Cms Prior Authorization Rule 2025
Cms Prior Authorization Rule 2025. Cms said it is developing a proposed rule to streamline prior authorization for drugs covered under federally regulated plans, and that it plans to issue the proposed rule in march. On 17 january 2025, the centers for medicare & medicaid services (cms) released a final rule outlining new interoperability and prior authorization requirements for certain payors (final.
New provisions of the final ma rule for 2025 expand on a 2025 rule that required ma plans to establish utilization management, or um, committees to review prior authorization. Here are some of the new state laws designed to expand healthcare coverage and access in 2025.