Telehealth/Telemedicine Enrollment

Telehealth and/or Telemedicine is the use of telecommunications technology to provide health care services to persons who are at some distance from the provider. It involves a spectrum of technologies. To access Telehealth vs Telemedicine, Distant Site, Originating Site, Eligible Providers, Eligible Services, Acceptable Equipment, Billing, Federal Demonstration Project information, go to the Telehealth/Telemedicine webpage.

During the COVID-19 public health emergency (PHE), CMS allowed providers to render telehealth services from their home without reporting their home address on their Medicare enrollment while continuing to bill from their currently enrolled location. This waiver is now a permanent policy.

View the below telehealth/telemedicine enrollment related scenarios on this page.

Telehealth Enrollment Scenarios

Telehealth providers will enroll based on their enrollment scenario:

Provider has a private practice - no reassignments exist

  • Dr. Smith has private practice and provides telehealth from home in Maryland (MD)
  • Dr. Smith submits CMS-855I to the MD MAC and lists the home address on the application
  • Dr. Smith selects the practice location type as "Business Office for Administrative/Telehealth Use Only" or "Home Office for Administrative/Telehealth Use Only" to prevent the home address from displayed on Care Compare
  • Claims will pay based on Dr. Smith's home location

Provider reassigns to a group in the same state - group has a physical location (brick and mortar office)

  • Dr. Smith provides telehealth from home in MD
  • Dr. Smith reassigns Jones Medical Group also in MD
  • Dr. Smith submits CMS-855I to the MD MAC to reassign Jones Medical (no location listed, all locations on the CMS-855B)
  • Jones submits a CMS-855B to the MD MAC listing their physical location and does not list Dr. Smith's home address as a practice location
  • Claims will pay as if Dr. Smith provided the service in person at the physical location

Provider reassigns to a group out of state - group has a physical location

  • Dr. Smith provides telehealth from home in MD where s/he is licensed
  • Dr. Smith reassigns Jones Medical Group in FL
    • Providers shall identify it is a telehealth arrangement on the application or via a cover letter with the application
    • MACs shall defer to state law for any additional licensure requirements
  • Jones Medical submits CMS-855B to the FL MAC listing the physical location and does not list Dr. Smith's home address as a practice location
  • Dr. Smith submits CMS-855I to the FL MAC to reassign to Jones Medical (no location listed, all locations on the CMS-855B)
  • Claims will pay Dr. Smith as if the services rendered were provided in person at the physical location

Note: This scenario is consistent with the Medicare Program Integrity Manual, Pub. 100-08, Chapter 10 - Medicare Enrollment, Section 10.3.1.4(E), "Inter-Jurisdictional Reassignments"

Provider reassigns to group with no physical location (virtual telehealth services only)

  • Dr. Smith provides telehealth from home in MD
  • Dr. Smith reassigns Jones Medical Group who does not have a physical location
  • Jones Medical submits CMS-855B to the MD MAC listing Dr. Smith's home address as its practice location
  • Dr. Smith submits CMS-855I to the MD MAC to reassign to Jones Medical (no location listed, all locations on the CMS-855B)
  • Jones Medical selects the practice location type as "Home/Business Office for Administrative Use Only" to prevent Dr. Smith's home address from publishing on Care Compare
  • Claims will pay based on Dr. Smith's home location

Note: These telehealth enrollment scenarios also apply to teleradiology and telemedicine

Resources

Last Updated Jun 05 , 2026