Federal Register Proposed Rule: Medicare and Medicaid Programs; Patient Protection and Affordable Care Act; Interoperability Standards and Prior Authorization for Drugs for Medicare Advantage Organizations, Medicaid Managed Care Plans, State Medicaid Agencies, Children's Health Insurance Program (CHIP) Agencies and CHIP Managed Care Entities, and Issuers of Qualified Health Plans on the Federally-Facilitated Exchanges
Policy FR-2026-07205 · Medicare Advantage
The proposed rule aims to enhance the electronic exchange of health care data and streamline prior authorization processes, which can significantly improve billing efficiency for Medicare Advantage or