As we approach the end of the federal public health emergency flexibilities, significant shifts are coming to telehealth policy that will impact how physicians deliver virtual care. Starting October 1, 2025, several temporary telemedicine waivers and provisions will expire, bringing both new requirements and renewed restrictions for providers. 

This article breaks down the key changes physicians need to be aware of and what they can do now to stay ahead of the transition. 

Key Telehealth Changes Effective After September 30, 2025 

The expiration of the COVID-19 era flexibilities means physicians will need to adapt to more structured and regulated telehealth policies. These changes affect everything from where and how you can see patients to how you're reimbursed for virtual care. 

  1. Geographic and Site Limitations Return Medicare telehealth services will revert to pre-pandemic rules requiring patients to be located in a rural area and present at an eligible originating site, such as a clinic or hospital. This change removes the flexibility that previously allowed patients to receive care from home regardless of location. As a result, providers may need to adjust workflows and patient communication strategies to navigate these restrictions.
  2. In-Person Visit Requirements for Mental Health Services Physicians providing tele-mental health care will need to ensure that patients have had an in-person visit within six months prior to the virtual appointment, and at least once every 12 months thereafter. This requirement is intended to ensure that mental health patients receive a consistent level of care and personal connection with their provider. Failure to meet these criteria may result in denied claims or compliance issues.
  3. Audio-Only Visits Will Be Limited Medicare will only continue to cover audio-only telehealth services under specific circumstances, such as for certain behavioral health visits and when a patient cannot use video technology. Providers who rely heavily on phone visits—particularly with elderly or underserved populations—may need to invest in new workflows and support tools to help patients transition to video-based care.
  4. Licensure Compliance Across State Lines Physicians practicing telehealth across state borders must adhere to each state’s licensure laws. Many temporary licensure waivers are ending, so confirming state-by-state requirements is essential for continued telemedicine practice. If you regularly see patients from multiple states, now is the time to review your licensure status and consider multistate licensure options or joining the Interstate Medical Licensure Compact (IMLC).
  5. Telehealth Provider and Technology Standards Providers must ensure their telehealth platforms meet federal privacy and security standards under HIPAA. The temporary discretion around enforcement will also end, requiring full compliance to avoid penalties. Investing in compliant platforms, staff training, and secure communication protocols will be essential for mitigating risk.

What Physicians Should Do to Prepare 

The return to pre-pandemic standards may disrupt virtual workflows, particularly for physicians who built a large portion of their practice around telemedicine. Now is the time to: 

  • Review Medicare and Medicaid telehealth coverage policies to understand what services will remain eligible. 
  • Revisit licensure and credentialing requirements if practicing across state lines. 
  • Evaluate your technology stack to ensure your virtual care platforms are HIPAA-compliant. 
  • Develop protocols for in-person visit compliance for patients receiving behavioral health services. 
  • Communicate changes with patients who may be impacted by the new site and visit rules. 
  • Consider diversifying your service model to incorporate a mix of in-person and virtual care in alignment with new regulatory guidelines. 

These proactive steps can help physicians navigate the new telehealth environment while continuing to offer accessible, high-quality care to their patients. 

Considering a Role in Telemedicine? PracticeMatch Can Help. 

As noted by WCHS Insights, "But even as job creation skyrockets, a major concern looms: the industry is struggling to fill critical roles fast enough to meet rising demand." This includes telehealth roles. 

PracticeMatch makes it easy for physicians interested in telemedicine to explore opportunities that align with evolving policies and patient needs. Whether you're seeking remote flexibility, better work-life balance, or want to continue providing care across diverse geographies, our platform connects you with telehealth employers nationwide. 

You can search by specialty, location, or telemedicine eligibility, making it simple to find a role that fits your lifestyle and goals. We also offer resources and tools to support your virtual practice journey every step of the way. 

Explore physician jobs that match your clinical interests and telehealth experience at www.PracticeMatch.com.