Federal shutdown impact on healthcare: CMS claims hold and telehealth changes

Closing out two weeks of the federal shutdown, the biggest changes for healthcare are unfolding behind the scenes: in the systems that support reimbursement and compliance. Here’s what’s new: → CMS has extended its claims hold but clarified that it applies only to telehealth claims impacted by the expired Medicare payment provisions under the Full-Year Continuing Appropriations and Extensions Act of 2025 → Several telehealth flexibilities have lapsed, including home-based and non-rural coverage and the ability to complete hospice recertifications virtually → Clinicians should review ABN procedures for any services no longer payable under Medicare (https://lnkd.in/gS4Ry7CE) → ACO participants retain flexibility to furnish covered telehealth services without geographic restrictions (https://lnkd.in/g6Q5Y8KR) Our clinical operations remain steady. We’re preparing to reopen claims once CMS lifts the hold and will notify partners directly when that occurs. For those tracking which telehealth rules remain active, HHS maintains an updated summary here: 🔗 https://lnkd.in/gW43yzRY We’ll continue to monitor developments and share clear, factual updates. Next scheduled update: October 21, 9 AM CT #Telehealth #PostAcuteCare #CMSUpdates #SNF #HealthcarePolicy #ThirdEyeHealth