Medical Billing Services in New York

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Telehealth payment parity in New York

Commercial and state-regulated health plans in New York must currently reimburse telehealth visits on the same basis, at the same rate, and to the same extent as an equivalent in-person visit, under Public Health Law §2999-dd. This requirement is in effect through April 1, 2028. Billing that still assumes an earlier 2026 sunset will misquote the current rule.

Medicaid runs on a separate track

Medicaid clinic rates — including Article 28 clinics — are not on this parity statute. New York State Medicaid updated its telehealth policy but stopped short of extending full payment parity to Article 28 clinics, so those rates follow the Medicaid Update schedule, not §2999-dd.

What this means for billing

• Commercial telehealth claims should be billed and expected to pay at parity with in-person rates through April 1, 2028
• Medicaid Article 28 clinic telehealth claims should not be billed on the assumption of statutory parity — check the current Medicaid Update for the applicable rate
• Confirm payer contracts reflect the April 2028 date, not an older 2026 sunset some payer policies may still cite

Getting the distinction right depends on clean eligibility and prior authorization work and accurate claim submission by payer type. A billing audit can show whether telehealth claims are already being underpaid against the current parity rule.

Last verified: November 2026

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