CMS TransmittalMedicare Advantage

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

FR-2026-07205

Document details

Document type
CMS Transmittal
Issuing body
Centers for Medicare & Medicaid Services
Document ID
FR-2026-07205
Published
June 5, 2026
Effective date
See source document
MAC region
National

Summary

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

New proposals could enhance billing efficiency in Medicare Advantage.

Affected specialty

Medicare Advantage alerts →

Source document

https://www.federalregister.gov/documents/2026/04/14/2026-07205/medicare-and-medicaid-programs-patient-protection-and-affordable-care-act-interoperability-standards

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