Starting May 11, 2020, telehealth visits for Medicare Advantage members, including DSNP members, must be an interactive audio-video visit (such as Zoom, FaceTime, Skype, Google Duo or dedicated telehealth solutions) to qualify for reimbursement, except for certain audio-only visits classified by CMS on May 1, 2020.

Medicare fee schedule rates for audio-only evaluation and management codes have been adjusted retroactively for dates of service March 1, 2020 or later, such that reimbursement aligns with in-office fee schedule rates for comparable codes.

Cost share for both covered interactive audio-video telehealth visits and audio-only telehealth visits will continue to be waived.