Implementing the Transforming Episode Accountability Model: Telehealth Waiver

Related CR Release Date: November 20, 2025
MLN Matters Number: MM14215
Effective Date: January 1, 2026 
Related Change Request (CR) Number: CR 14215
Implementation Date: April 6, 2026 
Related CR Transmittal Number: R13479DEMO

CR 14215 includes the following:

  • CMS will waive geographic and originating site requirements for patients receiving these services 
  • The patient must meet the eligibility criteria and have a qualifying outpatient procedure or hospital inpatient stay 
  • The service must happen no later than 30 days after the start of the episode of care
  • CMS added 9 new HCPCS codes G0660–G0668 for evaluation and management (E/M) services
  • CMS will pay for services when the claim meets certain payment criteria, including submitting the required demonstration code A9

Make sure your billing staff knows about the details, participation, and payment for telehealth services under TEAM with dates of service on or after January 1, 2026.

View the complete CMS Medicare Learning Network (MLN) Matters (MM)14215.

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