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CMS Releases Final Rule on Health Plan Prior Authorization and Interoperability

On January 17, 2024, the Centers for Medicare and Medicaid Services (CMS) released a final rule on prior authorization (PA) and interoperability.  The rule sets new deadlines for plans to respond to prior authorization requests and allows beneficiaries to have more transparency into any PA decisions. 

CMS Releases Final Rule on Health Plan Prior Authorization and Interoperability

On January 17, 2024, the Centers for Medicare and Medicaid Services (CMS) released a final rule on prior authorization (PA) and interoperability.  The rule sets new deadlines for plans to respond to prior authorization requests and allows beneficiaries to have more transparency into any PA decisions.    

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