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id agency_id title docket_type last_modified object_id rin dkabstract category subtype keywords program short_title effective_date organization attrs_raw attr_source
CMS-2026-1255 CMS Medicare and Medicaid Programs; Patient Protection and Affordable Care Act; Interoperability Standards and Prior Authorization for Drugs for Medicare Advantage Organizations, Medicaid Managed Care Plans, State Medicaid Agencies, Children’s Health Insurance Program (CHIP) Agencies and CHIP Managed Care Entities,... (CMS-0062-P) Rulemaking 2026-06-29T15:45:23Z 0b000064b9248605 0938-AV44 These proposals are intended to improve the electronic exchange of health care data and streamline processes related to prior authorization by increasing the interoperability of systems used across the health care industry. We are proposing new requirements for Medicare Advantage (MA) organizations, state Medicaid fee-for-service (FFS) programs, state Children's Health Insurance Program (CHIP) FFS programs, Medicaid managed care plans, CHIP managed care entities, and Qualified Health Plan (QHP) issuers on the Federally-facilitated Exchanges (FFEs), including issuers that offer small group market QHPs on the Federally-facilitated Small Business Health Options Program (FF-SHOP) Exchanges, to make available electronic prior authorization for drugs. In commenting, please refer to file code CMS-0062-P.               {"displayProperties": [], "keywords": null, "modifyDate": "2026-06-29T15:45:23Z", "dkAbstract": "These proposals are intended to improve the electronic exchange of health care data and streamline processes related to prior authorization by increasing the interoperability of systems used across the health care industry. We are proposing new requirements for Medicare Advantage (MA) organizations, state Medicaid fee-for-service (FFS) programs, state Children's Health Insurance Program (CHIP) FFS programs, Medicaid managed care plans, CHIP managed care entities, and Qualified Health Plan (QHP) issuers on the Federally-facilitated Exchanges (FFEs), including issuers that offer small group market QHPs on the Federally-facilitated Small Business Health Options Program (FF-SHOP) Exchanges, to make available electronic prior authorization for drugs. In commenting, please refer to file code CMS-0062-P.", "agencyId": "CMS", "program": null, "shortTitle": null, "subType2": null, "title": "Medicare and Medicaid Programs; Patient Protection and Affordable Care Act; Interoperability Standards and Prior Authorization for Drugs for Medicare Advantage Organizations, Medicaid Managed Care Plans, State Medicaid Agencies, Children\u2019s Health Insurance Program (CHIP) Agencies and CHIP Managed Care Entities,... (CMS-0062-P)", "generic": null, "field1": null, "docketType": "Rulemaking", "petitionNbr": null, "rin": "0938-AV44", "organization": null, "legacyId": null, "subType": null, "category": null, "field2": null, "effectiveDate": null, "objectId": "0b000064b9248605"} single_get

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