 2716, the Consolidated Appropriations Act (CAA) for Fiscal Year 2023. This legislation provides more than $1.7 trillion to fund various aspects of the federal government, including an extension of the major telehealth waivers and the Acute Hospital Care at Home (AHCaH) individual waiver that were initiated during the federal public health emergency (PHE).</p>



<p>Additionally, on January 30, 2023, the Biden Administration announced its intent to end the national emergency and public health emergency declarations on May 11, 2023, related to the COVID-19 pandemic.</p>



<p>CMS is committed to updating supporting resources and providing updates as soon as possible. Please continue to use the provider-specific fact sheets for information about COVID-19 Public Health Emergency (PHE) waivers and flexibilities.</p>



<h2 class="wp-block-heading" id="h-waivers-amp-flexibilities-for-health-care-providers">Waivers &amp; flexibilities for health care providers</h2>



<p><a href="https://cmsqualitysupport.servicenowservices.com/cms_1135"><u>Apply for an 1135 waiver or submit a public health emergency (PHE)-related inquiry</u></a></p>



<ul class="wp-block-list">
<li>Get a quick-start guide to learn how to submit an&nbsp;<a href="https://www.cms.gov/files/document/covid-1135-waiver-application-quick-start-guide.pdf"><u>1135 General&nbsp;&nbsp;waiver</u>&nbsp;(PDF)</a>, an&nbsp;<a href="https://www.cms.gov/files/document/covid-1135-medicaid-waiver-application-quick-start-guide.pdf">1135 Medicaid waiver (PDF)</a>,&nbsp;or a&nbsp;<a href="https://www.cms.gov/files/document/covid-submit-phe-quick-start-guide.pdf"><u>PHE inquiry</u>&nbsp;(PDF)</a></li>
</ul>



<ul class="wp-block-list">
<li>Watch our YouTube training videos:
<ul class="wp-block-list">
<li><a href="https://gcc02.safelinks.protection.outlook.com/?url=https%3A%2F%2Fyoutu.be%2FPfYGctTZhys&amp;data=05%7C01%7Ccms.gov_mailbox%40cms.hhs.gov%7Cd44b50884e8b49e6235c08da27c77c4a%7Cd58addea50534a808499ba4d944910df%7C0%7C0%7C637866034973068960%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000%7C%7C%7C&amp;sdata=Ku8dk6pHwBdpcNfDp2TU4xlI0FylC%2F3XMnUIapJKDNE%3D&amp;reserved=0">1135 Medicaid Waiver/Flexibility Requests</a></li>



<li><a href="https://youtu.be/2I-hEbtX_ZM"><u>1135 General&nbsp;Waiver/Flexibility Requests</u></a></li>



<li><a href="https://youtu.be/nqNYhmLbddY"><u>PHE-related Inquiry Requests</u></a></li>
</ul>
</li>



<li>Report technical issues by&nbsp;<a href="mailto:qnetsupport@hcqis.org">email</a>&nbsp;(Note “Waiver/Flexibility&#8221; in the subject line)</li>
</ul>



<h3 class="wp-block-heading" id="h-learn-nbsp-how-we-re-nbsp-easing-nbsp-burden-and-helping-providers-nbsp-care-for-americans-by-offering-nbsp-new-waivers-and-flexibilities">Learn&nbsp;how we&#8217;re&nbsp;easing&nbsp;burden and helping providers&nbsp;care for Americans by offering&nbsp;<strong>new waivers and flexibilities</strong>:</h3>



<p>Read our provider-specific fact sheets for information about COVID-19 Public Health Emergency (PHE) waivers and flexibilities. These fact sheets include information about which waivers and flexibilities have already been terminated, have been made permanent, or will end at the end of the PHE.</p>



<ul class="wp-block-list">
<li><a href="https://www.cms.gov/files/document/physicians-and-other-clinicians-cms-flexibilities-fight-covid-19.pdf">Physicians and Other Clinicians&nbsp;(PDF)</a></li>



<li><a href="https://www.cms.gov/files/document/hospitals-and-cahs-ascs-and-cmhcs-cms-flexibilities-fight-covid-19.pdf">Hospitals and CAHs (including Swing Beds, DPUs), ASCs and CMHCs&nbsp;(PDF)</a></li>



<li><a href="https://www.cms.gov/files/document/teaching-hospitals-physicians-medical-residents-cms-flexibilities-fight-covid-19.pdf">Teaching Hospitals, Teaching Physicians and Medical Residents&nbsp;&nbsp;(PDF)</a></li>



<li><a href="https://www.cms.gov/files/document/long-term-care-facilities-cms-flexibilities-fight-covid-19.pdf">Long Term Care Facilities (Skilled Nursing Facilities and/or Nursing Facilities)&nbsp;&nbsp;(PDF)</a></li>



<li><a href="https://www.cms.gov/files/document/home-health-agencies-cms-flexibilities-fight-covid-19.pdf">Home Health Agencies&nbsp;&nbsp;&nbsp;(PDF)</a></li>



<li><a href="https://www.cms.gov/files/document/hospice-cms-flexibilities-fight-covid-19.pdf">Hospice&nbsp;(PDF)</a></li>



<li><a href="https://www.cms.gov/files/document/inpatient-rehabilitation-facilities-cms-flexibilities-fight-covid-19.pdf">Inpatient Rehabilitation Facilities&nbsp;&nbsp;(PDF)</a></li>



<li><a href="https://www.cms.gov/files/document/long-term-care-hospital-extended-neoplastic-disease-care-hospitals-cms-flecibilities-fight-covid-19.pdf">Long Term Care Hospitals &amp; Extended Neoplastic Disease Care Hospitals&nbsp;(PDF)</a></li>



<li><a href="https://www.cms.gov/files/document/rural-health-clinics-and-federally-qualified-health-centers-cms-flexibilities-fight-covid-19.pdf">Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs)&nbsp;&nbsp;(PDF)</a></li>



<li><a href="https://www.cms.gov/files/document/laboratories-cms-flexibilities-fight-covid-19.pdf">Laboratories&nbsp;(PDF)</a></li>



<li><a href="https://www.cms.gov/files/document/medicare-shared-savings-program-cms-flexibilities-fight-covid-19.pdf">Medicare Shared Savings Program&nbsp;(PDF)</a></li>



