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CMS Proposes Rule to Require Certain Health Plans to Electronically Share Data with Providers Regarding Prior Authorization Requests | King & Spalding

Published: December 21, 2022

On December 13, 2022, CMS is set to publish in the Federal Register a proposed rule (Proposed Rule) requiring certain Medicare, Medicaid, Children’s Health Insurance Program, and...

Source: jdsupra.com

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Medicare Promoting Interoperability ProgramExchange FrameworkChildren Health Insurance ProgramHealth PlanHealth LevelFederal RegisterProposed RuleHealth Insurance ProgramQualified Health PlanPatient AccessMedicare AdvantageAffected PayersPrior Authorization ProcessesFast Healthcare Interoperability ResourcesAuthorization RequirementsElectronic Prior AuthorizationMerit Based Incentive Payment SystemPromoting InteroperabilityPatient Access Application ProgrammingProvider AccessSimilar DecemberProposed Rule ScheduledTrusted Exchange FrameworkCommon Agreement