RHC Telehealth Change: Patient Homes are Originating Sites through 2026

CMS has clarified that patients may be in their homes as a qualified originating site for medical telehealth through December 31, 2026. This changes an earlier determination that the home location would not qualify after January 30, 2026. Now, the RHC patient may be in their own home. The RHC provider is located either in the RHC or at their personal residence. These services are reported with G2025 with NO CG modifier. The reimbursement is $97.53. Mental telehealth continues to be a permanent RHC encounter and is reported with the appropriate mental health service CPT, the CG modifier and the appropriate modifier for the modality used. Contact your RHC consultant for more details.

RHC: IMPORTANT: POLICY 130 Non-Discrimination has been marked as "UNDER REVIEW"

Your Policy #130 has been marked "CURRENT POLICY UNDER REVIEW PURSUANT TO RECENT EXECUTIVE ORDERS." As you know, President Trump has issued a number of executive orders in recent weeks. Some of those EOs relate to non-discrimination and civil rights. There is also current litigation around the interpretations and definitions as they might apply to the ACA Section 1557 requirements. We have pended Policy #130. It remains in the current body of policies. However, by marking it reviewed, we hope to prevent any negative survey impact. The policy will be revised whenever we have clear federal guidance on Section 1557.

RHC: NEW LIBRARY ITEMS: AUTOCLAVE LOGS 238-D & 238-E

Two new library items have been created for those RHCs using autoclaves. Surveyors are validating that autoclave logs are being kept, especially cleaning logs which align with manufacturers guidelines. Don't receive a deficiency because of a missing log. We have added 238-D which is for monthly autoclave cleaning and spore counts and 238-E which is a log which can be used daily, weekly and monthly according to the manufacturer's guidelines.