CMS Enhances “Prior Authorization” Safeguards and Transparency in Medicare Advantage and Other Health Plan Rules

AAHD and Lakeshore Foundation are two of 506 organizations who have endorsed legislation, led by the Regulatory Relief Coalition, to require safeguards and transparency to Medicare Advantage health plan “prior authorization” procedures. On January 17, CMS announced final “prior authorization” rules in Medicare Advantage and a variety of Medicaid and CHIP health plans. Available here are: (1) January 17 CMS announcement on their rules; (2) Regulatory Relief Coalition statement on the CMS rules; and (3) list of the 506 organizations.