<li><a href="https://www.cms.gov/files/document/durable-medical-equipment-prosthetics-orthotics-and-supplies-cms-flexibilities-fight-covid-19.pdf">Durable Medical Equipment, Prosthetics, Orthotics and Supplies&nbsp;(PDF)</a></li>



<li><a href="https://www.cms.gov/files/document/medicare-advantage-and-part-d-plans-cms-flexibilities-fight-covid-19.pdf">Medicare Advantage and Part D Plans&nbsp;(PDF)</a></li>



<li><a href="https://www.cms.gov/files/document/ambulances-cms-flexibilities-fight-covid-19.pdf">Ambulances&nbsp;(PDF)</a></li>



<li><a href="https://www.cms.gov/files/document/end-stage-renal-disease-facilities-cms-flexibilities-fight-covid-19.pdf">End Stage Renal Disease (ESRD) Facilities&nbsp;(PDF)</a></li>



<li><a href="https://www.cms.gov/files/document/participants-medicare-diabetes-prevention-program-cms-flexibilities-fight-covid-19.pdf">Participants in the Medicare Diabetes Prevention Program&nbsp;(PDF)</a></li>



<li><a href="https://www.cms.gov/files/document/intermediate-care-facility-individuals-intellectual-disabilities.pdf">Intermediate Care Facility for Individuals with Intellectual Disabilities (PDF)</a></li>
</ul>



<ul class="wp-block-list">
<li><a href="https://www.cms.gov/files/document/covid-waiver-medicare-ground-ambulance-services-treatment-place.pdf">Waiver for Medicare Ground Ambulance Services Treatment in Place (PDF)</a>&nbsp;(5/5/21)</li>



<li><a href="https://www.cms.gov/files/document/covid-19-emergency-declaration-waivers.pdf">COVID-19 Emergency Declaration Blanket Waivers &amp; Flexibilities for Health Care Providers (PDF)</a>&nbsp;UPDATED (10/13/22)</li>



<li><a href="https://www.cms.gov/medicare/regulations-guidance/physician-self-referral/spotlight">Blanket waivers of Section 1877(g) of the Social Security Act</a>&nbsp;(3/30/20)</li>



<li><a href="https://www.cms.gov/files/document/covid-vax-ifc-4.pdf">Medicare and Medicaid IFC: Additional Policy and Regulatory Revisions in Response to the COVID-19 Public Health Emergency (<strong>CMS-9912&nbsp;IFC</strong>) (PDF)</a> (10/28/20)
<ul class="wp-block-list">
<li><a href="https://www.medicaid.gov/state-resource-center/downloads/covid-19-tech-factsheet-ifc-433400.pdf">CMS-9912 Interim Final Rule with Comment Factsheet on Updated Policy for Maintaining Medicaid Enrollment during the Public Health Emergency for COVID-19</a>&nbsp;(10/28/20)</li>
</ul>
</li>



<li><a href="https://www.cms.gov/files/document/covid-ifc-3-8-25-20.pdf">Medicare and Medicaid IFC: Additional Policy and Regulatory Revisions in Response to the COVID-19 Public Health Emergency (<strong>CMS-3401 IFC</strong>) (PDF)</a> (8/25/20)
<ul class="wp-block-list">
<li><a href="https://www.cms.gov/medicareprovider-enrollment-and-certificationsurveycertificationgeninfopolicy-and-memos-states-and/interim-final-rule-ifc-cms-3401-ifc-additional-policy-and-regulatory-revisions-response-covid-19">Interim Final Rule (IFC), CMS-3401-IFC, Additional Policy and Regulatory Revisions in Response to the COVID-19 Public Health Emergency related to Long-Term Care (LTC) Facility Testing Requirements and Revised COVID-19 Focused Survey Tool</a>&nbsp;(8/26/20)</li>



<li><a href="https://www.cms.gov/medicareprovider-enrollment-and-certificationsurveycertificationgeninfopolicy-and-memos-states-and/interim-final-rule-ifc-cms-3401-ifc-updating-requirements-reporting-sars-cov-2-test-results-clia">Interim Final Rule (IFC), CMS-3401-IFC, Updating Requirements for Reporting of SARS-CoV-2 Test Results by (CLIA) of 1988 Laboratories, and Additional Policy and Regulatory Revisions in Response to the COVID-19 Public Health Emergency</a>&nbsp;(8/26/20)</li>
</ul>
</li>



<li><a href="https://www.cms.gov/files/document/covid-medicare-and-medicaid-ifc2.pdf"><u>Medicare and Medicaid IFC: Additional Policy and Regulatory Revisions in Response to the COVID-19 Public Health Emergency (CMS-5531 IFC)</u>&nbsp;(PDF)</a> (4/30/20)
<ul class="wp-block-list">
<li><a href="https://www.federalregister.gov/documents/2020/05/08/2020-09608/medicare-and-medicaid-programs-basic-health-program-and-exchanges-additional-policy-and-regulatory">IFC Federal Register Announcement</a>&nbsp;(5/4/20)</li>



<li><a href="https://www.cms.gov/files/document/covid-pra-disclosure-statement.pdf">PRA Disclosure Statement (PDF)</a>&nbsp;(5/21/20)</li>
</ul>
</li>



<li>Acute Hospital Care At Home&nbsp;<a href="https://qualitynet.cms.gov/acute-hospital-care-at-home">waiver request</a>&nbsp;(11/25/20)</li>



<li><a href="https://www.cms.gov/files/zip/covid-ifc-2-list-hospital-outpatient-services.zip">List of Hospital Outpatient Services and List of Partial Hospitalization Program Services Accompanying the 4/30/2020 IFC (ZIP)</a>&nbsp;(4/30/20)<em></em></li>



<li><a href="https://www.cms.gov/files/document/covid-innovation-model-flexibilities.pdf">Innovation Model COVID-19 Adjustments (PDF)</a>&nbsp;(6/3/20)</li>



<li><a href="https://www.cms.gov/files/document/covid-ifc-2-flu-rsv-codes.pdf">List of lab test codes for COVID-19, Influenza, RSV (PDF)</a>&nbsp;(5/12/20)</li>



