The Centers for Medicare and Medicaid Services (CMS) recently implemented temporary flexibilities in regulations regarding telehealth in order to ensure that beneficiaries can access health and mental health services during the COVID-19 public health emergency. Many Medicare beneficiaries either do not have access to smartphones, do not know how to use video chat capability, or do not have adequate, reliable internet service to support video communications. A number of states as well as commercial health plans are allowing the use of audio-only devices; Medicare needs to do the same.