Payment

• SPARC

• General Information for Physical Therapists
• APTA Merit-Based Incentive Payment System
• Value-Based Care
• Physician Fee Schedule

Medicare Telehealth Flexibilities Clarification

National Government Services (NGS) has received several inquiries regarding the submission of claims now that Congress has extended the telehealth flexibilities from the Public Health Emergency.

With the passage and presidential signing of the Consolidated Appropriations Act, 2026, the telehealth flexibilities that had previously expired on 1/30/2026, were reinstated retroactively and through December 31, 2027. This means that all provider specialties may again provide services via telehealth with no geographic restrictions and patients may receive telehealth services from their home as provided for any telehealth service.

If providers were holding claims or did not submit a claim for a telehealth service impacted by this, then you may submit a claim for consideration under the continuing telehealth flexibilities.

As mentioned above, the telehealth flexibilities will continue through December 31, 2027, at this time.

For additional information you may access the updated CMS Telehealth FAQ document that has been updated February 4, 2026: CMS Telehealth FAQ.

• Medicaid in New York State
• General Information for Physical Therapists
• Rate Sheet

• New York Workers' Compensation Medical Portal
• XML Submissions Vendor List
• CMS-1500 Initiative Overview
• Link for Providers

• Economic Value of PT
• 2024 NIA Clinical Guidelines for Medical Necessity Review - Physical Medicine
• APTA Defensible Documentation Guidelines
• Fair Physical Therapy Copays
• An Overview of Administrative Burden
• APTA Guidelines: Physical Therapy Documentation of Patient/Client Management
• APTA Practice Advisory: Commercial Insurance Out-of-Network Repricing Alert