CMS Telehealth Billing Change for RHCs and FQHCs Preheader: Effective Oct. 1 for MA members

The Centers for Medicare & Medicaid Services (CMS) is changing how Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) bill for distant-site telehealth services for Medicare Advantage (MA) members.

Beginning Oct. 1, 2026, providers should no longer bill HCPCS code G2025 for distant-site telehealth services. Instead, providers must submit the appropriate CPT or HCPCS code that describes the telehealth service furnished, along with the applicable telehealth modifier and revenue code.

If you have questions regarding this change, contact your provider representative. If you do not know who your provider representative is, email [email protected].