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Impacted payers must provide a specific, standardized reason for denied...

Centers for Medicare & Medicaid Services: Impacted payers must provide a specific, standardized reason for denied prior authorizati... Published Apr 26, 2024....

Actor: Centers for Medicare & Medicaid Services
Topic: Technology
Status: True
Published: Apr 26, 2024
Deadline: Jan 1, 2026

Impacted payers must provide a specific, standardized reason for denied prior authorization requests (excluding drugs) by January 1, 2026.

FactTracker assessment

The CMS Interoperability and Prior Authorization Final Rule (CMS-0057-F) mandates that impacted payers provid...

Original source: healthchain.com