<li><a href="https://www.cms.gov/files/document/covid-final-ifc.pdf">Medicare IFC: Revisions in Response to the COVID-19 Public Health Emergency (CMS-1744-IFC)&nbsp;(PDF)</a> (3/30/20)
<ul class="wp-block-list">
<li><a href="https://s3.amazonaws.com/public-inspection.federalregister.gov/2020-06990.pdf">IFC Federal Register Announcement</a>&nbsp;(4/1/20)</li>
</ul>
</li>



<li><a href="https://www.cms.gov/files/document/covid-19-regulations-waivers-enable-health-system-expansion.pdf">COVID-19 Regulations &amp; Waivers To Enable Health System Expansion (PDF)</a>&nbsp;UPDATED&nbsp;(1/19/21)</li>



<li><a href="https://www.cms.gov/files/document/covid-flexibilities-overview-graphic.pdf">Graphic Overview of Flexibilities (PDF)</a>&nbsp;(3/30/20)</li>



<li><a href="https://www.cms.gov/files/document/03092020-covid-19-faqs-508.pdf">Frequently Asked Questions to Assist Medicare Providers (PDF)</a>&nbsp;UPDATED (3/5/21)</li>



<li><a href="https://www.cms.gov/files/document/provider-burden-relief-faqs.pdf">Provider Burden Relief Frequently Asked Questions (PDF)</a>&nbsp;UPDATED (7/7/20)</li>



<li><a href="https://www.cms.gov/files/document/provider-enrollment-relief-faqs-covid-19.pdf">Provider Enrollment Relief Frequently Asked Questions (PDF)</a>&nbsp;(3/30/20)</li>



<li><a href="https://www.cms.gov/node/1314141">Updates for State Surveyors and Accrediting Organizations (EMTALA and Infection Control)</a>&nbsp;(3/30/20)</li>



<li><a href="https://cms.gov/files/document/covid-19-programauditsradv-memo.pdf">Reprioritization of PACE, Medicare Parts C and D Program, and Risk Adjustment Data Validation (RADV) Audit Activities (HPMS Memo)</a>&nbsp;(3/30/20)</li>



<li><a href="https://www.cms.gov/files/document/2020-08-12rural-crosswalk.pdf">Rural Providers (PDF)</a>&nbsp;(8/20/20)</li>
</ul>



<h2 class="wp-block-heading" id="h-1135-blanket-waivers">1135 blanket waivers</h2>



<h3 class="wp-block-heading" id="h-what-do-i-need-to-know-about-1135-blanket-waivers">What do I need to know about 1135 blanket waivers?</h3>



<p>If&nbsp;you&#8217;re an entity in the declared emergency area, you&nbsp;can&nbsp;apply for&nbsp;an 1135 waiver.&nbsp;You&#8217;ll usually hear back from us within 2-3 days, but if your request is more complicated, it may take up to a week.&nbsp; If your waiver request has&nbsp;1 or 2 items, we may get back to you within 24 hours.</p>



<p>Once approved, waivers have a retroactive effective date of<strong>&nbsp;</strong><strong>March 1, 2020</strong>&nbsp;and will end no later than when the emergency declaration&#8217;s ended.</p>



<p>Waivers don&#8217;t offer grants or financial assistance.&nbsp; They also don&#8217;t allow you to be paid for services that aren&#8217;t usually covered or for people to be eligible for Medicare who aren&#8217;t otherwise eligible.&nbsp; You also shouldn&#8217;t base your response decisions, like evacuations, on waivers.&nbsp; Once your waiver&#8217;s approved, as always to&nbsp;be reimbursed accurately, be sure to keep careful records about the services you provide and the beneficiaries you provide them to.&nbsp;&nbsp;</p>



<h2 class="wp-block-heading" id="h-1812-f-waiver">1812(f) waiver</h2>



<p><a href="https://www.cms.gov/files/document/coronavirus-snf-1812f-waiver.pdf">Approved Coronavirus 1812(f) waiver (PDF)</a></p>



<h2 class="wp-block-heading" id="h-other-1135-waivers-amp-1915-c-waivers">Other 1135 waivers &amp; 1915(c) waivers</h2>



<h3 class="wp-block-heading" id="h-waiver-resources">Waiver resources</h3>



<ul class="wp-block-list">
<li><a href="https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/cms-1135-waivers/index.html">Section 1135 Waiver Checklist&nbsp;</a>(3/22/20)</li>



<li><a href="https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/hcbs/appendix-k/index.html">Section 1915 Waiver, Appendix K Template</a>&nbsp;(3/22/20)</li>
</ul>



<h3 class="wp-block-heading" id="h-approved-states-other-coronavirus-1135-waivers">Approved states&#8217; other Coronavirus 1135 waivers</h3>



<p><a href="https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/index.html">States&#8217;&nbsp;other Coronavirus 1135 waivers</a></p>



<h3 class="wp-block-heading" id="h-approved-states-coronavirus-home-amp-community-based-hcbs-1915-c-appendix-k-waivers">Approved states&#8217; Coronavirus Home &amp; Community Based (HCBS) 1915(c) Appendix K waivers</h3>



<p><a href="https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/hcbs/appendix-k/index.html">States&#8217; Coronavirus Emergency Preparedness and Response for HCBS 1915(c) Appendix K waivers</a></p>



<h3 class="wp-block-heading" id="h-approved-states-1115-demonstrations">Approved states’ 1115 demonstrations</h3>



<p><a href="https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list/index.html">States&#8217;&nbsp;Medicaid Coronavirus 1115 demonstrations</a></p>



<h3 class="wp-block-heading" id="h-medicaid-state-plan-amendments">Medicaid State Plan amendments</h3>



<p><a href="https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments/index.html">States&#8217; Medicaid State Plan amendments</a></p>



<h3 class="wp-block-heading" id="h-chip-state-plan-amendments">CHIP State Plan amendments</h3>



<p><a href="https://www.medicaid.gov/chip/state-program-information/index.html">States&#8217; CHIP Plan amendments</a></p>



<p><strong>Learn&nbsp;more&nbsp;about:</strong></p>



<ul class="wp-block-list">
<li>Flexibilities&nbsp;<a href="https://www.cms.gov/about-cms/agency-information/emergency/downloads/medicareffs-emergencyqsas1135waiver.pdf">with 1135 waivers (PDF)</a>&nbsp;</li>



<li>Flexibilities&nbsp;<a href="https://www.cms.gov/about-cms/agency-information/emergency/downloads/consolidated_medicare_ffs_emergency_qsas.pdf">without 1135 waivers (PDF)</a></li>
</ul>



