Proposed Rule On Prior Authorization 2025 , Proposed Rule On Prior Authorization 2025. Cms proposes to modernize the health care system by requiring certain payers to implement an electronic prior authorization process, shorten the time frames for certain payers. Prior authorization policies and procedures may have a disproportionate impact on underserved populations and may delay or deny access to certain services. Medicare advantage plans’ prior authorization rules and coverage criteria would become publicly available under a proposed rule issued tuesday by the centers for medicare & medicaid. Much of the focus in the proposed rule related to prior authorization seeks to clarify the limited situations in which plans can use their own “internal coverage criteria” (icc) to make coverage determinations. Proposed Rule On Prior Authorization 2025 Images References : 2025
Proposed Rule On Prior Authorization 2025. Cms proposes to modernize the health care system by requiring certain payers to implement an electronic prior authorization process, shorten the time frames for certain payers. Prior authorization policies and procedures may have a disproportionate impact on underserved populations and may delay or deny access to certain services. Medicare advantage plans’ prior authorization rules and coverage criteria would become publicly available under a proposed rule issued tuesday by the centers for medicare & medicaid. Much of the focus in the proposed rule related to prior authorization seeks to clarify the limited situations in which plans can use their own “internal coverage criteria” (icc) to make coverage determinations.