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CMS Proposes New Prior Authorization Rules To Streamline Process For Providers

 
• By Sue Darcey

The US CMS proposes that Medicaid and CHIP payers establish programming interfaces to hasten prior authorization and improve data exchanges.

CMS Administrator Seema Verma
CMS Administrator Seema Verma says the agency will work to make prior authorization more efficient

The US Centers for Medicare and Medicaid Services (CMS) is proposing that payers for Medicaid and the Children’s Health Insurance Program (CHIP) build program interfaces to support prior authorization of medical services and supplies.

While obtaining prior authorization from payers can save Medicaid and CHIP programs money, it has also been identified as a...

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