<h4 class="wp-block-heading" id="h-find-general-information-about-nbsp-waivers-and-flexibilities">Find general information about&nbsp;<a href="https://www.cms.gov/about-cms/what-we-do/emergency-response/how-can-we-help/waivers-flexibilities">waivers and flexibilities</a>.</h4>
<p>The post <a href="https://mtelehealth.com/coronavirus-waivers-flexibilities/">Coronavirus Waivers &#038; Flexibilities</a> appeared first on <a href="https://mtelehealth.com">mTelehealth</a>.</p>
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		<title>Executive Summary: Tracking Telehealth Changes State-by-State in Response to COVID-19 &#8211; June 2023</title>
		<link>https://mtelehealth.com/executive-summary-tracking-telehealth-changes-state-by-state-in-response-to-covid-19-june-2023/</link>
					<comments>https://mtelehealth.com/executive-summary-tracking-telehealth-changes-state-by-state-in-response-to-covid-19-june-2023/#respond</comments>
		
		<dc:creator><![CDATA[Dr. M. Rosen]]></dc:creator>
		<pubDate>Thu, 15 Jun 2023 13:29:47 +0000</pubDate>
				<category><![CDATA[Blog]]></category>
		<category><![CDATA[Centers for Medicare & Medicaid Services (CMS) - Medicare]]></category>
		<category><![CDATA[COVID-19 - Coronavirus]]></category>
		<category><![CDATA[Department of Health and Human Services (DHHS)]]></category>
		<category><![CDATA[Office of Inspector General (OIG)]]></category>
		<category><![CDATA[Public Health Emergency (PHE)]]></category>
		<category><![CDATA[Telehealth]]></category>
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					<description><![CDATA[<p><img width="2560" height="1440" src="https://mtelehealth.com/wp-content/uploads/2023/06/Executive-Summary-Tracking-Telehealth-Changes-State-by-State-in-Response-to-COVID-19-June-2023.jpg" class="attachment-full size-full wp-post-image" alt="" decoding="async" srcset="https://mtelehealth.com/wp-content/uploads/2023/06/Executive-Summary-Tracking-Telehealth-Changes-State-by-State-in-Response-to-COVID-19-June-2023.jpg 2560w, https://mtelehealth.com/wp-content/uploads/2023/06/Executive-Summary-Tracking-Telehealth-Changes-State-by-State-in-Response-to-COVID-19-June-2023-300x169.jpg 300w, https://mtelehealth.com/wp-content/uploads/2023/06/Executive-Summary-Tracking-Telehealth-Changes-State-by-State-in-Response-to-COVID-19-June-2023-1024x576.jpg 1024w, https://mtelehealth.com/wp-content/uploads/2023/06/Executive-Summary-Tracking-Telehealth-Changes-State-by-State-in-Response-to-COVID-19-June-2023-768x432.jpg 768w, https://mtelehealth.com/wp-content/uploads/2023/06/Executive-Summary-Tracking-Telehealth-Changes-State-by-State-in-Response-to-COVID-19-June-2023-1536x864.jpg 1536w, https://mtelehealth.com/wp-content/uploads/2023/06/Executive-Summary-Tracking-Telehealth-Changes-State-by-State-in-Response-to-COVID-19-June-2023-2048x1152.jpg 2048w" sizes="(max-width: 2560px) 100vw, 2560px" /></p>
<p>2023: New Federal Developments New Item Activity S. 1699:&#160;Tech to Save Moms ActIntroduced May 18, 2023 This bill would require 1) the Center for Medicare and Medicaid Innovation to test payment and delivery models regarding the adoption and use of telehealth tools for screening, monitoring, and managing health complications during the pregnancies of Medicaid beneficiaries, [&#8230;]</p>
<p>The post <a href="https://mtelehealth.com/executive-summary-tracking-telehealth-changes-state-by-state-in-response-to-covid-19-june-2023/">Executive Summary: Tracking Telehealth Changes State-by-State in Response to COVID-19 &#8211; June 2023</a> appeared first on <a href="https://mtelehealth.com">mTelehealth</a>.</p>
]]></description>
										<content:encoded><![CDATA[<p><img width="2560" height="1440" src="https://mtelehealth.com/wp-content/uploads/2023/06/Executive-Summary-Tracking-Telehealth-Changes-State-by-State-in-Response-to-COVID-19-June-2023.jpg" class="attachment-full size-full wp-post-image" alt="" decoding="async" srcset="https://mtelehealth.com/wp-content/uploads/2023/06/Executive-Summary-Tracking-Telehealth-Changes-State-by-State-in-Response-to-COVID-19-June-2023.jpg 2560w, https://mtelehealth.com/wp-content/uploads/2023/06/Executive-Summary-Tracking-Telehealth-Changes-State-by-State-in-Response-to-COVID-19-June-2023-300x169.jpg 300w, https://mtelehealth.com/wp-content/uploads/2023/06/Executive-Summary-Tracking-Telehealth-Changes-State-by-State-in-Response-to-COVID-19-June-2023-1024x576.jpg 1024w, https://mtelehealth.com/wp-content/uploads/2023/06/Executive-Summary-Tracking-Telehealth-Changes-State-by-State-in-Response-to-COVID-19-June-2023-768x432.jpg 768w, https://mtelehealth.com/wp-content/uploads/2023/06/Executive-Summary-Tracking-Telehealth-Changes-State-by-State-in-Response-to-COVID-19-June-2023-1536x864.jpg 1536w, https://mtelehealth.com/wp-content/uploads/2023/06/Executive-Summary-Tracking-Telehealth-Changes-State-by-State-in-Response-to-COVID-19-June-2023-2048x1152.jpg 2048w" sizes="(max-width: 2560px) 100vw, 2560px" /></p><!--themify_builder_content-->
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<h3 class="wp-block-heading" id="h-2023-new-federal-developments">2023: New Federal Developments</h3>



