Ensuring appropriate payments for telehealth services furnished by FQHCs and RHCs

Section 1834(m)(8) of the Social Security Act (42 U.S.C. 1395m(m)(8)) is amended by adding at the end the following new subparagraph: (1) in subparagraph (A)(ii), by inserting (or, with respect to such services furnished on or after January 1, 2027, under subparagraph (C)) after subparagraph (B); (2) in subparagraph (B)— (A) in the header, by inserting before 2027 after rule; (B) in clause (i), by striking during the periods for which subparagraph (A) applies and inserting before January 1, 2027; and (C) in clause (ii), by inserting furnished to an individual before January 1, 2027 after telehealth services; and (3) by adding at the end the following new subparagraph: (C) Payment rule for 2027 (i) In general A telehealth service furnished to an eligible telehealth individual by a Federally qualified health center or rural health clinic during any portion of the period described in subparagraph (A) beginning on or after January 1, 2027, shall be paid as a Federally qualified health center service or rural health clinic service (as applicable) under the prospective payment system established under section 1834(o) or the methodology for all-inclusive rates established under section 1833(a)(3), respectively. (ii) Treatment of costs Costs associated with the furnishing of telehealth services by a Federally qualified health center or rural health clinic during any portion of the period described in subparagraph (A) beginning on or after January 1, 2027, shall be considered allowable costs for purposes of the prospective payment system established under section 1834(o) and the methodology for all-inclusive rates established under section 1833(a)(3), as applicable..