In December, the Centers for Medicare and Medicaid Services (CMS) issued the Advancing Interoperability and Improving Prior Authorization Process Proposed Rule. The rule applies to Medicare Advantage and Medicaid plans and requires the plans to establish an electronic authorization process. The rule also requires the plans to shorten time frames for responding to authorization requests and provide reasons for denials. SCAI applauds CMS for releasing the proposed rule.

SCAI continues to push for passage of the Improving Seniors’ Timely Access to Care Act to reform the Medicare Advantage prior authorization process.