<figure class="wp-block-table"><table><tbody><tr><th>New Item</th><th>Activity</th></tr><tr><td><a href="https://www.congress.gov/bill/118th-congress/senate-bill/1699/text" target="_blank" rel="noreferrer noopener"><strong>S. 1699:</strong></a>&nbsp;Tech to Save Moms Act<em>Introduced May 18, 2023</em></td><td>This bill would require 1) the Center for Medicare and Medicaid Innovation to test payment and delivery models regarding the adoption and use of telehealth tools for screening, monitoring, and managing health complications during the pregnancies of Medicaid beneficiaries, and 2) the Secretary of Health and Human Services to submit a report to Congress that includes recommendations related to maternal telehealth services reimbursement, barriers to maternal telehealth service provision and access, and lessons learned from expanded access to telehealth maternity care during the COVID-19 Public Health Emergency (PHE).</td></tr><tr><td><a href="https://www.congress.gov/bill/118th-congress/house-bill/3440/text" target="_blank" rel="noreferrer noopener"><strong>H.R. 3440:</strong></a>&nbsp;Protecting Rural Telehealth Access Act<em>Introduced May 17, 2023</em></td><td>This bill would amend title XVIII of the Social Security Act, related to the delivery of telehealth services under the Medicare program:Eliminate geographic requirements for originating sitesPermit store-and-forward technologies in all statesRequire reimbursement for telehealth services provided in a critical access hospitalRequire a telehealth payment rate for telehealth services furnished by a FQHC or RHCAllow the use of audio-only technology for certain telehealth services including: E/M services, behavioral health counseling and education services, and other services determined appropriate by the secretary</td></tr><tr><td><a href="https://www.congress.gov/bill/118th-congress/house-bill/3432/text" target="_blank" rel="noreferrer noopener"><strong>H.R. 3432:</strong></a>&nbsp;Telemental Health Care Access Act of 2023<em>Introduced May 17, 2023</em></td><td>This bill would remove the statutory requirement that Medicare members be seen in-person within six months of being treated for mental and behavioral health services through telehealth.</td></tr><tr><td><a href="https://www.congress.gov/bill/118th-congress/house-bill/3129/text" target="_blank" rel="noreferrer noopener"><strong>H.R. 3129:</strong></a>&nbsp;Health Care Fairness for All Act<em>Introduced May 9, 2023</em></td><td>This bill would permanently extend Medicare’s telehealth flexibilities that are otherwise slated to end on the final day of the COVID-19 Public Health Emergency (PHE) period or December 1, 2024.</td></tr></tbody></table></figure>



<h3 class="wp-block-heading" id="h-2023-new-state-level-developments"><br>2023: New State-Level Developments</h3>



<figure class="wp-block-table"><table><tbody><tr><th><strong>State</strong></th><th><strong>Activity</strong></th></tr><tr><td><strong>Colorado</strong></td><td>Colorado&nbsp;<a href="https://legiscan.com/CO/text/HB1088/2023" target="_blank" rel="noreferrer noopener">passed</a>&nbsp;H.B. 1088, which provides reimbursement for twenty-six mental health-care sessions per year, including through telehealth, for eligible veterans and establishes payment parity between mental health care sessions delivered in-person and via telehealth.</td></tr><tr><td><strong>Hawaii</strong></td><td>Hawaii&nbsp;<a href="https://legiscan.com/HI/text/HB650/2023" target="_blank" rel="noreferrer noopener">passed</a>&nbsp;H.B. 650, which expands the provider types eligible to provide counseling services through telehealth.</td></tr><tr><td><strong>Iowa</strong></td><td>Iowa&nbsp;<a href="https://legiscan.com/IA/text/HF671/2023" target="_blank" rel="noreferrer noopener">passed</a>&nbsp;H.F. 671, which enters the state into the interstate Counseling Compact. The Compact allows professional counselors licensed and residing in compact member states to practice via telehealth in other member states.</td></tr><tr><td><strong>Montana</strong></td><td>Montana&nbsp;<a href="https://legiscan.com/MT/text/SB155/2023" target="_blank" rel="noreferrer noopener">passed</a>&nbsp;S.B. 155, which enters the state into the Occupational Therapy Licensure Compact. The compact allows occupational therapists to practice via telehealth in other member states.</td></tr><tr><td><strong>Nevada</strong></td><td>Nevada&nbsp;<a href="https://legiscan.com/NV/text/SB119/2023" target="_blank" rel="noreferrer noopener">passed</a>&nbsp;S.B. 119, which extends payment parity through July 1, 2023 for all services (except audio-only). Beyond July 2023, the bill extends payment parity at certain originating sites (including FQHCs), and for mental health services via audio-only.</td></tr><tr><td><strong>Oregon</strong></td><td>Oregon&nbsp;<a href="https://legiscan.com/OR/text/SB232/2023" target="_blank" rel="noreferrer noopener">passed</a>&nbsp;S.B. 232, which defines the practice of telemedicine as occurring where the patient is located, and allows out-of-state physicians and physician assistants to provide temporary or follow-up telehealth services to patients in OR if there is an established provider-patient relationship, and mandates that out-of-state providers providing telehealth services to OR patients are subject to state rules and regulations.</td></tr><tr><td><strong>Vermont</strong></td><td>Vermont&nbsp;<a href="https://legiscan.com/VT/text/H0062/2023" target="_blank" rel="noreferrer noopener">passed</a>&nbsp;H.B. 62, which enters the state into the interstate Counseling Compact. The Compact allows professional counselors licensed and residing in compact member states to practice via telehealth in other member states.Vermont&nbsp;<a href="https://legiscan.com/VT/text/H0086/2023" target="_blank" rel="noreferrer noopener">passed</a>&nbsp;H.B. 86, which enters the state into the Audiology &amp; Speech-Language Pathology Interstate Compact. The Compact allows licensed audiologists and speech-language pathologists to practice via telehealth in other compact member states.</td></tr></tbody></table></figure>



<h3 class="wp-block-heading" id="h-payment-parity-permanent-state-laws-and-statutes">Payment Parity: Permanent State Laws and Statutes</h3>



<p>Payment Parity requires that health care providers are reimbursed the same amount for telehealth visits as in-person visits. During the COVID-19 pandemic, many states implemented temporary payment parity through the end of the public health emergency. Now, many states are implementing payment parity on a permanent basis. As portrayed in Figure 1, as of May 2023, 21 states have implemented policies requiring payment parity, 7 states have payment parity in place with caveats, and 22 states have no payment parity.</p>



<p><sub><strong>Figure 1. Map of States With Laws Requiring Insurers to Implement Payment Parity (as of June 2023)</strong></sub></p>



