Prior Authorization

Apr 7, 2023
CMS April 5 finalized its Policy and Technical Changes to the Medicare Advantage and Medicare Prescription Drug Benefit Program for Contract Year (CY) 2024.
Mar 21, 2023
The Department of Health and Human Services should adopt its proposed standard for claims attachments to help improve claims processing and eliminate unnecessary burdens on health care providers, AHA said in comments submitted today.
Mar 13, 2023
AHA today urged the Centers for Medicare…
Mar 13, 2023
AHA Comments on the Advancing Interoperability and Improving Prior Authorization Processes Proposed Rule
Mar 6, 2023
The Centers for Medicare & Medicaid Services (CMS) Dec. 6 released a proposed rule to improve the electronic exchange of health care data and streamline processes related to prior authorization. The proposed rule places new requirements on Medicare Advantage (MA) organizations; state…
Jan 14, 2023
AHA staff will summarize the key provisions of the Medicare Advantage proposed rules, provide an opportunity for Q&A, and solicit hospital and health system input into AHA commentary and advocacy.
Dec 7, 2022
The Centers for Medicare & Medicaid Services (CMS), proposed new regulations that would streamline and reduce the burden associated with health plan prior authorization processes and improve the electronic exchange of health care information.
Dec 6, 2022
The Centers for Medicare & Medicaid Services tonight released a proposed rule that would require Medicare Advantage, Medicaid and federally-facilitated Marketplace health plans to streamline processes related to prior authorization.