Public Inspection: CMS, HHS: Medicare and Medicaid Programs: Advancing Interoperability and Improving Prior Authorization Processes for Medicare Advantage Organizations, Medicaid Managed Care Plans, State Medicaid Agencies, etc.

Pre-publication notice of proposed rule from the Centers for Medicare& Medicaid Services that would place new requirements on Medicare Advantage (MA) organizations, state Medicaid fee-for-service (FFS) programs, state Children's Health Insurance Program (CHIP) FFS programs, Medicaid managed care plans, CHIP managed care entities, and Qualified Health Plan (QHP) issuers on the Federally-facilitated Exchanges (FFEs) to improve the electronic exchange of healthcare data and streamline processes related to prior authorization. This proposed rule would also add a new measure for eligible hospitals and Critical Access Hospitals (CAHs) under the Medicare Promoting Interoperability Program and for Merit-based Incentive Payment System (MIPS) eligible clinicians under the Promoting Interoperability performance category of MIPS. Comments are due within 90 days of the publication of this notice, which is scheduled for December 13, 2022.
Source: Federal Register updates via the Rural Assistance Center - Category: Rural Health Source Type: news