<h3 class="wp-block-heading" id="h-"><a href="https://www.manatt.com/Manatt/media/Media/Images/Fig-1-6-9-23.png" target="_blank" rel="noreferrer noopener"></a></h3>



<figure class="wp-block-image size-full"><a href="https://mtelehealth.com/wp-content/uploads/2023/06/image-1.png"><img decoding="async" width="900" height="445" src="https://mtelehealth.com/wp-content/uploads/2023/06/image-1.png" alt="" class="wp-image-41554" srcset="https://mtelehealth.com/wp-content/uploads/2023/06/image-1.png 900w, https://mtelehealth.com/wp-content/uploads/2023/06/image-1-300x148.png 300w, https://mtelehealth.com/wp-content/uploads/2023/06/image-1-768x380.png 768w" sizes="(max-width: 900px) 100vw, 900px" /></a></figure>



<h3 class="wp-block-heading" id="h-2023-federal-developments-more-than-one-month-old"><br>2023: Federal Developments More than One Month Old</h3>



<p><em>For a list of Federal Developments from 2020-2022, please see&nbsp;<a href="https://www.manatt.com/Manatt/media/Media/PDF/2020-2022_Executive-Summary_Manatt-on-Health_Tracking-Ongoing-Federal-and-State-Telehealth-Policy-Changes_2023-5-5-For-Marketing-Team.pdf" target="_blank" rel="noreferrer noopener">here</a>.</em></p>



<h4 class="wp-block-heading" id="h-executive-branch-activity">Executive Branch Activity</h4>



<figure class="wp-block-table"><table><tbody><tr><th>Policy</th><th>Details</th></tr><tr><td><a href="https://oig.hhs.gov/oas/reports/region9/92103021.pdf" target="_blank" rel="noreferrer noopener"><strong>OIG Report: Medicare Improperly Paid Providers for Some Psychotherapy Services, Including those Provided via Telehealth, During the First Year of the COVID-19 Public Health Emergency (PHE)</strong></a><strong></strong><em>Released May 2023</em></td><td>The Office of Inspector General (OIG) at the Department of Health and Human Services (DHHS) released a report detailing findings from a national audit to evaluate compliance issues with psychotherapy services, including those provided via telehealth, in Medicare. The report details volume and type of noncompliance with Medicare requirements, and describes providers’ experience with providing telehealth during the Public Health Emergency.</td></tr><tr><td><strong><a href="https://www.dea.gov/documents/2023/2023-05/2023-05-03/statement-dea-administrator-anne-milgram-covid-19-telemedicine" target="_blank" rel="noreferrer noopener">DEA Statement on COVID-19 Telemedicine Flexibilities for Prescription of Controlled Medications</a></strong><em>Released May 3, 2023</em></td><td>The Drug Enforcement Administration (DEA) issued a statement from Administrator Anne Milgram which notes that the DEA has “decided to extend the current [public health emergency (PHE)] flexibilities while [working] to find a way forward to give Americans that access with appropriate safeguards.” The statement notes that DEA and the Department of Health and Human Services have submitted an as-yet-unpublished temporary rule to the Office of Management and Budget in order to extend these flexibilities beyond next week’s PHE termination date.<em>For more information on the DEA’s statement, please see our&nbsp;</em><a href="https://www.manatt.com/insights/newsletters/health-highlights/dea-issues-statement-on-continuing-phe-telehealth" target="_blank" rel="noreferrer noopener"><em>May 4</em></a><em>&nbsp;newsletter.</em></td></tr><tr><td><strong><a href="https://oig.hhs.gov/oei/reports/OEI-02-20-00723.pdf" target="_blank" rel="noreferrer noopener">OIG Toolkit on Analyzing Telehealth Claims to Assess Program Integrity Risks</a></strong><em>Published April 2023</em></td><td>The Office of Inspector General (OIG) published a toolkit on analyzing telehealth claims, with the intention of assessing program integrity risks. The goal of the toolkit is to “provide an approach to analyzing claims data for telehealth to identify areas in which additional safeguards may be necessary [and] identify providers whose billing may pose a risk and warrant further scrutiny.”&nbsp;</td></tr><tr><td><strong>DEA Proposed Rules Regarding Prescribing of Controlled Substances via Telemedicine (<a href="https://www.federalregister.gov/documents/2023/03/01/2023-04248/telemedicine-prescribing-of-controlled-substances-when-the-practitioner-and-the-patient-have-not-had" target="_blank" rel="noreferrer noopener">here</a>&nbsp;and&nbsp;<a href="https://www.federalregister.gov/documents/2023/03/01/2023-04217/expansion-of-induction-of-buprenorphine-via-telemedicine-encounter" target="_blank" rel="noreferrer noopener">here</a>)</strong><em>Released February 24, 2023</em></td><td>The DEA released two proposed rules regarding telemedicine prescribing of controlled substances. The rules would require patients being newly prescribed a Schedule II-IV medication following the end of the COVID-19 PHE have an in-person evaluation prior to obtaining a prescription via telemedicine. Patients who accessed these medications via telemedicine during the COVID-19 PHE will have 180 days following the final rule to have an in-person visit.<em>For more information on these proposed rules, please see our&nbsp;</em><a href="https://www.manatt.com/insights/newsletters/health-highlights/dea-releases-proposed-rules-regarding-telemedicine" target="_blank" rel="noreferrer noopener"><em>March 1</em></a><em>&nbsp;newsletter.</em></td></tr><tr><td><strong><a href="https://www.medicaid.gov/federal-policy-guidance/downloads/sho23001.pdf" target="_blank" rel="noreferrer noopener">CMS Guidance on Interprofessional Consultations</a></strong>&nbsp;(eConsults)<em>Released January 3, 2023</em></td><td>The Centers for Medicare &amp; Medicaid Services (CMS) issued guidance to clarify that interprofessional consultations (eConsults) can be reimbursed by Medicaid and CHIP, even when the beneficiary is not present.<em>For more information on the CMS Interprofessional Consultation Guidance, please see our&nbsp;</em><a href="https://www.manatt.com/insights/newsletters/health-highlights/cms-authorizes-medicaid-chip-coverage-and-reimburs" target="_blank" rel="noreferrer noopener"><em>January 19</em></a><em>&nbsp;newsletter.</em></td></tr></tbody></table></figure>



