The recent government shutdown has left many telehealth services for Medicare patients in a state of uncertainty. With the Centers for Medicare & Medicaid Services (CMS) disallowing providers from delivering care from home, numerous telehealth appointments have been canceled. Clinicians are advised to stay informed about the evolving telehealth policies, especially as the shutdown impacts Medicare and Medicaid telehealth claims processing and reimbursement. Community clinics are feeling the strain, with concerns that the temporary telehealth waivers will not be reinstated promptly after the shutdown ends. As Vermont and other states grapple with the fallout, the future of telehealth services remains precarious.