CMS Interoperability and Prior Authorization Final Rule (CMS-0057-F)
The Centers for Medicare & Medicaid Services (CMS) finalized the CMS Interoperability and Prior Authorization Final Rule (CMS-0057-F) on January 17, 2024, marking a watershed moment in automation, data exchange, and utilization management across healthcare programs.
The rule aims to streamline prior authorization processes and expand interoperable access to electronic health information for patients, providers, and payers.