<h4 class="wp-block-heading" id="h-legislative-activity"><br>Legislative Activity</h4>



<figure class="wp-block-table"><table><tbody><tr><th><strong>Bill/Activity</strong></th><th><strong>Key Proposed Actions</strong></th></tr><tr><th><strong>Activity</strong></th><th>&nbsp;</th></tr><tr><td>&nbsp;</td><td><em>N/A; No applicable legislative activity in 2023.</em></td></tr><tr><th><strong>Introduced Legislation</strong></th><th>&nbsp;</th></tr><tr><td><a href="https://legiscan.com/US/text/SB1315/2023" target="_blank" rel="noreferrer noopener"><strong>S.B. 1315:</strong></a>&nbsp;Veterans&#8217; Health Empowerment, Access, Leadership, and Transparency for our Heroes (HEALTH) Act of 2023<em>Introduced April 26, 2023</em></td><td>This bill requires the Secretary to ensure that veterans are informed of the availability of telehealth services, and disallows the Secretary from taking into consideration the availability of telehealth appointments when determining a veteran’s community care program eligibility.</td></tr><tr><td><strong><a href="https://www.congress.gov/bill/118th-congress/house-bill/2907/text" target="_blank" rel="noreferrer noopener">H.R. 2907</a>&nbsp;/&nbsp;<a href="https://www.congress.gov/bill/118th-congress/senate-bill/1297/text" target="_blank" rel="noreferrer noopener">S. 1297:</a></strong>&nbsp;Let Doctors Provide Reproductive Health Care Act<em>Introduced April 26, 2023</em></td><td>This bill would prevent states and other entities from restricting the provision of reproductive health care services, including through telehealth.</td></tr><tr><td><strong><a href="https://www.congress.gov/bill/118th-congress/house-bill/2573/text" target="_blank" rel="noreferrer noopener">H.R. 2573</a>:</strong>&nbsp;To express the Sense of Congress with respect to Federal preemption of State restrictions on dispensing medication abortion, and for other purposes.<em>Introduced April 10, 2023</em></td><td>This bill would express that it is the sense of Congress that:Medication abortion was appropriately approved, and regulated, under the Food, Drug, and Cosmetic Act; and,Approval of medication abortion under the Food, Drug, and Cosmetic Act preempts any state law establishing, implementing, or enforcing: (1) any requirement that medication abortion be dispensed in-person; (2) any prohibition or restriction on prescribing or dispensing medication abortion via telehealth.&nbsp;</td></tr><tr><td><a href="https://www.congress.gov/bill/118th-congress/house-bill/12/text" target="_blank" rel="noreferrer noopener"><strong>H.R. 12:</strong></a><strong>&nbsp;</strong>Women’s Health Protection Act of 2023<em>Introduced March 30, 2023</em></td><td>This bill would prohibit limitations on a provider’s ability to deliver or a patient’s ability to receive telemedication abortion services that are not otherwise applied to other “medically comparable services via telemedicine.</td></tr><tr><td><a href="https://www.congress.gov/bill/118th-congress/house-bill/1843/text" target="_blank" rel="noreferrer noopener"><strong>H.R. 1843</strong></a><strong>&nbsp;/&nbsp;</strong><a href="https://www.congress.gov/bill/118th-congress/senate-bill/1001/text" target="_blank" rel="noreferrer noopener"><strong>S. 1001:</strong></a>&nbsp;Telehealth Expansion Act of 2023<em>Introduced March 28, 2023</em></td><td>This bill would amend the Internal Revenue Code of 1986 to ensure that “a plan shall not fail to be treated as a high deductible health plan by reason of failing to have a deductible for telehealth and other remote care services”.</td></tr><tr><td><a href="https://www.congress.gov/bill/118th-congress/senate-bill/731/text" target="_blank" rel="noreferrer noopener"><strong>S. 731</strong></a>: TELEHEALTH HSA Act of 2023 / Telemedicine Everywhere Lifting Everyone’s Healthcare Experience And Long Term Health HSA Act of 2023<em>Introduced March 9, 2023</em></td><td>This bill removes restrictions that require the originating site (i.e., the location of the beneficiary) to be in a rural area, and allows the home of a beneficiary to serve as the originating site, for behavioral health telehealth services under Medicare. The bill applies to services provided on or after January 1, 2025.The bill also expands the scope of required guidance, studies, and reports to address the provision of such services under Medicaid.</td></tr><tr><td><a href="https://www.congress.gov/bill/118th-congress/senate-bill/730/text" target="_blank" rel="noreferrer noopener"><strong>S. 730</strong></a>: Enhance Access to Support Essential (EASE) Behavioral Health Services Act<em>Introduced March 9, 2023</em></td><td>This bill would amend the Internal Revenue Code of 1986 to “make permanent the permissible first dollar coverage of telehealth services for purposes of health savings accounts.”</td></tr><tr><td><a href="https://www.congress.gov/bill/118th-congress/senate-bill/729/text" target="_blank" rel="noreferrer noopener"><strong>S. 729</strong></a>: Audio-Only Telehealth for Emergencies Act<em>Introduced March 9, 2023</em></td><td>This bill would ensure payment parity of audio-only services in Medicare during an emergency declaration.</td></tr><tr><td><a href="https://www.congress.gov/bill/118th-congress/senate-bill/701" target="_blank" rel="noreferrer noopener"><strong>S. 701</strong></a>: Women’s Health Protection Act of 2023<em>Introduced March 8, 2023</em></td><td>This bill would prohibit limitations on a provider’s ability to deliver or a patient’s ability to receive telemedication abortion services that are not otherwise applied to other “medically comparable services via telemedicine”.</td></tr><tr><td><a href="https://www.congress.gov/bill/118th-congress/house-bill/1144/text" target="_blank" rel="noreferrer noopener"><strong>H.R. 1114</strong></a>: Department of Veterans Affairs Telehealth Strategy Act<em>Introduced February 21, 2023</em></td><td>This bill would direct the Secretary of Veterans Affairs to develop a telehealth strategy for services furnished by the Veterans Health Administration and submit a report on end-user devices that facilitate telehealth services.</td></tr><tr><td><strong><a href="https://www.congress.gov/bill/118th-congress/house-bill/1110/text" target="_blank" rel="noreferrer noopener">H.R. 1110</a></strong>: KEEP Telehealth Options Act of 2023 / Knowing the Efficiency and Efficacy of Permanent Telehealth Options Act of 2023<em>Introduced February 21, 2023</em></td><td>This bill would require the Secretary of Health and Human Services, the Medicare Payment Advisory Commission, and the Medicaid and CHIP Payment and Access Commission to conduct studies on actions to expand access to telehealth services under Medicare, Medicaid, and CHIP during the COVID-19 Public Health Emergency.</td></tr><tr><td><a href="https://www.congress.gov/bill/118th-congress/house-bill/833/text?s=3&amp;r=1&amp;q=%7B%22search%22%3A%5B%22Hr+833%22%5D%7D" target="_blank" rel="noreferrer noopener"><strong>H.R. 833</strong></a>: Save America’s Rural Hospitals Act&nbsp;<em>Introduced February 6, 2023</em></td><td>This bill would make permanent the Medicare telehealth service enhancements for federally qualified health centers and rural health clinics permanent listed under Paragraph (8) of section 1834(m) of the Social Security Act.</td></tr><tr><td><a href="https://www.congress.gov/bill/118th-congress/house-bill/824/text" target="_blank" rel="noreferrer noopener"><strong>H.R. 824</strong></a><strong>:</strong>&nbsp;Telehealth Benefit Expansion for Workers Act of 2023<em>Introduced February 2, 2023</em></td><td>This bill would treat telehealth services offered under a group health plan or other group health insurance coverage as excepted benefits.</td></tr><tr><td><a href="https://www.congress.gov/bill/118th-congress/house-bill/767/" target="_blank" rel="noreferrer noopener"><strong>H.R. 767</strong></a>: /&nbsp;<a href="https://www.congress.gov/bill/118th-congress/senate-bill/237/text?s=3&amp;r=1&amp;q=%7B%22search%22%3A%5B%22S+237%22%5D%7D" target="_blank" rel="noreferrer noopener"><strong>S. 237</strong></a>: To preserve access to abortion medications.<em>Introduced February 2, 2023</em></td><td>This bill would ensure that the FDA risk evaluation and mitigation strategies applied to mifepristone:Do not have an in-person dispensing requirement;Allow for patient access via telehealth; and,Allow all pharmacies that are certified to dispense mifepristone to, at a minimum, dispense and mail the medication to patients.</td></tr><tr><td><a href="https://www.congress.gov/bill/118th-congress/house-bill/635/text?s=5&amp;r=1&amp;q=%7B%22search%22%3A%5B%22635%22%5D%7D" target="_blank" rel="noreferrer noopener"><strong>H.R. 635</strong></a>: Expanding Access to Mental Health Services Act<em>Introduced 1/20/23</em></td><td>This bill would allow certain HCPCS codes for behavioral health counseling and other services to covered via audio-only telehealth within the Medicare program.</td></tr><tr><td><a href="https://www.congress.gov/bill/118th-congress/house-bill/134/text?q=%7B%22search%22%3A%5B%22HR+134%22%2C%22HR%22%2C%22134%22%5D%7D&amp;r=1&amp;s=1" target="_blank" rel="noreferrer noopener"><strong>H.R. 134</strong></a>: To amend title XVIII of the Social Security Act to remove geographic requirements and expand originating sites for telehealth services.<em>Introduced January 9, 2023</em></td><td>This bill would extend COVID-19 PHE Medicare geographic flexibilities for originating sites permanently.</td></tr><tr><td><a href="https://www.congress.gov/bill/118th-congress/house-bill/197/text?q=%7B%22search%22%3A%5B%22197%22%2C%22197%22%5D%7D&amp;r=1&amp;s=2" target="_blank" rel="noreferrer noopener"><strong>H.R. 197</strong></a>: Rural Telehealth Expansion Act<em>Introduced January 9, 2023</em></td><td>This bill would enable coverage and reimbursement for store-and-forward telehealth under the Medicare program.</td></tr><tr><td><strong><a href="https://www.congress.gov/bill/118th-congress/house-bill/207/text?q=%7B%22search%22%3A%5B%22207%22%2C%22207%22%5D%7D&amp;r=3&amp;s=3" target="_blank" rel="noreferrer noopener">H.R. 207</a></strong>: Advanced Safe Testing at Residence Telehealth Act of 2023<em>Introduced January 9, 2023</em></td><td>This bill would amend Title XVII of the Social Security act to provide payment for cover certain tests (e.g., serology tests for COVID-19, diagnostic tests or screenings for certain types of cancer, Haptoglobin genetic tests, prediabetes and diabetes screenings, etc.)&nbsp; and assistive telehealth consultations (e.g., an evaluation and management service; the ordering of a diagnostic test or screening; an assessment of an individual succeeding the delivery of a diagnostic test or screening; etc.) under state programs.</td></tr><tr><th><strong>Passed Legislation</strong></th><th>&nbsp;</th></tr><tr><td>&nbsp;</td><td><em>N/A; No applicable passed legislation in 2023.</em></td></tr></tbody></table></figure>



<h4 class="wp-block-heading" id="h-other-information-of-interest"><br>Other Information of Interest</h4>



<p><em>For the full list of other activities and updates from 2020-2022, please see&nbsp;<a href="https://www.manatt.com/Manatt/media/Media/PDF/2020-2022_Executive-Summary_Manatt-on-Health_Tracking-Ongoing-Federal-and-State-Telehealth-Policy-Changes_2023-5-5-For-Marketing-Team.pdf" target="_blank" rel="noreferrer noopener">here</a>.</em></p>



<p>In February 2023, the American Medical Association CPT Editorial Panel added&nbsp;<a href="https://www.ama-assn.org/system/files/cpt-summary-panel-actions-feb-2023.pdf" target="_blank" rel="noreferrer noopener">17 new CPT codes</a>&nbsp;that can be used to report telemedicine E/M office visits. The Panel also removed three codes for billing telephonic E/M office visits. These changes will be effective January 2025.</p><p>The post <a href="https://mtelehealth.com/executive-summary-tracking-telehealth-changes-state-by-state-in-response-to-covid-19-june-2023/">Executive Summary: Tracking Telehealth Changes State-by-State in Response to COVID-19 &#8211; June 2023</a> appeared first on <a href="https://mtelehealth.com">mTelehealth</a>.</p>
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